MDS 3.0 Item D0150E1: PHQ Response - Presence of Poor Appetite or Overeating

MDS 3.0 Item D0150E1: PHQ Response - Presence of Poor Appetite or Overeating

Introduction

Purpose: Identifying changes in appetite, such as poor appetite or overeating, is essential for assessing the overall health and mental well-being of long-term care residents. MDS Item D0150E1, which focuses on whether the resident has experienced poor appetite or overeating, is a crucial part of the Patient Health Questionnaire (PHQ-9). Accurate coding of this item helps in recognizing potential symptoms of depression or other health issues that may require intervention.

What is MDS Item D0150E1?

Explanation: MDS Item D0150E1 is a component of the PHQ-9 interview under Section D: Mood. This item specifically asks whether the resident has had poor appetite or been overeating over the past two weeks. These symptoms are often associated with depression, anxiety, or other health conditions. Identifying the presence of these symptoms allows healthcare providers to address the underlying causes and develop appropriate care plans.

Guidelines for Coding MDS Item D0150E1

Coding Instructions: To code MDS Item D0150E1, the interviewer asks the resident if they have experienced poor appetite or overeating over the past two weeks. The coding is binary, based on the resident’s response:

• 0 - No: The resident has not experienced poor appetite or overeating.
• 1 - Yes: The resident has experienced poor appetite or overeating.

Example Scenario: If a resident reports that they have not felt like eating much or have been eating more than usual over the past two weeks, you would code D0150E1 as 1 - Yes. If the resident indicates no significant changes in their eating habits, you would code 0 - No.

Best Practices for Accurate Coding

Documentation: Document the resident's statements regarding their appetite, including any relevant observations about their eating patterns. This documentation should include specific details that support the chosen code, ensuring clarity and accuracy in the resident’s assessment record.

Communication: Share the information about the resident’s appetite with the interdisciplinary team, especially if changes in eating habits are observed. This information is vital for creating a comprehensive care plan that addresses both physical and mental health.

Training: Provide regular training for staff on conducting the PHQ-9 interview, with an emphasis on how to sensitively discuss changes in appetite with residents. Accurate documentation and coding of these symptoms are crucial for effective care planning.

Conclusion

Summary: MDS Item D0150E1 is essential for identifying residents who may be experiencing poor appetite or overeating, symptoms that could indicate depression or other health issues. Accurate coding of this item ensures that these changes in eating habits are recognized and addressed, contributing to the overall health and well-being of the resident.

Click here to see a detailed Step-by-Step on how to complete the item set.

Reference

This guide is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Page D-8.

Disclaimer

Please note that the information provided in this guide for MDS 3.0 Item D0150E1: "PHQ Response - Presence of Poor Appetite or Overeating" was originally based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. Every effort will be made to update it to the most current version. The MDS 3.0 Manual is typically updated every October. If there are no changes to the Item Set, there will be no changes to this guide.

This guidance is intended to assist healthcare professionals, particularly new nurses or MDS coordinators, in understanding and applying the correct coding procedures for this specific item within MDS 3.0. The guide is not a substitute for professional judgment or the facility’s policies. It is crucial to stay updated with any changes or updates in the MDS 3.0 manual or relevant CMS regulations. The guide does not cover all potential scenarios and should not be used as a sole resource for MDS 3.0 coding. Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice. Users are responsible for ensuring compliance with all applicable laws and regulations in their respective practices.