Step-by-Step Coding Guide for Item Set GG0120B: Mobility Devices: Walker

This guide will assist in accurately coding and documenting the use of a walker as a mobility device in the MDS 3.0, specifically within item GG0120B.

1. Review of Medical Records

• Objective: Determine if the resident uses a walker for mobility.
• Key Points:
  • Examine the resident’s medical records for any mention of walker use, including physical therapy assessments, nursing care plans, and physician orders.
  • Look for documentation indicating the type of walker (standard, rolling, hemi-walker) prescribed or recommended for the resident.

2. Understanding Definitions

• Objective: Clarify what constitutes a "Walker" as a mobility aid.
• Key Points:
  • Walker: A frame used to support individuals with mobility challenges. Walkers can vary in design, including standard walkers that require lifting to move forward and rolling walkers equipped with wheels.

3. Coding Instructions

• Objective: Guide on how to accurately document the use of a walker.
• Key Points:
  • Code "1" if the resident uses a walker as part of their mobility strategy inside and/or outside of the facility during the assessment period.
  • Code "0" if the resident does not use a walker.

4. Coding Tips

• Confirm the current use of the walker, as the resident's mobility needs may have changed since the last assessment.
• Differentiate between temporary use (e.g., post-surgery) and long-term use based on the resident’s overall mobility status.

5. Documentation

• Objective: Maintain detailed records regarding walker use.
• Key Points:
  • Document the type of walker provided to the resident, including any specific features (e.g., seat, basket) tailored to their needs.
  • Note any instructions given to the resident or care staff regarding safe walker use, adjustments made to the walker, and the resident's adaptation to using the device.

6. Common Errors to Avoid

• Overlooking the resident’s intermittent use of a walker, which should still be documented if used during the assessment period.
• Confusing the use of other mobility aids (e.g., canes, crutches) with walkers.

7. Practical Application

• Scenario: Mr. Kevin Lopez, who has Parkinson’s disease, has been using a rolling walker to assist with his mobility and balance, particularly for longer distances within the facility. The physical therapy notes detail his transition to a walker from a cane for added stability and list adaptations made to the walker handles for easier grip. Based on these records, the MDS Coordinator codes "1" for GG0120B, accurately reflecting Mr. Lopez’s use of a walker for mobility.

The Step-by-Step Coding Guide for item GG0120B in MDS 3.0 Section GG 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.