MDS 3.0 Item I5400: Seizure Disorder or Epilepsy

Introduction

Purpose:
Seizure disorders and epilepsy are neurological conditions characterized by recurrent, unprovoked seizures. MDS Item I5400 tracks residents diagnosed with these disorders, ensuring appropriate monitoring and interventions such as anticonvulsant therapy and safety precautions.

What is MDS Item I5400?

Explanation:
MDS Item I5400 captures a diagnosis of seizure disorder or epilepsy. This item ensures that care plans are tailored to manage seizure frequency, medication regimens, and safety protocols to reduce the risk of injury during a seizure.

Guidelines for Coding MDS Item I5400

Coding Instructions:

• Seizure disorder or epilepsy must be diagnosed by a healthcare provider and actively managed.
• Code this item as present if the resident is receiving anticonvulsant therapy or other interventions for seizure control.
  For instance, if a resident is on anticonvulsant medication and requires regular monitoring for seizure activity, MDS Item I5400 should be coded as present.

Best Practices for Accurate Coding

Documentation:

• Ensure the resident’s medical record includes documentation of the seizure disorder, medication plans, and any observed seizure activity.

Communication:

• Coordinate with physicians and nurses to monitor seizure frequency and adjust medications as necessary.

Training:

• Staff should be trained on seizure precautions, including how to respond to an active seizure and when to seek medical intervention.

Conclusion

Summary:
Accurately coding MDS Item I5400 ensures that residents with seizure disorders or epilepsy receive proper care, including medication management and seizure safety precautions.

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

Reference

• CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Pages I-12 to I-14.

Disclaimer

This guide for MDS 3.0 Item I5400 is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024.