Functional Pathways MDS Section B-F Therapy
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Functional Pathways MDS Section B-F Therapy services and intellectual property provided by Functional Pathways. 2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of
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Functional Pathways
MDS Section B-F<br>
MDS Section B-F<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section B: Hearing, Speech and Vision-document the resident's ability to hear, understand, and communication with others and whether the resident experiences visual, hearing or speech limitations and/or difficulties.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section B: B0100 Comatose Code 1, yes: if a provider has documented a dx of coma or persistent vegetative state
Coma-pathological state in which neither arousal or awareness exists (no-eye opening, speech, or extremity movement)
Persistent Vegetative State-wakefulness but do not evidence any purposeful behavior or cognition (may have eyes open, make noises, move random body parts.)<br>
Coma-pathological state in which neither arousal or awareness exists (no-eye opening, speech, or extremity movement)
Persistent Vegetative State-wakefulness but do not evidence any purposeful behavior or cognition (may have eyes open, make noises, move random body parts.)<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section B B0200-Hearing
Hearing problems can contribute to sensory deprivation, social isolation and mood/behavior disorders
B0300-Hearing aid
Many Residents could benefit from hearing devices to improve quality
of life-hearing aide, amplifier<br>
Hearing problems can contribute to sensory deprivation, social isolation and mood/behavior disorders
B0300-Hearing aid
Many Residents could benefit from hearing devices to improve quality
of life-hearing aide, amplifier<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section B: B0600-Speech Clarity: verbal expressing of articulate words
Unclear or absent speech can hinder communication and be
frustrating to resident
Physical and psychosocial needs may not be met, depression and
social isolation can occur
**Section K-nutrition, Section L-dental health<br>
Unclear or absent speech can hinder communication and be
frustrating to resident
Physical and psychosocial needs may not be met, depression and
social isolation can occur
**Section K-nutrition, Section L-dental health<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section B: B0700-Make Self Understood: able to communicate/express requests, needs, opinions and able to conduct social conversation
speech, writing, sign language, gestures in the persons primary language
communication problems can be mistaken for confusion or cognitive impairment
Code 3, rarely understood: residents' understanding is limited to pain or toileting with staff interpretation<br>
speech, writing, sign language, gestures in the persons primary language
communication problems can be mistaken for confusion or cognitive impairment
Code 3, rarely understood: residents' understanding is limited to pain or toileting with staff interpretation<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section B: B0800-Ability to Understand Others: able to comprehend communication with processing and understanding spoken, written, sign language or braille
Limits association with others
Inhibits ability to follow instructions that can affect health and safety
Code 3: very limited ability to understand communication<br>
Limits association with others
Inhibits ability to follow instructions that can affect health and safety
Code 3: very limited ability to understand communication<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section B: B1000-Vision
Vision diminishes over time
Limits enjoyment of everyday activities-reading, correspondence, hobbies
Can contribute to sensory deprivation, social isolation and depressed mood B1200-Corrective Lenses
Do residents have the corrective items that need to improve quality of life
Code 0, no: resident does not use eyeglasses or other vision aid (magnifying
glass?)
Code 1, yes: resident uses corrective lenses or other visual aids<br>
Vision diminishes over time
Limits enjoyment of everyday activities-reading, correspondence, hobbies
Can contribute to sensory deprivation, social isolation and depressed mood B1200-Corrective Lenses
Do residents have the corrective items that need to improve quality of life
Code 0, no: resident does not use eyeglasses or other vision aid (magnifying
glass?)
Code 1, yes: resident uses corrective lenses or other visual aids<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section C: Cognitive Patterns-Determine the Residents’ attention, orientation, and ability to register and recall information.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Set Everyone Up For Success Conduct all interviews in a quiet setting
Sit so the resident can see your face clearly
Be sure the resident can understand you
Hearing devices/glasses/communication board
Minimize background noise
Interpreter as necessary if English is not their preferred language
Cue cards
Allow for variation of responses
Verbally
Pointing to answers on cue card
Writing out their answers
If Resident cannot participate ask family/significant other when appropriate<br>
Sit so the resident can see your face clearly
Be sure the resident can understand you
Hearing devices/glasses/communication board
Minimize background noise
Interpreter as necessary if English is not their preferred language
Cue cards
Allow for variation of responses
Verbally
Pointing to answers on cue card
Writing out their answers
If Resident cannot participate ask family/significant other when appropriate<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. C0100-BIMS Attempt the interview with ALL residents
Structured cognitive test-completed in one setting with specific language
Can be administered by MDS, SW, ST, OT depending on facility preference
Decreases the chance of incorrect cognitive labeling of cognitive ability and improves delirium detection.
Can be done in writing if that is the primary method of communication for the resident.<br>
Structured cognitive test-completed in one setting with specific language
Can be administered by MDS, SW, ST, OT depending on facility preference
Decreases the chance of incorrect cognitive labeling of cognitive ability and improves delirium detection.
Can be done in writing if that is the primary method of communication for the resident.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Brief Interview for Mental Status C0200-Repetition of 3 words
The interviewer says, “The words are sock, blue, and bed. Now please tell me the three words.”
The resident says, “Blue socks belong in the dresser.”
The interviewer repeats the three words plus the category cues.
Something you wear-sock
A color-blue
A piece of furniture-bed
Code 2, two of the three words correct.<br>
The interviewer says, “The words are sock, blue, and bed. Now please tell me the three words.”
The resident says, “Blue socks belong in the dresser.”
The interviewer repeats the three words plus the category cues.
Something you wear-sock
A color-blue
A piece of furniture-bed
Code 2, two of the three words correct.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Brief Interview for Mental Status C0300-Year, Month, Day of the week
The Interview date is October 11, 2022.
“Please tell me what year it is right now.”
Resident states: 2020
Code 1, missed by 2-5 years
“Please tell me what month it is right now.”
Resident states: December
Code 0, missed by more than 1 month
“Please tell me what day of the week it is today?”
Resident states: “Today is a good day.”
Code 0, the resident did not answer the question correctly.<br>
The Interview date is October 11, 2022.
“Please tell me what year it is right now.”
Resident states: 2020
Code 1, missed by 2-5 years
“Please tell me what month it is right now.”
Resident states: December
Code 0, missed by more than 1 month
“Please tell me what day of the week it is today?”
Resident states: “Today is a good day.”
Code 0, the resident did not answer the question correctly.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Brief Interview for Mental Status C0400-Recall the three words, give cues if necessary
Coding: 0, No, could not recall
1, Yes, after cueing
2, Yes, no cue required
“Let’s go back to an earlier questions. What were those three words that I asked you to repeat?”
Resident stated: “I’m tired, and I don’t want to do this anymore.”
C0400A-C0400C would be coded 0, no—could not recall
Rationale: Choosing not to answer a question often indicates an
inability to answer the question, so refusals are coded 0, no—could
not recall.<br>
Coding: 0, No, could not recall
1, Yes, after cueing
2, Yes, no cue required
“Let’s go back to an earlier questions. What were those three words that I asked you to repeat?”
Resident stated: “I’m tired, and I don’t want to do this anymore.”
C0400A-C0400C would be coded 0, no—could not recall
Rationale: Choosing not to answer a question often indicates an
inability to answer the question, so refusals are coded 0, no—could
not recall.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Brief Interview for Mental Status C0500: total score for all components 0-15
13-15 Cognitively Intact
8-12 moderately impaired
0-7 severely impaired<br>
13-15 Cognitively Intact
8-12 moderately impaired
0-7 severely impaired<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Brief Interview for Mental Status When to stop the assessment
You attempted to C0300 “Day of the Week”
Nonsensical responses
No verbal or written responses
Combination
Then move on to the following:
Dash in C0400A, C0400B and C0400C
“99” in summary score C0500
C0600 code 1, yes
Complete the staff assessment<br>
You attempted to C0300 “Day of the Week”
Nonsensical responses
No verbal or written responses
Combination
Then move on to the following:
Dash in C0400A, C0400B and C0400C
“99” in summary score C0500
C0600 code 1, yes
Complete the staff assessment<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. C0600-C1100 –Staff Assessment<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. C1310-Delirium Delirium: a mental disturbance characterized by new or acutely worsening confusion, disordered expression of thoughts, change in level of consciousness or hallucinations.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section D: Mood-Identify signs and symptoms of mood distress<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Depression can be associated with: Psychological and physical distress-pain, chronic illness, adjustment to facility, loss of independence
Decreased participation with therapy & activities which can lead to isolation
Decreased functional status-ADL's
Poor outcomes-decreased appetite, cognitive status, falls, injury<br>
Decreased participation with therapy & activities which can lead to isolation
Decreased functional status-ADL's
Poor outcomes-decreased appetite, cognitive status, falls, injury<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. D100-PHQ-9 Should be attempted on ALL residents
Mood disorders are common in nursing homes and are often underdiagnosed and undertreated.
Can occur multiple times in look back window
Can be done by multiple people within the same assessment
Explain the reasoning for the interview
Repeat a question if you think it has been misunderstood or misinterpreted
Guide conversation back to topic when necessary
Use cue card
Select the best response based on patient answers
Remember-this is over the last two weeks.<br>
Mood disorders are common in nursing homes and are often underdiagnosed and undertreated.
Can occur multiple times in look back window
Can be done by multiple people within the same assessment
Explain the reasoning for the interview
Repeat a question if you think it has been misunderstood or misinterpreted
Guide conversation back to topic when necessary
Use cue card
Select the best response based on patient answers
Remember-this is over the last two weeks.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. D200<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. D200B-Feeling Down, Depressed or Hopeless Resident states “How would you feel if you were here?”
Interviewer response: “You asked how I would feel, but it is important that I understand your feelings right now. How often would you say that you have been bothered by feeling down, depressed, or hopeless during the last 2 weeks?”<br>
Interviewer response: “You asked how I would feel, but it is important that I understand your feelings right now. How often would you say that you have been bothered by feeling down, depressed, or hopeless during the last 2 weeks?”<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. D200E-Poor Appetite or over-eating Resident states “the food is always cold, and it just doesn’t taste like it does at home. The doctor won’t let me have any salt.
Interviewer response: “You’re telling me the food isn’t what you eat at home, and you can’t add salt. How often would you say that you were bothered by poor appetite or over-eating during the last 2 weeks?”<br>
Interviewer response: “You’re telling me the food isn’t what you eat at home, and you can’t add salt. How often would you say that you were bothered by poor appetite or over-eating during the last 2 weeks?”<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. D300: Total Severity Score 1-4: minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe depression
20-27 severe depression
This should allow you to query the physician/provider for assistance with diagnosis/treatment to capture this during the look back period.
This assessment should be a multidisciplinary approach across different shifts to get the complete picture of the resident.
**99 if 3 or more items are not answered and staff assessment should be completed<br>
5-9 mild depression
10-14 moderate depression
15-19 moderately severe depression
20-27 severe depression
This should allow you to query the physician/provider for assistance with diagnosis/treatment to capture this during the look back period.
This assessment should be a multidisciplinary approach across different shifts to get the complete picture of the resident.
**99 if 3 or more items are not answered and staff assessment should be completed<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. D0500-Staff Assessment of Resident Mood Interview across all shifts
Explore unclear responses
1-4: minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe depression
20-30 severe depression<br>
Explore unclear responses
1-4: minimal depression
5-9 mild depression
10-14 moderate depression
15-19 moderately severe depression
20-30 severe depression<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section E: Behavior-Identify behavioral symptoms that may cause distress or are potentially harmful to the resident, or may be distressing or disruptive to facility residents, staff members or the environment.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E0100: Potential Indicators of psychosis E100A. Hallucinations- The perception of the presence of something that is not actually there. It may be auditory or visual or involve smells, tastes or touch.
E100B. Delusions- A fixed, false belief not shared by others that the resident holds even in the face of evidence to the contrary.
E0100Z. None of the above
***Resident is carrying around a baby doll and is upset. When asked, she
reports that the baby is crying and thinks it is hungry.
baby doll baby is a delusion
hears the baby cry hallucination<br>
E100B. Delusions- A fixed, false belief not shared by others that the resident holds even in the face of evidence to the contrary.
E0100Z. None of the above
***Resident is carrying around a baby doll and is upset. When asked, she
reports that the baby is crying and thinks it is hungry.
baby doll baby is a delusion
hears the baby cry hallucination<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E0200: Behavioral symptom-Presence & Frequency Review the medical record
Interview staff, all disciplines, family/caregivers
Observe the resident in a variety of situations<br>
Interview staff, all disciplines, family/caregivers
Observe the resident in a variety of situations<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Behavioral symptom-Presence & Frequency Scenario:
Resident threw his breakfast tray at another resident today who repeatedly spit food at him during breakfast.
Code E0200A as 1, behavior of this type occurred 1-3 days of the last 7 days
Rationale:
Throwing a tray was a physical behavior directed toward others. The behavior is noted as present because it occurred.
E0600 Impact on Others<br>
Resident threw his breakfast tray at another resident today who repeatedly spit food at him during breakfast.
Code E0200A as 1, behavior of this type occurred 1-3 days of the last 7 days
Rationale:
Throwing a tray was a physical behavior directed toward others. The behavior is noted as present because it occurred.
E0600 Impact on Others<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E0300: Overall Presence of Behavioral Symptoms<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E0500:Impact on Resident Scenario: Resident paces incessantly. Staff encourages him to sit at the table for dinner table, he returns to pacing after less than a minute, even after cueing and reminders. He is so restless that he cannot sit still long enough to feed himself or receive assistance in obtaining adequate nutrition.
Coding:E0500A 1, yes
Rationale: This behavior significantly interfered with personal care (i.e., feeding) and put the resident at risk for malnutrition and physical illness.
**Section K<br>
Coding:E0500A 1, yes
Rationale: This behavior significantly interfered with personal care (i.e., feeding) and put the resident at risk for malnutrition and physical illness.
**Section K<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E0600:Impact on Others Scenario: Resident appears to intentionally stick his cane out when another resident walks by.
Coding: E0600A- 1, yes
E0600B- 0, no
E0600C- 0, no
Rationale: The behavior put the other resident at risk for falling and physical injury. You may also need to consider coding B and C depending on the specific situation in the environment or care setting.<br>
Coding: E0600A- 1, yes
E0600B- 0, no
E0600C- 0, no
Rationale: The behavior put the other resident at risk for falling and physical injury. You may also need to consider coding B and C depending on the specific situation in the environment or care setting.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E0600:Impact on Others Scenario: A resident tries to seize the telephone out of the hand of another resident who is attempting to complete a private conversation. Despite being asked to stop, the resident persists in grabbing the telephone and insisting that he wants to use it.
Coding: E0600A, code 0, no
E0600B, code 0, no
E0600C, code 1, yes
Rationale: This behavior is an intrusion on another resident’s private telephone conversation.<br>
Coding: E0600A, code 0, no
E0600B, code 0, no
E0600C, code 1, yes
Rationale: This behavior is an intrusion on another resident’s private telephone conversation.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E0800: Rejection of Care-Presence & Frequency Behavior that interrupts or interferes with the delivery or receipt of care. Care rejection may be manifested by verbally declining or statements of refusal or through physical behaviors that convey aversion to or result in avoidance of or interfere with the receipt of care
Review the medical record
Interview staff across all shifts and disciplines
Examples: leaves AMA, declines-meals, therapy services, clothing change, wound care treatments, basic hygiene or medication<br>
Review the medical record
Interview staff across all shifts and disciplines
Examples: leaves AMA, declines-meals, therapy services, clothing change, wound care treatments, basic hygiene or medication<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E0900: Wandering-Presence & Frequency Wandering may be a pursuit of exercise or a pleasurable leisure activity, or it may be related to tension, anxiety, agitation, or searching.
Assess for reason for wandering.
Assess for underlying tension, anxiety, psychosis, drug-induced psychomotor restlessness, agitation, or unmet need that may be contributing to wandering.
Not all wandering is harmful.
Some residents who wander are at potentially higher risk for entering an unsafe situation. (E0500-Impact on Resident)
Some residents who wander can cause significant disruption to other residents. (E0600-Impact on Others)<br>
Assess for reason for wandering.
Assess for underlying tension, anxiety, psychosis, drug-induced psychomotor restlessness, agitation, or unmet need that may be contributing to wandering.
Not all wandering is harmful.
Some residents who wander are at potentially higher risk for entering an unsafe situation. (E0500-Impact on Resident)
Some residents who wander can cause significant disruption to other residents. (E0600-Impact on Others)<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E1000: Wandering-Impact Scenario: A resident propels himself in his wheelchair into the room of another resident, blocking the door to the other resident’s bathroom.
Coding: E1000B would be coded 1, yes.
Rationale: Moving about in this manner with the use of a wheelchair meets the definition of wandering, and the resident has intruded on the privacy of another resident and has interfered with that resident’s ability to use the bathroom.<br>
Coding: E1000B would be coded 1, yes.
Rationale: Moving about in this manner with the use of a wheelchair meets the definition of wandering, and the resident has intruded on the privacy of another resident and has interfered with that resident’s ability to use the bathroom.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. E1100: Change in Behavioral or Other Symptoms Change in health status or change in environmental stimuli
Scenario: Resident history of wandering has increased from 2/7 to 5/7 days since last assessment with two attempts at elopement from building.
Coding: 2, worse
Rationale: Because the danger and the frequency of the resident’s wandering behavior have increased and there were two elopement attempts, the overall behavior is worse<br>
Scenario: Resident history of wandering has increased from 2/7 to 5/7 days since last assessment with two attempts at elopement from building.
Coding: 2, worse
Rationale: Because the danger and the frequency of the resident’s wandering behavior have increased and there were two elopement attempts, the overall behavior is worse<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Section F: Preferences for Customary Routine and Activities-Obtain information regarding the resident’s preferences for his or her daily routine or activities<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Hearing the Residents Voice: F0300-Should Interview for Daily and Activity Preferences be conducted?
Who can answer the questions?
Quality of Life
Care Plan<br>
Who can answer the questions?
Quality of Life
Care Plan<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. F0400-Interview for Daily Preferences (must answer 3 or more questions)<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Hearing the Residents Voice: F0500-Interview for Activity Preferences (must answer 3 or more questions)
Activities are a way for people to establish meaning in their lives and does not change with facility admission.
Results can be depression, boredom and behavior disturbances if patient voice is not taken into consideration
Unique personalities, religious, cultural, past interests, changing physical and mental abilities<br>
Activities are a way for people to establish meaning in their lives and does not change with facility admission.
Results can be depression, boredom and behavior disturbances if patient voice is not taken into consideration
Unique personalities, religious, cultural, past interests, changing physical and mental abilities<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. F0600-Daily and Activity Preferences Primary Respondent: source of information<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Hearing the Residents Voice: F0700-Should the staff Assessment of Daily and Activity Preferences be conducted?
Some residents are unable/unwilling to complete interview however, their preferences should still be evaluated and considered
Family/significant other may not be available for questioning<br>
Some residents are unable/unwilling to complete interview however, their preferences should still be evaluated and considered
Family/significant other may not be available for questioning<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited.<br>
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Therapy services and intellectual property provided by Functional Pathways. ©2022 All rights reserved. This information and materials were created by and is proprietary to Functional Pathways of Tennessee, LLC. Any unauthorized use, dissemination, distribution, or copying of this information and material, in whole or in part, is strictly prohibited. Karen Welsh – VP of Clinical & Reimbursement - kwelsh@fprehab.com
Beth Reigart – Clinical Program Specialist – breigart@fprehab.com
Jen Callahan – Clinical & Reimbursement Specialist – jcallahan@fprehab.com
Melissa Brandt – Clinical & Reimbursement Specialist – mbrandt@fprehab.com<br>
Beth Reigart – Clinical Program Specialist – breigart@fprehab.com
Jen Callahan – Clinical & Reimbursement Specialist – jcallahan@fprehab.com
Melissa Brandt – Clinical & Reimbursement Specialist – mbrandt@fprehab.com<br>