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Part III Standards for Compliance

TABLE 21.2 Item-by-Item Minimum Data Set Guide for the Registered Dietitian Nutritionist MDS Section

Issues RDNs Should Keep in Mind Section AC. Customary Routine

Options included in “Eating Patterns” section: ●

Distinct food preferences ● Eats between meals all or most days

● Use of alcoholic beverage(s) at least weekly ● None of the above

Section A. Identification and Background Section B. Cognitive Patterns

Advance directives: feeding restriction option

● Does the resident have difficulty in making decisions about food? Is the resident forgetful about mealtimes?

● ●

Section C. Communication/Hearing

Does the resident have altered thought processes affecting the ability to feed himself or herself?

● When you are speaking to the resident, is he or she wearing hearing aids? ● Do you need to communicate with the family for information? ● Does the resident understand others?

Section D. Vision Pattern

● Do you need to use written communication? ●

● Section E. Mood and Behavior Patterns

Is the resident able to see placement of food and beverage items on the table or on the plate?

Does the resident have tunnel vision, impaired peripheral vision, or vision limited on one side?

● Does the resident fear that food is poisoned? ● Does the resident have a fear of swallowing? ● Does the resident resist assistance?

Is the resident depressed, anxious, sad, or apathetic? ● Does the resident refuse to eat? Is resident’s behavior disruptive? ● Does the resident pace or wander?

● ●

Section F. Psychosocial Well-Being

● Has the resident withdrawn from activities? ● Does the resident easily interact with others?

● Does the resident eat in rehab dining area? ● Does the resident refuse to eat in dining room? ● Does the resident eat out occasionally?

● Does the resident request meals in his or her room? Is the resident able to choose tablemates?

●

Section G. Physical Functioning Abilities NOTE: If the dietetics professional does not complete item G, he or she must make sure it is accurate.

Section H. Continence

● What is the resident’s self-feeding ability? ● Does the resident need self-help devices? ● What are the dining locations?

●

Does the resident have body control problems? Contractures, range of motion, lack of dexterity, partial or total loss of ability to position self, locomotion/ambulation?

● Does the resident have frequent urinary tract infections? ● Does the resident have frequent fecal impactions? ● Does the resident have frequent diarrhea? ● Does the resident have a catheter or ostomy?

Section I. Disease Diagnoses

● Diabetes ●

Cardiac disease ➤

Congestive heart failure ➤ Hypertension ➤ Peripheral vascular disease ●

Musculoskeletal conditions ➤

Arthritis ➤ Fractures ➤ Osteoporosis