MDS Alert
How Would You Code These RAI Manual Scenarios for Bed Mobility (G0110A)?
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Example No. 1:
Example No. 2: "Mrs. S. is unable to physically turn, sit up, or lie down in bed," states the RAI manual. "Two staff members must physically turn her every 2 hours without any participation at any time from her at any time during the 7-day look-back period. She must be physically assisted to a seated position in bed when reading."
Example No. 3:
"Mr. Q. has slid to the foot of the bed four times during the 7-day look-back period. Two staff members had to physically lift and reposition him toward the head of the bed," states the RAI manual. "Mr. Q. was able to assist by bending his knees and pushing with legs when reminded by staff."Answers:
Example No. 1:
"Coding: G0110A1 would be coded 0, independent. G0110A2 would be coded 1, setup help only," states the RAI manual."
Rationale: Resident is independent at all times in bed mobility during the 7-day look-back period and needs only setup help."Example No. 2:
"Coding: G0110A1 would be coded 4, total dependence. G0110A2 would be coded 3, two+ persons physical assist," states the RAI manual."
Rationale: Resident did not participate at any time during the 7-day look-back period and required two staff to position her in bed."Example No. 3:
"Coding: G0110A1 would be coded 3, extensive assistance. G0110A2 would be coded 3, two+ persons physical assist," states the RAI manual."
Rationale: Resident required weight-bearing assistance of two staff members on four occasions during the 7-day look-back period with bed mobility."Source: Excerpted verbatim from the April 1 RAI manual.
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