ADLs
IADLs
Continence
Pain
Pressure Ulcers
100
What does ADL stand for?
Activities of Daily Living
100
What does IADL stand for?
INSTRUMENTAL Activities of Daily Living
100
What is the assessment period for Continence?
7 days
100
What are the two measures of pain included within the HOBIC assessment?
Frequency and Intensity
100
What pressure ulcer do you assess on a patient who has multiple pressure ulcers?
The most signficant
200
What information do you consider when completing an ADL assessment?
Information from the patient, carer, notes, performance etc. You use your critical nursing skills
200
How many IADLs are assessed with HOBIC
7 IADLs
200
How do you code someone with a suprapubic catheter who is continent of urine?
Continent with catheter
200
Over what time period is pain assessed?
3 days
300
What is the ONLY ADL assessed for a period of 7 days?
Bathing
300
Is dressing lower body assessed as an IADL?
No it is considered an ADL and would require you to use the codes provided in the ADL section
300
How would you code the following: Mr S is normally continent. Over the past 7 days he had one episode where he was unable to make it to the washroom at night. He is very embarrassed about telling you this information.
2 - Usually continent. Although this is unusual for Mr S - we record the information as it happened over the past 7 days.
300
Your client reports an ESAS pain score of 5. What words could you use to identify proper HOBIC rating of the pain intensity?
You could say something like "I see you've rated your pain as 9, would you say that it is moderate pain that you've experienced over the past 3 days?"
400
What specific tasks need to be EXCLUDED from an assessment of bathing?
Washing of hair and back are excluded from the assessment.
400
If someone is capable of doing their shopping independently, but this task was completed by their son every week - how would you code this?
3 Activity preformed by others.
500
When you are assessing Eating - do you consider tube feedings as eating?
YES you do!
500
How would you code the following scenario: Mrs X calls her financial advisor monthly who tells her what to do with her money (what bills to pay, balances on accounts). She writes the cheques and attends to her payments.
1 - she receives some help (let me know if you disagree)
500
When would 8 - Activity Did Not Occur be recorded for clients when coding for Continence?
Dialysis
500
How do you record pressure ulcers which have since healed?
You code as per the findings of the assessment you are making at the time. If a previously advanced wound healed to a Stage 2 - partial loss of skin layers you would record it accordingly.