Using PPS rating correctly-chairfast vs. bedfast

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    If a patient requires assistance to stand and pivot to a wheelchair are they considered bed bound and rated at 30% or chairbound and rated at 40%? I have a few patients that are two person asst to wheelchair and I'm not sure how to rate them.
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    I'm not sure what you mean by PPS but I know that when completing a Braden Scale for Predicting Pressure Ulcers under the "Activity" section even if the patient requires two assists to sit in a chair/wheelchair they would still be scored as "Chairbound" and if they are not able to even get out of bed to sit in a chair then they are "Bedbound". I found a helpful resources from the Braden Scale official site that helps when doing Pressure Ulcer prediction scoring.

    !Chris
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    If they are still getting into a chair often (almost everyday) then they are chair bound. If they stay in bed all the time they are bedbound. It's kinda self explanatory
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    You would think this is self explanatory however, I continue to come back to this same discussion with mgmt who says pt is bedbound if they require assistance out of bed.
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    PPS=Palliative Performance Score

    It is more descriptive and prognostic than the Karnovsky in hospice care
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    If someone is getting mech lifted out of bed to a chair, we still call them chairfast. But you should do what your facility says, probably want more funding.
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    I understand the funding point, but wouldn't that be fraud?
    Quote from Daisy_08
    If someone is getting mech lifted out of bed to a chair, we still call them chairfast. But you should do what your facility says, probably want more funding.
  10. 0
    If someone is in bed requiring hoyer lift to transfer to a broda chair, at the Hospice at which I work we consider them bed fast.
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    The Palliative Performance score is designed to help remove some of the grey areas that are giving you guys trouble...
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