J1300: Current Tobacco Use

J1300: Current Tobacco Use

Item Rationale

Health-related Quality of Life

• The negative effects of smoking can shorten life expectancy and create health problems that interfere with daily activities and adversely affect quality of life.

Planning for Care

• This item opens the door to negotiation of a plan of care with the resident that includes support for smoking cessation.

• If cessation is declined, a care plan that allows safe and environmental accommodation of resident preferences is needed.

Steps for Assessment

1. Ask the resident if they used tobacco in any form during the 7-day look-back period.

2. If the resident states that they used tobacco in some form during the 7-day look-back period, code 1, yes.

3. If the resident is unable to answer or indicates that they did not use tobacco of any kind during the look-back period, review the medical record and interview staff for any indication of tobacco use by the resident during the look-back period.

Coding Instructions

• Code 0, no: if there are no indications that the resident used any form of tobacco.

• Code 1, yes: if the resident or any other source indicates that the resident used tobacco in some form during the look-back period.

DEFINITION

TOBACCO USE

Includes tobacco used in any form.