ADL General Collection Information: Difference between revisions

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== Collection Instructions ==

*For every Medicine profile, enter the status into the ADL dropdown boxes in the [[Patient Viewer Tab ADL]] in [[CCMDB.accdb]].

* The ADL assessment should reflect the amount of assistance a patient requires to perform the six activities. It takes into consideration acute medical issues that resulted in admission to the hospital.

*The ADL assessment should reflect the amount of assistance a patient requires to perform the six activities. It takes into consideration acute medical issues that resulted in admission to the hospital.

* Using your best judgment based on age, diagnosis, pre hospital admission ADL, and [[#Where to get data]] below, select the option that best reflects their ADL status

* ~~using~~ your best judgment based on age, diagnosis, pre hospital admission ADL, and ~~'where~~ to get data' below, ~~and~~ select the option that best reflects their ADL status ~~on admission to the ward~~

* For ostomy care see [[ADL Toiletting]] and [[ADL Continence]]

* ~~for~~ ostomy care see [[ADL Toiletting]] and [[ADL Continence]]

* For use of mechanical aids see [[ADL Transfering]]

* ~~for~~ use of mechanical aids see [[ADL Transfering]]

=== Timeframe ===

*The ADL assessment should be determined on admission to the ward (not the first [[Service tmp entry]] with the exception of EMIP)

The ADL assessment (done by allied health or nurses) we utilize is the patient's state of activity on first [[Service tmp entry]]. When possible, use an ADL assessment done within 24 hours after the admission to the ward

*The ADL assessment (done by allied health or nurses) we utilize is the patient's state of activity ~~'''~~on ~~admission to the ward''' (not at home prior to admission).~~

* If the patient is an EMIP use first [[Service tmp entry]] ~~instead of~~ the admission to the ward

~~When possible~~, ~~use an ADL assessment done within 24 hours after~~ the ~~admission~~ to the ~~ward~~

=== Low functioning ADL due to condition that is expected to be temporary ===

If a patient is admitted with a diagnosis that is expected to improve to the point of higher functioning ADLs (and they possibly have improved already by the time collection happens), code the ADLs that are expected to be the long-term state.

{{Ex|

A patient is admitted with [[Diabetic ketoacidosis (DKA)]] and is expected to improve with treatment to the point where they can manage their activities of daily living (ADLs) independently. Code the ADLs based on their anticipated long-term state of independent functioning, even if they are still experiencing limitations at the time of data collection.

}}

=== Directed Restrictions ===

Directed restrictions on a patient's activities should not be assessed as requiring assistance. ~~For example, if a pt is~~ on ~~bed rest restrictions, it does not mean that they are unable physically to get out of bed. If~~ the patient would be ~~able to perform the activity~~ if ~~allowed then~~ they ~~are to be assessed accordingly~~. ~~for example, if a~~ patient comes in with a stroke~~, but~~ can mobilize independently and go to the washroom~~, but~~ is ordered to be on bedrest after a procedure, this would be coded as '''unassisted'''.

Directed restrictions on a patient's activities should not be assessed as requiring assistance. Code these based on what the patient would actually be capable of doing if they were permitted.

{{Ex|

A patient comes in with a stroke. They can mobilize independently and go to the washroom. The patient is then ordered to be on bedrest after a procedure. If the patient would be able to perform the activity if allowed then they are to be assessed accordingly. So in this case they would would be coded as '''unassisted'''.

}}

=== Where to get data ===

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* Integrated progress notes

* Risk assessment for falls form (if used)

== Data Entry Instructions ==

For every Medicine profile, enter the status into the ADL dropdown boxes in the [[Patient Viewer Tab ADL]] in [[CCMDB.accdb]].

=== Specific Activities collected ===

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 == Collection Instructions ==
-*For every Medicine profile, enter the status into the ADL dropdown boxes in the [[Patient Viewer Tab ADL]] in [[CCMDB.accdb]].
+* The ADL assessment should reflect the amount of assistance a patient requires to perform the six activities. It takes into consideration acute medical issues that resulted in admission to the hospital.
-*The ADL assessment should reflect the amount of assistance a patient requires to perform the six activities.  It takes into consideration acute medical issues that resulted in admission to the hospital.
+* Using your best judgment based on age, diagnosis, pre hospital admission ADL, and [[#Where to get data]] below, select the option that best reflects their ADL status
-* using your best judgment based on age, diagnosis, pre hospital admission ADL, and 'where to get data' below, and select the option that best reflects their ADL status on admission to the ward
+* For ostomy care see [[ADL Toiletting]] and [[ADL Continence]]
-* for ostomy care see [[ADL Toiletting]] and [[ADL Continence]]
+* For use of mechanical aids see [[ADL Transfering]]
-* for use of mechanical aids see [[ADL Transfering]]
 === Timeframe ===
-*The ADL assessment should be determined on admission to the ward (not the first [[Service tmp entry]] with the exception of EMIP)
+The ADL assessment (done by allied health or nurses) we utilize is the patient's state of activity on first [[Service tmp entry]]. When possible, use an ADL assessment done within 24 hours after the admission to the ward
-*The ADL assessment (done by allied health or nurses) we utilize is the patient's state of activity '''on admission to the ward''' (not at home prior to admission).
-* If the patient is an EMIP use first [[Service tmp entry]] instead of the admission to the ward
-When possible, use an ADL assessment done within 24 hours after the admission to the ward
+=== Low functioning ADL due to condition that is expected to be temporary ===
+If a patient is admitted with a diagnosis that is expected to improve to the point of higher functioning ADLs (and they possibly have improved already by the time collection happens), code the ADLs that are expected to be the long-term state.
+{{Ex|
+A patient is admitted with [[Diabetic ketoacidosis (DKA)]] and is expected to improve with treatment to the point where they can manage their activities of daily living (ADLs) independently. Code the ADLs based on their anticipated long-term state of independent functioning, even if they are still experiencing limitations at the time of data collection.
+}}
 === Directed Restrictions ===
-Directed restrictions on a patient's activities should not be assessed as requiring assistance. For example, if a pt is on bed rest restrictions, it does not mean that they are unable physically to get out of bed. If the patient would be able to perform the activity if allowed then they are to be assessed accordingly.  for example, if a patient comes in with a stroke, but can mobilize independently and go to the washroom, but is ordered to be on bedrest after a procedure, this would be coded as '''unassisted'''.
+Directed restrictions on a patient's activities should not be assessed as requiring assistance. Code these based on what the patient would actually be capable of doing if they were permitted.
+{{Ex|
+A patient comes in with a stroke. They can mobilize independently and go to the washroom. The patient is then ordered to be on bedrest after a procedure. If the patient would be able to perform the activity if allowed then they are to be assessed accordingly. So in this case they would would be coded as '''unassisted'''.
+}}
 === Where to get data ===
@@ Line 25: / Line 29: @@
 * Integrated progress notes
 * Risk assessment for falls form (if used)
+== Data Entry Instructions ==
+For every Medicine profile, enter the status into the ADL dropdown boxes in the [[Patient Viewer Tab ADL]] in [[CCMDB.accdb]].
 === Specific Activities collected ===