Mood and Behaviour
In this section we answer questions related to the Mood and behaviour screen.
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Questions
How can we differentiate between 'sad, depressed, hopeless' when coding this item?
Answers
Question: Should individuals who are taking antidepressants/anti-anxiety medication (as in E1a; E1e; E1g; E1K) be coded ‘1’ “present but not in the last 3 days”?
Answer:
Present but not exhibited in the last 3 days indicates that an intervention (for example, medications, alternative therapies) is in place and it is being closely monitored by client/family as there is continued concern that symptoms/issue may return.
Timeframe is not taken into consideration with this code meaning that the intervention could have been in place for 6 months - year or more but continues to be a concern for client/family.
Related MDS item per type of assessment |
||||
Contact |
PC |
Home Care |
Community Health |
Long Term Care Facility |
Not applicable |
H1 |
E1 |
E1 |
E1 |
Question: How can we differentiate between 'sad, depressed, hopeless' when coding this item?
Answer:
This is a broad question with no requirement to differentiate between the three words. One person may describe feeling "hopeless", whilst another person may describe feeling "sad" for the same situation. This is a record of how the individual describes their feelings.
Related MDS item per type of assessment |
||||
Contact |
PC |
Home Care |
Community Health |
Long Term Care Facility |
D3 |
H2c |
E2c |
E2c |
E2c |
Question: If the person withdraws from activities of interest but the reason is out of their control (for instance, the person breaks a hip and cannot attend her daily swim class) should this item be coded as 0, not exhibited in last 3 days?
Answer:
NO. The intent of this item is to assess possible anhedonia. A separate item is available in many instruments for coding changes in preferred activities and whether the person is distressed by any changes.
Related MDS item per type of assessment |
||||
Contact |
PC |
Home Care |
Community Health |
Long Term Care Facility |
Not applicable |
H1h |
E1i |
E1i |
E1i |