Step-by-Step Coding Guide for F0500: Interview for Activity Preferences

1. Review of Medical Record

• Objective: Verify the resident's ability to communicate their preferences regarding activities or identify any documented preferences.
• Action: Examine medical records for notes on communication abilities, cognitive status, and any previously documented activity preferences.

2. Understanding the Definition

• Objective: Comprehend the purpose of interviewing residents about their activity preferences.
• Key Points:
  • Capturing the resident's preferences on how they wish to spend their time, including hobbies, social activities, and physical exercises.
  • Recognizing individual preferences aids in enhancing the resident's quality of life and reducing boredom, depression, and behavioral issues.

3. Coding Instructions

• Objective: Accurately code the resident's activity preferences.
• Steps:
  1. Code 0 (No): If the resident has significant communication barriers, lacks an available interpreter, or does not have family/significant others to provide information.
  2. Code 1 (Yes): If the resident can communicate effectively, an interpreter is available if needed, or family/significant others can provide information on the resident's behalf.

4. Steps for Assessment

• Objective: Conduct the interview efficiently and empathetically.
• Steps:
  1. Ensure a private and comfortable setting for the interview.
  2. Utilize the resident's preferred communication method and provide assistance as needed.
  3. Explain the purpose of the interview clearly and use simple language.
  4. Offer response options verbally and visually (using cue cards if necessary).
  5. Record responses accurately, noting any preferences for specific activities.

5. Coding Tips and Special Populations

• Objective: Tailor the interview process to accommodate all residents.
• Tips:
  • Consider the resident's cognitive and physical abilities when interpreting their preferences.
  • For residents unable to communicate, attempt to gather information from close contacts or observe the resident's engagement in activities.

6. Practical Application

• Objective: Utilize real-life scenarios to apply knowledge.
• Example: A resident indicates that listening to music is very important to them. If they express a preference for a specific genre or medium (live performances, radio, CDs), document this detail for personalized care planning.

7. Documentation

• Objective: Thoroughly document the outcomes of the interview.
• Action: Include detailed notes on the resident's expressed activity preferences in their care plan, along with any observations that may inform adjustments to their daily schedule or environment to accommodate these preferences.

The Step-by-Step Coding Guide for item F0600 in MDS 3.0 Section F is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.