Question: If you're answering activities of daily living questions and the patient was in the hospital on Day 14 preceding admission, he may not have been allowed to do some of the items you are checking, such as showering or preparing a light meal. Which do you go by in choosing your answer: what the patient reports he would have been able to do if allowed, or what he was actually able to do on Day 14?
A: Answer based on what the patient actually could do. The OASIS Implementa-tion Manual instructs clinicians to consider medical restrictions and the patient's environment in judging what the patient is able to do, advises consultant Linda Rutman with Charlotte, NC-based LarsonAllen Health Care Group.
The OASIS Q&As at www.qtso.com/hhadownload.html address this issue in question 115 under Category 4, reports consultant Marianne Rone with Nashville, TN-based Healthcare Provider Solutions. Focus on what the patient is safely able to do in light of restrictions, she notes.