Bed Mobility
After reviewing the care plan you went to Mrs. Gordon's room to help her position in bed. You went in, woke her and provided her a cue to turn to her side. The codes for Self-performance and Support given is?
What is 1 (supervision) and 0 (no set-up)?
According the the care plan, Mrs. Long needs guided maneuvering for positioning her hands on the dining room chair when transferring from the chair to the standing position. At breakfast, you guided Mrs. Longs hands to the arms of the dining room chair so she could push herself up to the standing position. How do you code this transfer?
What is 2 (limited assist) and 2 (one person assist)?
According to her care plan, Mrs. Elliot is able to transfer herself to the toilet, but you had to adjust her clothing and perform the necessary personal hygiene after she used the toilet. How do you code toileting?
What is 2 (Limited Assist) and 2 (one person assist)?
Mrs. Green's care plan says she needs assist with food placement on her plate, cutting meat and cues to guide her to use her utensils throughout the meal. How is this coded for the ADL of eating?
What is 1 (supervision) and 1 (set up)?
The resident completed the activity with no help or oversight. How do you code for Self Performance
What is 0 (Independent)?
After reviewing the care plan you another CNA enter Mr. Mallow's room. He has slid down in his bed and needs repositioned. He is able to assist by bending his knees and pushing his legs. You and the other CNA need to physically pull him up in bed. How would you code this?
What is 3 (extensive assist) and 3 (two-person assist)?
According to the care plan, Mr. Austin has Parkinson's and needs weight-bearing assist of 2 staff to transfer using the sit/stand lift. During your shift, you and another staff transferred Mr. Austin from his bed to his wheelchair using the sit/stand lift. He was able to hold on to the hand grips during the transfer. What is the appropriate coding for transfers?
What is 3 (extensive assist) and 3 (two person assist)?
During your shift, Mr. Stone needed toileting assist to zip his pants and hand him a washcloth to wash his hands. How do you code toileting?
What is 2 (limited assist) and 2 (one person assist)?
The care plan for Mr. Black states he needs assist with lifting his fork to his mouth during eating. At breakfast, you sat with Mr. Black and lifted his right arm to his mouth each time he took a bite. What should you code for the ADL of eating?
What is 3 (extensive assist) and 2(one person assist)?
Someone only requires oversight, encouragement or cueing to perform the ADL. No touching, how do you code Self performance?
What is 1 (Supervision)?
Mr. Bird favors lying on his right side. An intervention on his care plan to prevent skin breakdown is to rotate from side to back to side approx. every 2 hours. You go to his room and guided his hand to the re-positioning bar and assist him to turn to his left side. What do you code for bed mobility?
What is 2 (limited assist) and 2 (one person assist)?
According to the care plan, Mrs. Davis has right sided weakness due to her recent stroke and needs assist of 2 staff to transfer using the mechanical lift. During your shift, you and another staff transferred Mrs. Davis from her bed to her wheelchair using the mechanical lift. She provided no assistance during the transfer. What is the appropriate coding for transfers?
What is 4 (Total dependent) and 3 (two person assist)?
Mrs. Rubble is a post right ankle fracture and has orders for non weight bearing to her right foot. During your shift you took her to the bathroom, physically transferred her from the wheelchair to toilet and then back from the toilet to the wheelchair. She was able to do her peri care, wash her hands and adjust her clothing herself. How do you code toileting based on the assistance you provided?
What is 3 (extensive assist) and 2 ( one person assist)?
It is lunch time and you are the only CNA in the dining room as Mr. Moore comes to his table. You bring him his plate, cup of coffee and provide him no other assistance during the meal. How do you document the ADL of eating?
What is 0 (Independent) 0(no set up)
You only provided non-weight bearing assistance for the resident such as guided maneuvering of limbs during the ADL activity. How do you code for self performance?
What is 2 (limited assistance)?
Mrs. Cook is on hospice and is at the end of her life. She is unable to assist with any of her ADL's. Her care plan indicates to physically turn her in bed approx. every 2 hours. You and the nurse go to her room and the 2 of you physically turn her to her right side. How do you code bed mobility?
What is 4 (totally dependent) and 3 (two person assist)?
As a CNA, you are working the overnight shift. Mrs. Christensen slept all night and did not need to get out of bed for any reason. What is the appropriate coding for transfers that you would document?
What is 8 (did not occur) and 8 (did not occur)?
Mrs. Terry has a supra pubic catheter that she is able to manage on her own. During your shift, she emptied her catheter into a graduated cylinder and asked you to dispose of it in the toilet for her. She did not have a bowel movement on your shift. How do you code for toileting?
What is 0 (independent) and 1 (set up)?
As the CNA, you are documenting the ADLs at the end of your shift. For eating, Mrs. Reynolds has a g-tube and takes nothing by mouth. She did not come to the dining room for the meal. What do you document for eating?
What is 8 (did not occur) and 8 ( did not occur)?
You provide weight bearing assistance for the resident. Examples include: lifting the residents hand to place on a repositioning bar, lifting a residents hand to their mouth while eating or lifting a residents legs into bed. How do you code for Self performance?
What is 3 (extensive assistance)?
Mr. Kline prefers to sleep in his recliner as stated in his care plan. During your shift, he asked you to remove the pillow from under his feet which required you to lift both legs up to remove the pillows. He is able to lean forward so you can place a pillow behind his back. How do you code this for bed mobility?
What is 3 (extensive assist) and 2 (one person assist)?
During your shift, Mrs. Jones transferred from her bed to her wheelchair. She needed you to bring the wheelchair next to the bed and remind her to hold on to the chair and for her to position her body slowly. You provided this reminder one time on your shift. How do you code this transfer?
What is 1 (supervision) and 1 (set up)?
Mrs. White has an end stage cancer diagnosis and is unresponsive. She is unable to get up to toilet and is incontinent of bowel and bladder. During your shift you and a co-worker were required 3 times to provide incontinence care for her. How do you code for toileting?
What is 4 (Total dependence) and 3 (two person assist)?
Mrs. Reynolds is demented, she must be spoon fed. She does not participate in any aspect of getting the food to her mouth. What do you document for eating?
What is 4 (totally dependent) and 2 (one person assist)
The term "Late loss ADLs" means that residents retain their functional ability in these four areas the longest. Only these 4 specific ADLs, which are coded on the MDS, influence the reimbursement rate. What are the four late loss ADLs that staff provide documentation on?
What are Bed mobility, Toileting, Transfers and Eating