MDS Alert

Check your bed mobility assessment.

How would you code these two examples of bed mobility?

Example 1: The resident favors lying on her right side. Because the resident has a history of skin breakdown, staff must sometimes help her place her hands on the siderail and encourage her to change position when in bed.

Example 2: Mrs. S is unable to physically turn, sit up or lie down in bed. Two staff members are required to turn her every 1 to 2 hours. She must be physically supported to a seated position in bed when reading.

Answer:

Example 1:

Self-performance = 2
Support provided = 2

Coding rationale: Resident requires cueing and encouragement with set up or minor physical help.

Example 2:

Self-performance = 4
Support provided = 3

Coding rationale: Resident did not participate in bed mobility and required two staff members to position her in bed.

Source: Coding examples in RAI user's manual, pp. 85 and 87.