PRIOR FUNCTIONS
SELF CARE ADM/DISCHARGE
WHAT'S NEW??
POTPOURRI
I KNOW THIS STUFF!!
100

This indicate the resident's usual ability with the everyday activities.

What is PRIOR  to current illness.

100

Resident Refused: If the resident refused to complete the activity. 

What is Code 07

100

The ability to bathe self including washing, rinsing, and drying self ( excludes washing back or hair). Does not include transferring in/out of tub/shower.

What is SHOWER/BATHE SELF..

100

The ability to use suitable utensils to bring food to the mouth and swallow food and/or liquid once the meal is presented before the resident

What is EATING

100
The ability to maintain perineal hygiene, adjust clothes before and after using the toilet, commode, bedpan, or urinal. If managing an ostomy, includes wiping the opening but not managing the equipment
What is TOILETING HYGIENE
200

The resident completed the activities by himself or herself, with or without an assistive device, with no assistance from a helper. 

What is 3, INDEPENDENT.

200

Admission/Discharge Performance-if the activity was not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury. 

What is Code 09, Not Applicable.

200

The ability to dress and undress above the waist including fasteners.

What is UPPER BODY DRESSING

200

Ms. S has multiple sclerosis, affecting her endurance and strength. Ms. S prefers to feed herself as much as she is capable. After eating three-fourths of her meal by herself, Ms. S usually becomes extremely fatigued and requests assistance from the certified nursing assistant (CNA) to feed her the remainder of the meal.

What is Code 03 (PARTIAL/MODERATE ASSISTANCE) The CNA provides less than half the effort for the resident to complete the activity of eating for all meals.

200
Mrs. J uses a bedside commode. The CNA provides steadying (touching) assistance as Mrs. J pulls down her pants and underwear before sitting down on the toilet. When Mrs. j is finished voiding or having a bowel movement, the CNA provides steadying assistance as Mrs. J wipes her perineal area and pulls up her pants and underwear without assistance
What is Code 04 (SUPERVISION OR TOUCHING ASSISTANCE) The helper provides steadying (touching) assistance to the resident to complete toileting hygiene
300

The resident was admitted to an acute care hospital after experiencing a stroke. Prior to admission, he used a cane to walk from room to room. In the morning, Mr. C’ s wife would provide steadying assistance to Mr. C when he walked from room to room. 

What is 2, NEEDED SOME HELP.

300

Supervision or touching assistance: if the helper provides VERBAL CUES or TOUCHING/STEADYING assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

What is Code 04

300

The ability to dress and undress below the waist including fasteners

What is LOWER BODY DRESSING

300
Mr. R is unable to eat by mouth due to his medical condition. He receives nutrition through a gastrostomy tube (G-tube), which is administered by nurses.
What is Code 88, Not attempted due to medical condition or safety concerns
300
The ability to move from sitting on side of bed to lying flat on the bed
What is SIT TO LYING
400

Mrs. R had a stroke, resulting in a severe communication disorder. Her family members have not returned phone calls requesting information about Mrs. R’s prior functional status, and her medical records do not include information about her functional cognition prior to the stroke. 

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What is 8, UNKNOWN.

400

If the resident did NOT attempt this activity due to environmental limitations. Examples include lack of equipment and weather constraints. 

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What is Code 10, Not attempted due to environmental limitations.

400

The use of this should be a rare occurrences.

What is DASHES

400
The ability to use suitable items to clean teeth (Dentures if applicable) The ability to remove and replace dentures from and to the mouth and manage equipment for soaking and rinsing them
What is ORAL HYGIENE
500

Mrs. L had a stroke one year ago that resulted in her using a wheelchair to self-mobilize, as she was unable to walk. Mrs. L subsequently had a second stroke and was transferred from an acute care unit to the SNF for skilled services 

What is 9, NOT APPLICABLE

500

If the resident does not eat or drink by mouth and relies solely on nutrition and liquids through tube feedings or TPN because of a NEW (recent-onset) medical condition, 

What is Code 88, Not attempted due to medical condition or safety concerns.

500

The ability to put on and take off socks or shoes.

What is FOOTWEAR

500
Mr. W is edentulous (without teeth) and his dentures no longer fit his gums. Mr. W begins to brush his upper gums after the helper applies toothpaste onto his toothbrush. he brushes his upper gums, but cannot finish due to fatigue. The helper completes the activity of oral hygiene by brushing his back upper gums and his lower gums.
What is Code 02 (SUBSTANTIAL/MAXIMAL ASSISTANCE). The resident begins the activity. The helper completes the activity by performing more than half the effort
500
Mrs. H requires assistance from a nurse to transfer from sitting at the edge of the bed to lying flat on the bed because of paralysis on her right side. The nurse lifts and positions Mrs. H's right leg. Mrs. H uses her arms to position her upper body. Overall, Mrs. H performs more than half of the effort
What is Code 03 (PARTIAL MODERATE ASSISTANCE)
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