MDS Alert
Have These Residents Undergone a Change in Their Cognitive Status?
PDF
Try your hand at coding B6.
The coding options include "0" for no change; "1" for improved; or "2" for deteriorated.
Case Example No. 1: Mrs. G experienced delirium (acute confusion) secondary to pneumonia approximately 30 days ago. With appropriate antibiotic therapy, hydration, and a quiet supportive milieu, she recovered.
Although Mrs. G's cognitive skills did not increase beyond the level that existed prior to her pneumonia, and she remains unable to make daily decisions, she has steadily improved to her pre-pneumonia status.
Case Example No. 2: Mrs. P is intellectually intact. About two and one-half months ago she was informed by her daughter that her neighbor and lifelong friend had died while on a trip to Europe. Mrs. P took the news very hard; she was stunned and seemed to be confused and bewildered for days. With support of family and staff, the confusion passed. Although she continued to grieve, her cognitive status returned to what it was prior to her receiving the bad news.
Answers below:
Case example No. 1: Code "0" for no change
Case example No. 2: Code "0" for no change.
Source: RAI User's Manual,chapter 3.
MDS Alert
- QUALITY OF CARE:
Ready, Set: Detect, Address, Prevent Delirium
This care map can help keep residents off a dangerous clinical path. Delirium is definitely [...] - RAI COMPLIANCE:
Navigate Significant Change in Status Assessments to Improve Your Facility's Survey and Payment Status
Defuse the confusion about this OBRA-required MDS assessment. True or false? You should definitely do [...] - QUALITY OF CARE:
5 Tips Ensure Your Restorative Program Meets RAI Manual Requirements
If you want to get paid, follow these key strategies. Providing restorative is one thing, [...] - MDS AUDIT:
If Sections F and E Don't Jibe,You May End Up With an F Tag
Comparing notes can tell you that trouble may be brewing for a resident. The MDS [...] - Time Management Tip:
Don't Get Too Wrapped Up in RAPs When Doing an SCSA
Work smart when doing this comprehensive assessment. Some MDS teams disdain doing significant change in [...] - SURVEY MANAGEMENT:
MDS 3.0 Delirium Assessment Trumps MDS 2.0
The new instrument does a better job detecting this potentially lethal problem. The last thing [...] - ASSESSMENT:
These Examples of Decline Could Herald a Sig Change
The RAI User's Manual provides these coding examples. Look for decline in two or more [...] - PHARMACOTHERAPY:
Help Keep Residents Delirium-Free With These 3 Key Strategies
Doing a little homework will earn you high marks with surveyors in this area of [...] - TOOL:
Wondering if a Med Is Anticholinergic? - CARE PLANNING:
Cover These Care Plan Bases to Keep Surveyors Off Your Case
3 ways to tell if you're wide open for F tags. A few common shortfalls [...] - Patient Safety Tip:
Resident Opioid Naïve? Beware This Drug
Prevent falls, oversedation. Doing a medication history can pay off by identifying residents who haven't [...] - CODING QUIZZER:
Have These Residents Undergone a Change in Their Cognitive Status?
Try your hand at coding B6. How would you code the following case examples at [...] - MDS & MEDICAID UPDATE
Good news: The MDS 3.0 may not impact Medicaid case-mix states as much as predicted. [...]