MDS Alert
Program Assessment, Restore Your Perception of Restorative
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Here's a quick way to find out if you're selling yourself short.
Your facility might just be providing more restorative nursing care to some residents than you realize. To find out if that's the case, pull out your care plans to see what staff are already doing for residents that would qualify as restorative in Section P3 (see , "Know What Counts Before You Code Section P3a-k", this issue), advises Rita Roedel, RN, MS, a consultant with the Milwaukee office of BDO/Heritage Healthcare Group.
Also take a look at residents' activities of daily living (ADL) scoring on Section G. "If a resident is coded for bed mobility as 0-0 for independent, that person isn't a candidate for restorative," Roedel says. "But if his self-performance is a 1, 2 or 3 (supervised, limited or extensive), then staff is already assisting the resident and likely providing some level of restorative care," she notes.
The next step: Devise a program to meet the requirements spelled out in the Resident Assessment Instrument user's manual so you can code these services on the MDS (for details, see stories on Restorative Care in this issue). 
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