MDS Alert
Coding Activities of Daily Living
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How would you code this ADL example revised in the April 2004 RAI user manual update? Mr. V is able to feed himself. Staff must set up the tray, cut the meat, open containers and hand him the utensils. Mr. V requires more help during dinner, as he is tired and less interested in completing his meals. In addition to encouraging him to continue eating and frequently handing him his utensils and cups to complete the meal, at these times a staff member also must assist in guiding his hand in order to get the utensil to his mouth. Answer: Self Performance = 2 Support Provided = 2 Coding rationale: Mr. Vis unable to complete the meal without staff providing him non-weight-bearing assistance (3 or more times in the observation period).
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