locomotion

[kavdah]

Any good ideas on how to explain locomotion when a resident is in a w/c to your CNA's.

I say total if you escort them all the time

Extensive if they do it part of time

Some say should be limited since no weight bearing by CNA

Thoughts?

Thank you :redpinkhe

[montecarlo64, ASN, BSN, LPN]

I do not usually use limited for w/c locomotion. If someone pushes the wheelchair for the patient just 1 time during the shift, muscles are being used so it is extensive. I explain that to the CNAs...It is not what the patient usually does or are capable of doing, but what assist is actually provided...Many times a patient will ask for a lift to the dining room, activities or therapy and that counts as extensive assist:)

[Bella'sMyBaby]

Does the resident ever propel the w/c with their feet or hands?

Does the staff propel the w/c at times?

If the staff do ALL the propelling of the w/c then it would be a "4" full staff assistance.

If the resident & staff propel the w/c then it would be a "3" for extensive assistance.

You are correct in your coding...to the people who say that that this would be coded as limited, they are incorrect, as you are bearing weight propelling the w/c. :)