A pathological state in which neither arousal (wakefulness, alertness) nor awareness exists. The person is unresponsive and cannot be aroused; he/she does not open his/her eyes, does not speak and does not move his/her extremities on command or in response to noxious stimuli (e.g. pain).
What is COMATOSE (coma)
100
The Brief Interview for Mental Status should be conducted if B0700 of the MDS 3.0 is coded
What is 0, 1, or 2
100
A validated interview that screens for symptoms of deprssion and provides a standardized severity score and a rating or evidence of depressive disorder
What is 9-ITEM PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
100
The perception of the presence of something that is not actually there, it may be auditory or visual or involve smells, tastes or touch
What is HALLUCINATION
100
A spousal, kinship (e.g., sibling, child, parent, nephew), or in-law relationship; a partner, housemate, primary community caregiver or close friend. Does not include staff at the nursing home
What is FAMILY OR SIGNIFICANT OTHER
200
Speaker has to increase volume and speak distinctly. Although hearing-deficient, the resident compensates when the speaker adjusts tonal quality and speaks distinctly; or the resident can hear only when the speaker’s face is clearly visible. My hearing is coded in Section B0200 of the MDS 3.0 as
What is MODERATE DIFFICULTY
200
Any response that is unrelated, incomprehensible, or incoherent; it is not informative with respect the the item being rated
What is a NONSENSICAL RESPONSE
200
When should the PHQ-9 be conducted
What is PREFERABLY THE DAY BEFORE OR THE DAY OF THE ARD
200
The resident that hits, kicks, pushes, scratches, grabs, or abuses others sexually displays
What is PHYSICAL BEHAVIORAL SYMPTOMS DIRECTED TOWARD OTHERS
200
A person who is authorized under applicable law, to make decisions for the resident, including giving and withholding consent for medical treatment
What is GUARDIAN/LEGALLY AUTHORIZED REPRESENTATIVE
300
The verbal expression of articulate words
What is SPEECH
300
I am entered in C0400A, C0400B, and C0400C if there have been no verbal or written responses and/or nonsensical responses in C0200, C0300A, C0300B, and C0300C by the resident when conducting the BIMS.
What is DASHES
300
Residents may respond to questons on the PHQ-9 verbally
by pointing to their answers on the cue card, OR
What is BY WRITING OUT THEIR ANSWERS
300
Behavior that interrupts or interferes with the delivery or receipt of care. May be manifested by verbally declining or statements of refusal or through physical behaviors tht convey aversion to or sesult in avoidance of or interfere with the receipt of care
What is REJECTION OF CARE
300
Release from nursing home care. Can be to home, another community setting, or healthcare setting
What is DISCHARGE
400
If, at best, the resident’s understanding is limited to staff interpretation of highly individual, resident-specific sounds or body language (e.g., indicated presence of pain or need to toilet). Section B0700 of the MDS 3.0 would be coded as
What is RARELY OR NEVER UNDERSTOOD
400
The Staff Assessment for Mental Status is conducted if B0700 is coded as a
What is 3
400
The look back period for the Resident Mood Interview (PHQ-9)
What is 14 DAYS
400
The act of moving (walking or locomotion in a wheelchair) from place to place with or without a specified course or known direction. Wandering may or may not be aimless. The wandering resident may be oblivious to his or her physical or safety needs. The resident may have a purpose such as searching to find something, but he or she persists without knowing the exact direction or location of the object, person or place. The behavior may or may not be driven by confused thoughts or delusional ideas (e.g., when a resident believes she must find her mother, who staff know is deceased).
What is WANDERING
400
The resident's abiity to meaningfully contribute to the completion of the MDS is assessed in this section of the MDS
What is Q0100
500
The Section of the MDS that determines if the resident or staff interviews should be conducted
What is B0700
500
Inattention, Disorganized thinking, Altered level of consciousness, and Psychomotor retardation are
What is The TOTAL SEVERITY SCORE
Total Severity Score can be interpreted as follows:
1-4: minimal depression 5-9: mild depression 10-14: moderate depression 15-19: moderately severe depression 20-27: severe depression
500
Repetitive walking with a driven/pressured quality within a constrained space
What is PACING
500
Q0300 (Resident's Overall Expectation) is asked on
What is FIRST ASSESSMENT ON ADMISSION/ENTRY OR REENTRY (A0310E=1)