achskward 1 Report Share Posted January 29, 2009 Is there a standard definition describing what "participates in 2/3 of the time, 1/3 of the time, etc."? i.e. - what is considered less than 1/3 amount of time? Quote Link to comment Share on other sites More sharing options...
jules1971 0 Report Share Posted February 2, 2009 Is there a standard definition describing what "participates in 2/3 of the time, 1/3 of the time, etc."? i.e. - what is considered less than 1/3 amount of time? This is how I think of it: When someone isn't involved in eating, ADLS or therapy or hair appointments, or Dr. (etc, etc, etc) there is typically 6 hours of "free time" in a residents day. Activities also mean independent activities (family visits, on the phone, craft, puzzle- you know). So in that 6 hours a day of "free time" are they in a group or independent activity? "Most" = more than 4+ hours (of the 6 hours ) a day in a group/independent activity "Some"= from 2 to 4 hours a day (of the 6) in a " " "Little"= Less than 2 hours a day (of the 6) in a " " "None"= spends NO time (of the 6) in a " " I have been using this philsophy for 10 years now... I remember reading in somewhere- with the 6 hour "free time" criteria. If I am all wrong, someone please correct me, but that is how I have been looking at it. I find that I have a lot in the "Some", quite a few in the "most", a handful in the "Little" and very rarely have any in the "None". Quote Link to comment Share on other sites More sharing options...
yunakitty 2 Report Share Posted February 2, 2009 I agree with this reasoning. I go by the 6 hour standard. Almost all of my residents are "Some." It's questionable whether or not to count time sitting in the living room and the TV is on, because they may or may not be watching it, even if they are looking at it. That's the biggest thing I struggle over when tabulating that time in my head...but when in doubt, veer towards Some, because "Most" can throw up a flag in some cases - they wonder if the person is overstimulated. Quote Link to comment Share on other sites More sharing options...
jules1971 0 Report Share Posted February 2, 2009 I agree with this reasoning. I go by the 6 hour standard. Almost all of my residents are "Some." It's questionable whether or not to count time sitting in the living room and the TV is on, because they may or may not be watching it, even if they are looking at it. That's the biggest thing I struggle over when tabulating that time in my head...but when in doubt, veer towards Some, because "Most" can throw up a flag in some cases - they wonder if the person is overstimulated. However, (and I am speaking from experience, because this happened to me) if you mark too many people as "some" and not enough of little or most- this sends a red flag to CMS that you are classifying all as "some" so that you can avoid having RAPS that would trigger on the "Most" or "Little". A few years ago that was brought up at my facility (by the careplanning team) but I also indicated that on the QI I had a variety of "most" and "little"- that I take it resident by resident- quarter by quarter. If they are watching TV in the lounge- I count that as time (independent)- they might catch a cat nap in there- but so might Gerty who is in her room doing her crosswords.... its hard to know what all residents are doing all of the time, but if you are taking it on good faith that Gerty is doing her puzzles and not getting much needed shut-eye....then chart what you observe. I should also mention that in "MOST" on the residents RAP: I do state that the reason why they attend most is by the residents choice, and how they like to keep busy and they take a highly active role in being as independent/busy as they can/want to be. Hope my post helps some of you......sure wish I would have had this forum years ago.... Quote Link to comment Share on other sites More sharing options...
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