GG Coding
Resident completes the activity by them self with no assistance from the helper.
What is independent?
The managing of denture soaking and rinsing is including in oral hygiene. True of false?
What is true?
Greta pushes up from the bed to get herself from a lying to a seated position. The CNA provides steadying (touching) assistance as Greta scoots herself to the edge of the bed and lowers her feet onto the floor. How do you code lying to sitting for Greta?
What is 04 supervision or touching assistance?
What is false?
Helper sets up or cleans up; resident completes the activity.
What is setup or clean up assistance?
The helper provides verbal cues or touching/steadying and/or contact guard assistance. Assistance may be provided throughout or intermittently.
What is supervision or touching assistance?
The CNA opens all of Shelby's cartons and containers on her food tray before leaving the room. There are no safety concerns regarding Shelby's ability to eat. Shelby eats the food herself, bringing the food to her mouth, using appropriate utensils, and swallowing the food safely. How do you code Shelby eating?
What is setup or clean up assistance?
Lizzie requires assistance from a CNA to transfer from sitting at the edge of the bed to lying flat on the bed because of paralysis on her right side. The CNA lifts and positions Lizzie's right leg. Lizzie uses her arms to position her upper body and lowers herself to a lying position flat on her back. How do you code sit to lying?
What is 03 partial/moderate assistance?
Sunny had a stroke and currently is not able to walk. He uses a wheelchair for mobility. When Sunny gets out of bed, the therapist moves the wheelchair into the correct position and locks the brakes so that Sunny can transfer into the wheelchair safely. Sunny had been observed several other times to determine any safety concerns, and it was documented that he transfers safely without the need for supervision. Sunny transfers into the wheelchair by himself after the therapist leaves the room. how do you code the chair/bed transfer?
What is 05 setup or cleanup assistance?
Helper assists only prior to or following the activity.
The resident chose not to complete the activity.
What is "resident refused"?
Yogi is edentulous and his dentures no longer fit his gums. In the morning and evening, Yogi 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 CNA completes the activity of oral hygiene by brushing his back upper gums and his lower gums. How do you code oral hygiene for Yogi?
What is 02 substantial/maximal?
The resident is unable to recline in bed due to shortness of breath. Lying to sitting can still be assessed from this position. True or false?
What is false?
If the therapist determines that bed mobility cannot be assessed because of the degree to which the head of the bed must be elevated because of a medical condition, then you would code it an 88.
Roxy walks 50 ft with a CNA providing trunk support. Roxy also requires a second helper, the rehabilitation aide, who provides supervision and follows closely behind with a wheelchair for safety. Roxy walks the 50 ft with two turns with the assistance of two helpers. How do you code Roxy walking 50 ft with two turns?
What is 01 dependent?
(Two helpers automatically is always dependent!)
Helper does less than half of the effort. Helper lifts, holds, or supports trunk or limbs but provides less than half of the effort.
What is partial/moderate assistance?
The building does not have the equipment required to complete the activity.
What is "not attempted due to environmental limitations?"
Steele is unable to eat by mouth since he had a stroke one week ago. He receives nutrition through a gastrostomy tube, which is administered by the nurses. How do you code eating?
What is 88 not attempted due to medical condition or safety concern?
Kirby is a new admission with a right hip fracture. He required moderate assistance from his CNA to help him from a sit to stand position from the bed throughout the day. Once in the dining room, Kirby was able to sit to stand from a straight back chaired with minimal assistance from the CNA one time. How do you code Kirby's sit to stand?
What is 03 partial/moderate assistance? (Remember we code the usual performance, not the best, not the worst, but the usual)
Rummy is able to transfer to the toilet without help once the therapist places the bedside commode next to his bed. How do you code toilet transfer?
What is 05 setup or cleanup assistance?
The assistance of 2 or more helpers is required for the resident to complete the task safely.
What is dependent?
The helper does more than half of the effort. Helper lifts or holds the trunk or limbs and provides more than half of the effort.
What is substantial/maximal assist?
Max has osteoporosis, which contributed to the fracture of his right wrist and hip during a recent fall. He is right handed. Max starts eating on his own, but he does not have the coordination on his left hand to manage the eating utensils to feed himself without great effort. Max tires easily and cannot complete eating the meal. The CNA feeds him more than half of the meal. How do you code eating?
What is 02 substantial/maximal assistance?
Hank was admitted with a right ankle fracture with orders for non-weight bearing to the right LE. During your time with Hank, you ask him to move sit-to-stand. He puts all of his weight on his left leg when attempting to stand but is unable to come to a full standing position without maximal assistance from the CNA. How do you code this sit to stand?
What is 02 substantial/maximal assistance?
Ellie was transferred wheelchair to bed with less than half the effort completed by the helper. Ellie then required maximal assistance to lift her legs onto the bed. How do you code the chair/bed transfer?
What is 03 partial/moderate assistance?
(lifting legs onto the bed is included in GG item sit to lying)