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Health Conditions

Coding Questions and Answers

Question:         When do I use the code: 'Present, not in last 3 day' 

Answer:               This indicates that an intervention (medications, alternative therapies) is in place and effectively managing the symptom. It remains a concern and it is being actively monitored by person//family/ medical team  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            

Palliative Care

 

Home Care

Community Health

Long Term Care Facilities

D8 & D9

 J3 & J6

 J3 & J6

  J3 & J6

 

Question:        Can a person, who has Dementia, be coded for 'Aphasia' if they present with word finding difficulties?

Answer:           No, there must be a formal diagnosis of 'Aphasia' to select 'yes' for this item.The person with word finding difficulties, in the presence of Dementia, will have their communication difficulties identified in Section D1 and D2

  Related MDS item  per type of assessment

Palliative Care

 

Home Care

Community Health

Long Term Care Facilities

 Not applicable

J3j

  J3j

J3j

 

Question:        How is the MDS item 'Difficult or unable to turn self around and face the opposite direction when standing' to be coded, when the person never stands and is hoisted on all occasions when moving from surface to surface?

Answer:           No, if J3a has been coded '3' and the person never stands ( even with help), then they do not have difficulty turning whilst standing as they never stand.

  Related MDS item  per type of assessment

CA / PC

 

Home Care

Community Health

Long term Care Facilities

 Not applicable

 J3b

J3b

 J3b

 

 

 

Question:       What is the look back period for  the MDS item 'Instability of Conditions'?

Answer:           The look back period for this item is  3 days.The intent, as defined in the online section help, for this item is "To determine if the person's disease or health conditions present over the last 3 days are acute,unstable or deteriorating."

 

Related MDS item  per type of assessment

Contact 

Palliative Care          

Home Care

Community Health

Long Term Care Facility

C5a - no time frame

Not applicable

J7a

J7a

J7a

 

 

Question:       Can Vaping be included in the MDS item 'Smokes tobacco daily'?

Answer:           No. The question relates only to the smoking of tobacco. 

 

Related MDS item  per type of assessment

Contact        

 

Palliative Care          

Home Care

Community Health

Long Term Care Facility

Not applicable

C7a

J9a

J9a

J9a

 

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