GG0170D5: Sit to Stand -OBRA/Interim Performance, Step-by-Step

Step-by-Step Guide to Coding MDS Item GG0170D5: "Sit to Stand" (OBRA/Interim Performance)

1. Overview: MDS Item GG0170D5 assesses a resident’s ability to come to a standing position from any sitting surface. This is crucial for determining the resident’s mobility and the level of assistance required. It includes different levels of assistance, ranging from independent to fully dependent.

2. Item Purpose:

• Evaluate the resident’s functional ability to transition from sitting to standing.
• Record the assistance needed to complete this activity during the 3-day assessment window (OBRA/Interim Performance period).

3. Steps for Coding GG0170D5:

• Step 1: Observation of Resident Performance
  • Evaluate how the resident transitions from sitting to standing.
  • If the resident uses a specific assistive device, observe whether they require any help.
• Step 2: Determine the Level of Assistance
  • Code based on the assistance provided by a helper, using the following response options:
    • 06 – Independent: Resident completes the activity without any assistance, including setup.
    • 05 – Setup or Clean-up Assistance: Helper provides only setup or clean-up help (e.g., placing a walker in front of the resident).
    • 04 – Supervision or Touching Assistance: Helper provides verbal cues or steadying/touching assistance.
    • 03 – Partial/Moderate Assistance: Helper provides less than half the effort.
    • 02 – Substantial/Maximal Assistance: Helper provides more than half the effort.
    • 01 – Dependent: Two or more helpers are required, or the resident is fully dependent.
    • 07 – Resident Refused
    • 09 – Not Applicable
    • 88 – Not attempted due to medical condition or safety concerns

4. Coding Examples:

• Example 1: Supervision or Touching Assistance
  The resident, recovering from osteoarthritis, transitions from sitting to standing with the steadying assistance of the nurse’s hand on their trunk.

  • Coding: GG0170D5 would be coded 04 – Supervision or touching assistance.
  • Rationale: The helper provides steadying (touching) assistance during the transition.

• Example 2: Dependent
  The resident, suffering from multiple fractures, requires two CNAs to help them stand up from a chair.

  • Coding: GG0170D5 would be coded 01 – Dependent.
  • Rationale: Two helpers are required to assist the resident in the transition .

5. Documentation Tips:

• Be sure to document the type and amount of assistance provided clearly.
• Record any devices used (e.g., walkers or lifts) and how they affect the resident’s ability to complete the task.

6. Strategies for Care Planning:

• Tailor the care plan based on the level of assistance required. For example, residents who require moderate assistance may benefit from physical therapy aimed at strengthening their ability to stand independently.
• Regularly review and update the resident’s mobility plan to reflect improvements or declines in their ability to perform the sit-to-stand activity.

The Step-by-Step Coding Guide for item GG0170D5 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. Please note that healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, it is crucial for healthcare professionals to 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.