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Activities of Daily Living (ADL) Coding Bed Mobility & Transfer Self Performance Maureen Valvo, BSN, RN, RAC-CT Sr Quality Improvement Specialist.

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Presentation on theme: "Activities of Daily Living (ADL) Coding Bed Mobility & Transfer Self Performance Maureen Valvo, BSN, RN, RAC-CT Sr Quality Improvement Specialist."— Presentation transcript:

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2 Activities of Daily Living (ADL) Coding Bed Mobility & Transfer Self Performance Maureen Valvo, BSN, RN, RAC-CT Sr Quality Improvement Specialist

3 IPRO provides a full spectrum of healthcare assessment and improvement services that foster the efficient use of resources and enhance healthcare quality to achieve better patient outcomes.

4 Bed Mobility & Transfer Self Performance A residents ADL self-performance may vary from day to day, shift to shift, or within shifts. Do NOT record the type of assistance that the resident should be receiving according to the written plan of care. The level of assistance actually provided might be very different from what is indicated in the plan. RECORD WHAT ACTUALLY HAPPENED. 3

5 Bed Mobility & Transfer Self Performance 4

6 MDS Rule of 3 The MDS coordinator will code the MDS at the most dependent level if it occurred 3 times in the last 7 days 5

7 Bed Mobility Self Performance 6

8 Transfer Self Performance 7

9 Sometimes May Need Partial Weight Bearing Assistance 8

10 Transfer Self Performance Sometimes May Need Partial Weight Bearing Assistance 9

11 Bed Mobility & Transfer Self Performance Sometimes May Need Partial Weight Bearing Assistance 10 Lifting Legs – Transfer into or out of bed Or to position legs in bed-Bed Mobility

12 Transfer Self Performance Sometimes May Need Partial Weight Bearing Assistance 11 Lowering Pivoting

13 Bed Mobility & Transfer Self Performance Sometimes May Need Partial Weight Bearing Assistance 12

14 Bed Mobility Self Performance Sometimes May Need Partial Weight Bearing Assistance 13

15 Bed Mobility Self Performance Sometimes May Need Partial Weight Bearing Assistance Positioning Pillows 14

16 Bed Mobility & Transfer Self Performance 15

17 Bed Mobility & Transfer Self Performance 16

18 Bed Mobility & Transfer Self Performance 17

19 Bed Mobility & Transfer Self Performance 18

20 Bed Mobility & Transfer Self Performance 19

21 Bed Mobility & Transfer Self Performance 20

22 Bed Mobility & Transfer Self Performance 21

23 Bed Mobility & Transfer Self Performance 22

24 Bed Mobility & Transfer Self Performance 23 Think while providing care: I am Cueing= Supervision Guiding= Limited Assistance Partial Weight Bearing Assistance=Extensive AND Take Credit for the Care you Provide DOCUMENT

25 For more information Maureen Valvo, BSN, RN, RAC-CT (516) ext. 308 CORPORATE HEADQUARTERS 1979 Marcus Avenue Lake Success, NY REGIONAL OFFICE 20 Corporate Woods Boulevard Albany, NY IPRO Corporate Template 8/18/11


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