Restraint or enabler, that is the question!!

Specialties MDS

Published

  • Specializes in Care Coordination, MDS, med-surg, Peds.

Ok, guys... Once again the demon of restraint vs enabler raises its ugly head!

1. A side rail that a resident, A&O x3 uses to help get out of bed and turn d/t physical limitations...an enabler? a restraint? how would you code this on MDS?

2. I have an elderly lady, totally dependent on staff for care, unable to stand or even try to stand...lap buddy used as she curls up in the w/c and would fall out without the lap buddy. restraint? She cannot remove this even if she wanted to

3. I have an elderlt man, in a W/c, uses a lap buddy to help maintain trunk control/positionin w/c d/t unable to maintain safe posture w/o this... restraint? He can remove this if he wants to.

Any guidance is appreciated! Thanks!!

Talino

1,010 Posts

Specializes in ER CCU MICU SICU LTC/SNF.

1 - enabler

2 - neither

3 - neither

Regardless the effect, a facility should have a policy in place with the IDCP team involvement. This is is an excellent Device Decision Tool and Care Planning Guide

Device Decision Tool 2.pdf

SuzieVN

537 Posts

Go straight to the horses mouth: youtube, type 'mds 3.0', then 'restraints', you'll get a video lecture from CMS that explains this topic in great detail- from the same people that crafted the MDS, itself. In fact, they have posted videos explaining every section, and nuance of the MDS 3.0.

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