Bed Mobility
Charmaine is not feeling well this evening. Today she ate too many chocolate brownies. Two nurse aides had to reposition her in bed to her right side this evening. The aides support her head and legs during repositioning, and she is able to hold on to the side rail and assist
How would you document this episode of bed mobility?
What is 3/3
Extensive assist of two
Weight-bearing support provided, but she
did participate
Sonya had an unfortunate accident and broke both her legs. Today, two nurse aides transfer her into her wheelchair using a full-body mechanical lift. She is not able to assist with any part of the transfer
How would you document this transfer activity?
What is 4/3
Total dependence with assistance of two was not able to participate in any part of the activity and required two staff members to transfer with the full-body mechanical lift, which supported all of her weight
Don's wife visits daily for lunch, he eats in his room and his wife assists him with eating
How would you document eating assist for
lunch today?
8/8 Did not occur
Only document assistance provided by facility staff. Since Don's wife provided all of the assistance during lunch, the activity would be coded as did not occur for this meal
Laura is on toilet and is unable to cleanse herself. Able to stand and hold onto grab bars while you provide pericare to her. How would you code toileting?
What is 3/2.
Jim propels self in wheelchair to lunch. He is tired after a full meal and you have to push him back to his room. How would you code wheelchair mobility?
What is 3/2
Melanie is able to reposition self in bed while you stand by and watch. How would you code bed mobility?
What is 1/0
Sherry is lying in bed and you place her walker at her bedside. She is able to transfer while you observe. How would you code transfers?
What is 1/1
Mary has Parkinson's disease and has trouble guiding food to her mouth due to her shaky hands. You assist by guiding her hands to her mouth. How would you code eating?
What is 2/2
Resident is able to bring herself to the toilet by herself. She requires no staff assist or oversight. How would you code?
What is 0/0
Rose has left sided weakness due to having a stroke. While ambulating in halls with use of a 4 wheelwalker, you support her left side. How would you code ambulating?
What is 3/2
Is 1/2 a appropriate code for bed mobility?
What is No. You CANNOT supervise and also be providing one person physical assist.
Is 2/1 a appropriate code for transferring a resident?
What is No. You CANNOT be providing limited assist while providing setup help.
Is 4/3 a appropriate code for eating?
What is No. It should not require total assist x 2 staff members to feed a resident.
Is 3/3 a appropriate code for toileting?
What is Yes. Some residents are able to participate in their toileting but may also require the assist of two staff members.
Resident is getting dressed and is able to put on his shirt and pants. Has poor dexterity in his hands and so you assist by zipping up his pants zipper. How would you code dressing?
What is 2/2
Jane frequently slides down in her bed. Two staff members had to physically lift and reposition her towards the head of the bed while resident assisted by bending her knees and pushing against the bed. How would you code bed mobility?
What is 3/3
While on leave from the nursing home in Florida, Ashly developed a bone spur on her heel from walking so far in the deep sand to find the perfect sea shell. She now has difficulty walking in her room. She requires staff to help support her when she selects clothing from her closet. She is able to walk in her room with weight-bearing assistance from one staff member
How would you code this Walk in Room episode?
3/2
Extensive assistance
The staff member was bearing weight while
helping her walk to the closet and back.
After staff deliver David his tray, he consumes all of the food without any cueing or physical help. How would you code eating?
What is 0/0.
Staff members must remind resident to toilet frequently during the day and to unzip and zip pants and to wash hands after using toilet. How would you code toileting?
What is 1/0.
The CNA takes Vernetta's toothbrush, comb and toothpaste from the drawer and places them on the bathroom sink. She is then able to brush her own teeth and comb her own hair while CNA is in the room making her bed. CNA occasionally glances over to make sure V. is doing a good job. How would you code hygiene?
What is 1/1.
Brenda is laying in bed and must turn every two hours due to a history of skin breakdown. She can sometimes be lazy and requires prompting. You're in the room and encourage the resident to turn while gently guiding her hands onto the side rail. How would you code bed mobility?
What is 2/2.
Cindy is totally dependent on transfers and is a hoyer lift. You are by yourself in the room and have resident laying on pad hooked up to hoyer lift. Is 4/2 a appropriate code? If not, what?
What is No. Hoyer lifts are a two person transfer. You need another staff member in the room. 4/3.
Lois begins eating lunch by herself. She tires fast and a staff member has to physically support her hand to bring food to her mouth and provide verbal cueing to swallow the food. How would you code eating?
What is 3/2.
Staff must assist Herb to zip his pants, hand him a washcloth, and remind him to wash his hands after using toilet daily. How would you code toileting?
What is 2/2.
Jim is requesting to take a shower. He is physically able to wash himself but states "I don't feel like washing myself today". This is a noted behavior of his and CNA completely bathes him despite knowing he is perfectly capable of bathing himself. How would you code bathing?
What is 4/2.