MDS Alert
Have These Residents Undergone a Change in Their Cognitive Status?
Try your hand at coding B6.
The coding options include "0" for no change; "1" for improved; or "2" for deteriorated.
Case Example No. 1: Mrs. G experienced delirium (acute confusion) secondary to pneumonia approximately 30 days ago. With appropriate antibiotic therapy, hydration, and a quiet supportive milieu, she recovered.
Although Mrs. G's cognitive skills did not increase beyond the level that existed prior to her pneumonia, and she remains unable to make daily decisions, she has steadily improved to her pre-pneumonia status.
Case Example No. 2: Mrs. P is intellectually intact. About two and one-half months ago she was informed by her daughter that her neighbor and lifelong friend had died while on a trip to Europe. Mrs. P took the news very hard; she was stunned and seemed to be confused and bewildered for days. With support of family and staff, the confusion passed. Although she continued to grieve, her cognitive status returned to what it was prior to her receiving the bad news.
Answers below:
Case example No. 1: Code "0" for no change
Case example No. 2: Code "0" for no change.
Source: RAI User's Manual,chapter 3.
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