Does anyone out there know of a resource for more information on how to code the cognitive impairment "B" on the MDS? The RAI gives some info, but not a whole lot....we have a lot of people that are "ify" between moderate and severe impairment....thanks for any help. carol
CapeCodMermaid, RN 6,089 Posts Specializes in Gerontology, Med surg, Home Health. Has 30 years experience. Oct 24, 2008 I've always found that to be one of the most difficult sections to code. We decided as a facility if someone has had their health care proxy invoked, they would be coded a 3 since their ability to make decisions was taken away. I had an MDS nurse once code someone a 1 because she could decide what shoes to wear in the morning. This resident also (and if you're squeamish, stop reading NOW) fished pieces of BM out of the toilet and ate them...a 1???? surely you jest.
carol20lpn 15 Posts Specializes in MDS,ltc, resident focused care plans. Has 38 years experience. Oct 24, 2008 Wow......that was far more than I needed to hear.....makes you wonder doesn't it? This came to light yesterday when they lined up to fill out their absentee ballots...................VERY scary when someone that demented is going to vote for the president:nurse:
CapeCodMermaid, RN 6,089 Posts Specializes in Gerontology, Med surg, Home Health. Has 30 years experience. Oct 25, 2008 lol...since neither candidate is any good...let the demented people vote. Their reasons for their choice probably makes as much sense as anyone elses.
Talino 1,010 Posts Specializes in ER CCU MICU SICU LTC/SNF. Oct 25, 2008 Does anyone out there know of a resource for more information on how to code the cognitive impairment "B" on the MDS? The RAI gives some info, but not a whole lot....we have a lot of people that are "ify" between moderate and severe impairment....thanks for any help. carolTry Appendix F, F-2 Cognitive Performance Scale (CPS) Scoring RulesRegarding the Decision-Making ability, here's how I would determine capacity...The "Intent" of B4 refers to everyday decisions about tasks (not only one or two or three ADLs). The coding instruction identifies the resident's skill level. Therefore, we need to identify ALL the established tasks that the resident is faced with daily. How was his decision-making capacity on each one of them during the past 7 days? If I were to rephrase the coding definition:Decisions were appropriate and consistent on ALL the usual tasks ----> IndependentDecisions were appropriate and consistent on 1 or 2 tasks but poor on other routines ---> Moderately impaired No appropriate decisions were made on any or ALL tasks ---> Severely impaired