MDS Alert
Use The RAP To Identify, Address Causes Of Incontinence
Incontinence is a care and quality of life issue. If the resident has urinary incontinence or an indwelling urinary catheter, check out what the resident assessment protocol suggests evaluating as potential causes and testing. Possible reversible problems to be reviewed in evaluating incontinence or need for catheter: Other potential factors contributing to incontinence or use of catheter:
Excessive or inadequate urine output
Atrophic vaginitis
Cancer of bladder, prostate, brain, or spine, tabes dorsalis [from record or exam].
High blood calcium
High blood glucose, Low B12
High BUN or Creatinine [P9; from record].
Final evaluation if incontinence persists:
-
Specific Tests:
Post-void Residual
Bladder stress test for females
Reflux test (kidney ultrasound for males with PVR>100 ml)
[Note: Tests not indicated when Comatose [B1] or when No memory recall [B3e] AND Dependent in Transfer, Locomotion [G1b,c,d,e,f ] are both present.]
Final evaluation for residents with indwelling catheters:
If indwelling catheter [H3d], do Voiding Trial unless Untreatable urethral blockage [I3]
Terminal illness [J5c] or
Stage 3 or 4 pressure ulcer [M2a] present.
MDS Alert
- Medicare Payment:
Will Your Skilled Care Documentation Fly With The FI?
5 essential tips prevent payment recoupments or worse. Coding the MDS accurately so a resident [...] - ADL Assessment:
Get In The Payment Groove: Use These Bed Mobility Assessment, Coding Moves.
Short changing this late-loss ADL robs the care coffers. If your facility is like many, [...] - Coding Quizzer:
Turn This Conversation With A CNA Into Bed Mobility Coding.
Put your analytical skills to the test. How would you code a resident's bed mobility [...] - Coding Accuracy:
Failing To Do This Will Leave Your Bed Mobility Coding Ailing
2 quick double checks will save your facility thousands of dollars. Accurately coding bed mobility [...] - Resident Assessment:
Jumpstart Your Culture Change Revolution: Enlist The MDS As A QoL Tool
Don't be behind the bandwagon ... climb aboard with these key strategies. Culture change is [...] - Quality of Life:
Target Physical Losses That Have A Devastating Impact
Improving these 4 areas can make a major difference to a resident. To improve a [...] - Care Planning:
Address Falls (J4) As A Safety And Quality-Of-Life Issue
Solve 2 problems at once. If you see falls coded in Section J4, you know [...] - Medication Management:
Expand Your Efforts to Taper, Discontinue Meds Under F329
If you're only doing this for antipsychotics (O4a), watch out. To taper or not to [...] - MDS & Billing News
The MDS plays a lead role in the new Quality Indicator Survey process. The Centers [...] - Ready To Earn 4.5 Contact Hours In Nursing Continuing Education?
If you're interested in obtaining 4.5 continuing education contact hours in nursing for the last [...] - Clip and Save:
Use The RAP To Identify, Address Causes Of Incontinence
Incontinence is a care and quality of life issue. If the resident has urinary incontinence [...]
