H0600. Bowel Patterns, Step-by-Step

Step-by-Step Coding Guide for H0600: Bowel Patterns

1. Understanding Bowel Patterns:

• H0600A: Constipation - Mark if the resident has had symptoms of constipation in the last 7 days.
• H0600B: Diarrhea - Mark if the resident has experienced diarrhea in the last 7 days.
• H0600C: Bowel Incontinence - Mark if the resident has had any episodes of bowel incontinence in the last 7 days.
• H0600D: Ostomy for Bowel Elimination - Mark if the resident has an ostomy for bowel elimination that was present and is currently being managed in the last 7 days.

2. Assessment Process:

• Step 1: Review the resident's medical records, nursing notes, and bowel movement charts for the last 7 days to identify any documented instances of constipation, diarrhea, bowel incontinence, or ostomy management.
• Step 2: Consult with nursing staff and caregivers to gather additional insights on the resident's bowel patterns, including any interventions or treatments administered.
• Step 3: Observe the resident, if possible, and discuss with them (if they are able) about their bowel movements, comfort, and any related concerns.

3. Coding for H0600:

• H0600A (Constipation): Code "1" if any signs of constipation are documented or reported; otherwise, code "0".
• H0600B (Diarrhea): Code "1" if any instances of diarrhea are documented or reported; otherwise, code "0".
• H0600C (Bowel Incontinence): Code "1" for any episodes of bowel incontinence; code "0" if none are reported.
• H0600D (Ostomy): Code "1" if the resident has an ostomy for bowel elimination that is managed by the facility; code "0" if not applicable.

4. Documenting and Reporting:

• Ensure accurate documentation in the MDS assessment form based on the gathered information and observations.
• Discuss findings with the interdisciplinary team to address any identified needs or concerns regarding the resident's bowel patterns.

5. Care Planning:

• Use the coded information to develop or update the resident's care plan, focusing on managing bowel patterns and addressing any issues like constipation, diarrhea, or incontinence.
• Incorporate resident preferences and consult with healthcare providers for appropriate interventions.

By following these coding instructions for H0600, you can accurately assess and document the resident's bowel patterns, contributing to effective care planning and management in a long-term care setting.

The Step-by-Step Coding Guide for item H0600 in MDS 3.0 Section H 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, 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.