MDS Alert
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Code this resident's tube feeding at K6a
Tackle the following scenario for coding at K6a (the proportion of total calories the resident received through parenteral or tube feedings) in the last seven days.
Mr. H has had a feeding tube since his surgery. He is currently more alert and feeling much better. He is very motivated to have the tube removed. He has been taking soft solids by mouth, but only in small to medium amounts. For the past week he has been receiving tube feedings for nutritional supplementation. As his oral intake improves, the amount received by tube will decrease. The dietitian has totaled his calories per day as follows:
Oral Tube
Sun. 500 + 2000
Mon. 250 + 2250
Tues. 250 + 2250
Wed. 350 + 2250
Thurs. 500 + 2000
Fri. 800 + 800
Sat. 800 + 1800
TOTAL 3450 calories (from oral intake) + 13350 (from tube)
How would you code the percentage of total calories this resident received from his tube feeding?
The coding options include:
0. None
1. 1% to 25%
2. 26% to 50%
3. 51% to 75%
4. 76% to 100%
Answer: To determine the correct coding choice, follow this calculation:
The resident's total calories = 3450 + 13350 = 16800.
To calculate the percentage of total calories by tube feeding:
13350/16800 = .7946 X 100 = 79%
Coding options:
0. None
1. 1% to 25%
2. 26% to 50%
3. 51% to 75%
4. 76% to 100%
Code "4" for 76% to 100%
Source: Adapted from RAI manual
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