MDS Alert

QUIZZER:

How Would You Code Bathing for These Resident Scenarios?

Published on Sun Feb 15, 2009

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Hint: Focus on the different rules for coding self-performance.

Example No. 1: The resident received verbal cueing and encouragement to take twice-weekly showers. But once staff walked the resident to the bathroom, he bathed himself with periodic oversight.

Example No. 2: On Monday, one staff member helped transfer a resident to the tub and washed his legs. On Thursday, the resident had physical help from one person to get into tub but washed himself completely.

Example No. 3: The resident is afraid of the mechanical lift, so the nurse assistant gives him a full sponge or bed bath twice weekly. The resident is actively involved in this activity.

Definition: Bathing: How the resident takes a full body bath, shower, or sponge bath, including transfers in and out of the tub or shower. The definition does not, however, include the washing of back or hair.

Coding: (A) Bathing Self- Performance Codes: Record the resident's self-performance in bathing according to the codes listed below.

When coding, apply the code number that reflects the maximum amount of assistance the resident received during bathing episodes.

0. Independent - No help provided

1. Supervision - Oversight help only

2. Physical help limited to transfer only

3. Physical help in part of bathingactivity

4. Total dependence

8. Activity itself did not occur during entire 7 days

(B) Support: Next, score the maximum amount of support provided in bathing activities using the ADL Support Scale (Item G1B).

See the answers below. (Source:Quizzer developed using information in RAI User's Manual, chapter 3.)

Example No. 1: 1, 0

Example No. 2: 3, 2