MDS 3.0 Item D0150F1: PHQ Response - Presence of Feeling Bad About Self

MDS 3.0 Item D0150F1: PHQ Response - Presence of Feeling Bad About Self

Introduction

Purpose: Identifying and addressing feelings of low self-worth or guilt is crucial in long-term care, as these feelings are often associated with depression and can significantly impact a resident's mental health and overall well-being. MDS Item D0150F1 focuses on whether the resident has been feeling bad about themselves, thinking they are a failure, or feeling that they have let themselves or others down. Accurate coding of this item is essential for recognizing residents at risk for depression and ensuring they receive appropriate care and support.

What is MDS Item D0150F1?

Explanation: MDS Item D0150F1 is a component of the Patient Health Questionnaire (PHQ-9) under Section D: Mood. This item specifically asks whether the resident has felt bad about themselves, as though they are a failure or have let themselves or others down, over the past two weeks. Identifying the presence of these feelings is critical in assessing the resident's mental health and guiding interventions to improve their emotional well-being.

Guidelines for Coding MDS Item D0150F1

Coding Instructions: To code MDS Item D0150F1, the interviewer asks the resident if they have felt bad about themselves, felt like a failure, or believed they have let themselves or others down over the past two weeks. The response is coded as follows:

• 0 - No: The resident has not experienced these feelings.
• 1 - Yes: The resident has experienced these feelings.

Example Scenario: If a resident reports feeling bad about themselves or feeling like they have failed in some way during the past two weeks, you would code D0150F1 as 1 - Yes. If the resident indicates that they have not had these feelings, you would code 0 - No.

Best Practices for Accurate Coding

Documentation: Document the resident's responses and any observable behavior that might support the coding decision. This documentation should clearly indicate whether the resident has experienced feelings of low self-worth or failure, helping to ensure accuracy and consistency in the resident’s assessment.

Communication: Share the resident’s feelings of self-worth with the interdisciplinary team to ensure that these issues are addressed holistically in their care plan. This is particularly important if the resident is showing signs of depression or other mental health issues.

Training: Regular training for staff on how to conduct the PHQ-9 interview and discuss sensitive topics like self-worth with residents is crucial. This training should emphasize the importance of empathy, active listening, and accurate documentation.

Conclusion

Summary: MDS Item D0150F1 is essential for identifying residents who may be experiencing feelings of low self-worth or guilt, which are common symptoms of depression. By accurately coding this item, healthcare providers can ensure that these residents receive the necessary support and interventions to improve their mental health and overall quality of life.

Click here to see a detailed Step-by-Step on how to complete this 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-9.

Disclaimer

Please note that the information provided in this guide for MDS 3.0 Item D0150F1: "PHQ Response - Presence of Feeling Bad About Self" 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.