Name the level of assistance
Resident completes the activity by themself with no assistance from a helper
Independent
Mrs. Jones is able to eat her meal after the CNA opens her milk for her.
Set-up
Resident needs wheelchair to be locked and placed at bedside so that when she wakes up she can transfer from the bed to the wheelchair.
Set-Up assistance
For the showering/bathing task. Do not include washing, rinsing and drying the patient’s back or hair.
True
Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.
Set-up or clean-up assistance
For patients with bilateral lower extremity amputations with or without use of prostheses, the activity of putting on/taking off footwear may not occur.
Not attempted due to medical condition or safety concerns.
The resident requires verbal cues to complete an activity.
Supervision/touching assistance
Mrs. Johnson doesn't feel well and stays in bed during your entire shift. She normally needs partial assistance to transfer from her bed to her wheelchair. You should code partial assistance as that is what she usually requires.
FALSE- code that the activity did not occur. Either resident refused or nursing stated she shouldn't get out of bed and it was Not attempted due to medical condition or safety concerns.
Helper does ALL of the effort. Resident does none of the effort to complete the activity.
Dependent
Bathing - Mrs. Smith is only able to wash her left arm and chest and requires a helper to complete all the remaining bath
Substantial/Maximal assistance - the helper did more than half of the bathing.
Resident needs the assistance of 2 or more helpers for the resident to complete the activity.
Dependent
Mrs. Miller is able to be toileted throughout the day with partial/moderate assistance. Once resident gets into bed at night she chooses to urinate in her brief. How do you code toilet transfer.
Code as Resident Refused. - Regardless, if this happens every night we should always be offering to get a resident up to go to the bathroom rather than encouraging incontinence.
Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.
Supervision
Resident receives all nutrition through Peg-tube and takes nothing in by mouth.
Coded as not applicable due to medical condition.
Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.
Substantial/maximal assistance
Lower Body Dressing - Mr. Adams is able to put on his underwear and pants without any assistance after the nurse puts on his Ted hose. This should be coded as Independent.
FALSE - When donning and doffing a supportive elastic bandage, compression stockings, or an orthosis or prosthesis, count the elastic bandage/compression stocking/orthosis/prosthesis as a piece of clothing when determining the amount of assistance the patient needs to complete the dressing activity.
Helper does LESS THAN HALF the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort.
Partial/Moderate assistance
Sit to Stand -If a mechanical lift is used to assist in transferring a patient for a chair/bed-to-chair transfer, and even with assistance the patient is not able to complete the sit to stand activity.
Activity not attempted
Chair to bed transfer - Mr. Jackson is able to transfer himself from bed to chair without any assistance as long as a single helper manages his oxygen tubing for him.
Supervision/touching assistance
(Reasoning - the assistance happened during the activity. It is only set-up if the assistance occurred before or after the activity)
if two helpers are required to complete an activity, even if the second helper was there for supervision/stand-by assist and did not end up needing to provide hands on assistance.
TRUE