B1200: Corrective Lenses

B1200: Corrective Lenses

Item Rationale

Health-related Quality of Life

• Decreased ability to see can limit the enjoyment of everyday activities and can contribute to social isolation and mood and behavior disorders.

• Many residents who do not have corrective lenses could benefit from them, and others have corrective lenses that are not sufficient.

• Many persons who benefit from and own visual aids do not have them on arrival at the nursing home.

Planning for Care

• Knowing if corrective lenses were used when determining ability to see alloAws better identification of evaluation and management needs.

• Residents with eyeglasses or other visual appliances should be assisted in accessing them. Use and maintenance should be included in care planning.

• Residents who do not have adequate vision without eyeglasses or other visual appliances should be asked about history of corrective lens use.

• Residents who do not have adequate vision, despite using a visual appliance, might benefit from a re-evaluation of the appliance or assessment for new causes of vision impairment.

Steps for Assessment

1. Prior to beginning the assessment, ask the resident whether they use eyeglasses or other vision aids and whether the eyeglasses or vision aids are at the nursing home. Visual aids do not include surgical lens implants.

2. If the resident cannot respond, check with family and care staff about the resident’s use of vision aids during the 7-day look-back period.

3. Observe whether the resident used eyeglasses or other vision aids during reading vision test (B1000).

4. Check the medical record for evidence that the resident used corrective lenses when ability to see was recorded.

5. Ask staff and significant others whether the resident was using corrective lenses when they observed the resident’s ability to see.

Coding Instructions

• Code 0, no: if the resident did not use eyeglasses or other vision aid during the B1000, Vision assessment.

• Code 1, yes: if corrective lenses or other visual aids were used when visual ability was assessed in completing B1000, Vision.