What is best way to assess functional status for ADLS/IADLS?
100
What a clinician scores when a caregiver helps a patient brush their hair, even though the patient is able to brush their hair themselves.
What is ability?
100
The reason Mrs. Smith is determined 'independent' in grooming even though she cannot trim her fingernails, but she can wash her face, brush her hair and put on her makeup.
What is majority of tasks?
100
In this OASIS question, the patient is rated independent even though they need to use an assistive device.
What is 'Toilet Transferring', M1840?
100
M1850 rates transferring to, from and within only these places.
What is the bed and the chair?
200
Current Status
What does OASIS consider the "Day of Assessment" when determining functional status?
200
What a clinician counts when determining if a patient is able to put on all their pieces of clothing.
What is the majority of tasks?
200
Mr. Lopez is able to dress himself, but has dementia and forgets what he is doing, therefore he is rated as needing this type of assistance.
What are verbal cues?
200
The patient's rating in M1840 who cannot get to the toilet down the hall, but is able to use the bedside commode independently.
What is response 3, unable to get to and from the toilet?
200
The percentage that marks more than minimal assistance in transferring (M1850).
What is more than 25%?
300
It is true or false that the clinician may look at prior assessments to determine the current functional assessment.
What is false?
300
For grooming, the answer is bathing, shampooing and toileting.
For toilet transferring, the answer is personal hygiene, clothing management and emptying the bedpan.
What are exclusions?
300
The ability to access the tub/shower, to transfer in/out of the tub/shower, and the ability to bathe the entire body.
What are the focus tools for bathing assessment?
300
Pulling clothes up/down, managing incontinence pads, cleaning the perineal area, performing urinary catheter care, and cleaning around one's stoma.
What are the inclusions in OASIS M1845, Toileting Hygiene?
300
The patient who is deconditioned and weak after a long hospitalization, but is able to sit in the chair for 20 minutes two times a day.
What is not bedfast?
400
The convention that depicts how a patient functions most of the time (>50%).
What is usual status?
400
The caregiver does not impact abiity.
Why do you rate a patient as able to prepare light meals even though the patient has all the meals prepared by the family member?
400
Of washing the entire body, transfering in and out of the tub or shower, and drying off after the shower; this item that is not included in bathing assessment.
What is drying off after a bath?
400
The status used in Toileting Hygiene that determines why a patient is independent eventhough she cannot pull up nylons which she rarely wears.
What is 'Usual Status'?
400
Moving safely on a variety of surfaces.
What are inclusions for Ambulation, (M1860)?
500
The only element that could supercede a patient's ability to bathe, thus rating the patient as, unable to bathe.
What is medical restriction?
500
The concept that keeps you from rating a patient as independent because he walks without an aid through the house, but is unbalanced and has to feel the walls to find his way around the home.
What is ability infers safety?
500
The euphemism for patients who cannot get into or out of a bath tub or shower, and are therefore rated as 4 or 5 in M1830.
What are "Sink Bathers"?
500
The patient with a colostomy has to be able to clean around their stoma to be independent in 'Toileting Hygiene', however the patient does not get a lower function rating for this exclusion.
What is the exclusion, 'managing ostomy equipment'?
500
The score for any patient that requires any kind of human intermittent assistance for ambulation.