MDS Alert
Try Your Hand at Coding These 2 RAI Manual Examples at C1300 (Signs and symptoms of delirium based on the CAM ©).
How would you code C1300A (inattention) for the example below? Example No. 1:
How would you code C1300B (disorganized thinking) for the example below?
Example No. 2: "The resident was able to tell the interviewer her name, the year and where she was. She was able to talk about the activity she just attended and the residents and staff that also attended," states the RAI manual. "Then the resident suddenly asked the interviewer, "Who are you? What are you doing in my daughter's home?"
See the coding options (0, 1, or 2) in the MDS3.0 Delirium section below. (
See the answers to the questions on the last page of this issue.)Answers:
Example No. 1: "Item C1300A would be coded 2, behavior present, fluctuates. Rationale: Evidence of inattention was found during the BIMS but was noted to be absent in the medical record," states the RAI manual. "This disagreement shows possible fluctuation in the behavior. If any information source reports the symptom as present, C1300A cannot be coded as 0, Behavior not present."Example No. 2: "
C1300B would be coded 2, behavior present, fluctuates. Rationale: The resident's thinking fluctuated between coherent and incoherent at least once. If as few as one source notes fluctuation, then the behavior should be coded 2," states the RAI manual.
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Try Your Hand at Coding These 2 RAI Manual Examples at C1300 (Signs and symptoms of delirium based on the CAM ©).
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