123 Flash Chat > Chat Rooms > Live Chat - Open Discussion > Message History
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2020-12-10 10:05:42 AM barbaraabush enter the chat room
2020-12-10 10:07:17 AM barbaraabush left the chat room
2020-12-10 07:03:55 PM klevengood enter the chat room
2020-12-10 07:22:36 PM desiraes enter the chat room
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2020-12-10 07:25:50 PM byefelicia enter the chat room
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2020-12-10 07:26:18 PM byefelicia Hi classmates, each week, I wonder if I'm in the right chat room
2020-12-10 07:26:37 PM byefelicia The topic for today is "Documentation"
2020-12-10 07:26:48 PM ashuk enter the chat room
2020-12-10 07:27:11 PM sarabrophy @Kawammack I am available when all else are please let me know
2020-12-10 07:27:55 PM lakeisha83 enter the chat room
2020-12-10 07:28:22 PM ashuk hi
2020-12-10 07:29:39 PM lakeisha83 Hello everyone!
2020-12-10 07:34:15 PM tonyaharris82 left the chat room
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2020-12-10 07:41:23 PM rdonatien enter the chat room
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2020-12-10 08:01:08 PM rdonatien Are we on our own on this chat this evening. As a more traditional learner, I am finding this format quite challenging. Is there an instructor, administrator, or moderator for this Chat? I have not been on Chat since November 19. What is tonight's topic? I did not see a chat listed on my course (Own Pace) for today 12/9/2020.
2020-12-10 08:03:09 PM desiraes left the chat room
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2020-12-10 08:03:12 PM rdonatien @byefelicia, who is moderating "Documentation"?
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2020-12-10 09:06:44 PM kwammack enter the chat room
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2020-12-10 09:09:27 PM kwammack rdonatien Rdonation we are having a chat session on Saturday at 630pm pacitific time, and for standard time and central time it is 830pm, if your eastern time you will be at 930pm. Can you make it to that chat on Saturday?
2020-12-10 09:10:18 PM sarabrophy left the chat room
2020-12-10 09:10:25 PM kwammack We are doing it Saturday Sara. See you then,
2020-12-10 09:11:18 PM desiraes left the chat room
2020-12-10 09:13:23 PM kwammack rdonatien did you see we are doing it saturday can you make it.
2020-12-10 09:14:29 PM kwammack rdonatien ashuk did you want to join us on Saturday for the group chat?
2020-12-10 09:14:46 PM kwammack left the chat room
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2020-12-11 10:19:48 AM kwammack enter the chat room
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2020-12-11 09:34:02 PM kwammack enter the chat room
2020-12-11 09:36:20 PM kwammack We need one more person to join us on Saturday, please can anyone else make it. We have Cynthia, Sara, Barbara and myself- Kathleen. JUst need one more person to make the groiup complete for credit. Please respond if you can make it. thank you
2020-12-11 09:36:27 PM kwammack left the chat room
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2020-12-12 07:21:01 AM kwammack enter the chat room
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2020-12-12 08:37:55 PM sarabrophy enter the chat room
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2020-12-12 08:59:38 PM sarabrophy enter the chat room
2020-12-12 09:01:52 PM sarabrophy Im here
2020-12-12 09:18:33 PM kwammack enter the chat room
2020-12-12 09:19:07 PM kwammack glad to see you made it waitiong for the others.
2020-12-12 09:19:22 PM sarabrophy sounds good. my username is my full name
2020-12-12 09:19:52 PM barbaraabush enter the chat room
2020-12-12 09:20:06 PM kwammack thank you got it
2020-12-12 09:20:33 PM kwammack Hi Barbara, I see your on. Good to see you
2020-12-12 09:24:42 PM barbaraabush MDS week 2 assignment here?
2020-12-12 09:25:10 PM sarabrophy yes
2020-12-12 09:25:25 PM kwammack yep
2020-12-12 09:25:53 PM 021586 enter the chat room
2020-12-12 09:26:04 PM barbaraabush Thank you. Glad to be here.
2020-12-12 09:26:14 PM kwammack glad to have you
2020-12-12 09:28:13 PM kwammack I am expecting two more persons to join us and possible another who send a response message about an hour ago.
2020-12-12 09:28:34 PM sarabrophy Nice! Glad it worked out thank you for getting it all set up.
2020-12-12 09:28:47 PM kwammack not a problem.
2020-12-12 09:30:49 PM kwammack so I picked an image also. ya
2020-12-12 09:30:49 PM hollyyates enter the chat room
2020-12-12 09:31:16 PM sarabrophy :)
2020-12-12 09:31:31 PM 021586 left the chat room
2020-12-12 09:31:35 PM hollyyates I hope it is okay that I joined so last minute.
2020-12-12 09:31:48 PM 021586 enter the chat room
2020-12-12 09:31:53 PM kwammack yes sure you can
2020-12-12 09:32:03 PM kwammack welcome
2020-12-12 09:32:17 PM hollyyates Thank you!
2020-12-12 09:32:47 PM kwammack I am sure others will be joining us a little late, and that is ok. Do you guys want to start?
2020-12-12 09:33:08 PM hollyyates I am ready. Do we just stay on here?
2020-12-12 09:33:19 PM barbaraabush I would think it would depend on what their diagnosis is. If it is depression then activities could maybe help lift their spirits. If something more serious then you must program an apropreate activite.
2020-12-12 09:33:43 PM kwammack yes,
2020-12-12 09:34:04 PM 021586 Hello everyone!
2020-12-12 09:34:05 PM kwammack ok thank you Barbara, let us state the assignment quickly
2020-12-12 09:34:10 PM sarabrophy I agree or even just a trip outside when the weather is nicer
2020-12-12 09:34:30 PM kwammack to discuss the benefits of the information contained in the MDS 3.0
2020-12-12 09:35:10 PM kwammack I think that is a good point, but what is the primary purpose of the MDS
2020-12-12 09:36:12 PM kwammack What I found it that it is the assessment tool used to identify resident care problems and that are addressed in an individuialized care plan
2020-12-12 09:36:26 PM kwammack What does the MDS contain?
2020-12-12 09:36:42 PM sarabrophy Diagnoses
2020-12-12 09:37:01 PM sarabrophy Functionall limitations
2020-12-12 09:37:02 PM kwammack and the coding to explain the diagnoses I found
2020-12-12 09:37:39 PM kwammack it also contains the PPS for reimbursement system for providers
2020-12-12 09:37:42 PM barbaraabush The main purpose of MDS is to review residents diagnosis and program activities apropreately.
2020-12-12 09:38:02 PM kwammack I think your right about that.
2020-12-12 09:38:16 PM kwammack left the chat room
2020-12-12 09:38:23 PM kwammack enter the chat room
2020-12-12 09:38:33 PM kwammack sorry I got bumped out.
2020-12-12 09:39:07 PM kwammack MDS also monitors the quality of care in the nations nursing facilities
2020-12-12 09:39:46 PM hollyyates I think that it is imiportant because it can help the staff identify health problems.
2020-12-12 09:39:53 PM kwammack So MDS for PPS
2020-12-12 09:40:19 PM sarabrophy PPS?
2020-12-12 09:40:22 PM barbaraabush PPS?
2020-12-12 09:40:26 PM kwammack I found a section talking about MDS relects the acuity level of a resient
2020-12-12 09:40:54 PM hollyyates What is PPS?
2020-12-12 09:41:02 PM kwammack this includes diagnoses, treatments, and evaluations of the residents functional status.
2020-12-12 09:41:43 PM kwammack PPS is Payument system
2020-12-12 09:42:06 PM hollyyates Gotcha. Thank you.
2020-12-12 09:42:19 PM kwammack prospective payment system
2020-12-12 09:42:20 PM 021586 Hinthis is Cynthia. Dont know how to getmy name on here. MDS is an overall look at the residwnt. From diagnosis to their care.
2020-12-12 09:43:02 PM kwammack and does MDS help guide the material needed for the care
2020-12-12 09:43:07 PM barbaraabush PPs interesting can you elaborate on that
2020-12-12 09:43:16 PM kwammack yes
2020-12-12 09:43:36 PM kwammack RAI has three components
2020-12-12 09:44:01 PM kwammack MDS 3.0 and resident assessment protocols RAPs and utilixation guidelines specific to your state
2020-12-12 09:44:24 PM barbaraabush I will look further into that.
2020-12-12 09:44:24 PM kwammack MDS is used to paint the clear picture of the resident and what is needed for their care
2020-12-12 09:44:36 PM 021586 MDS goes overall from diagnosis and also guides for whay goes into a careplan
2020-12-12 09:45:02 PM kwammack RAPS are structured problem oriented frameworks for organizing MDS information
2020-12-12 09:45:44 PM kwammack MDS has 24 QI questions to establish the care
2020-12-12 09:46:38 PM kwammack So MDS is the actual data collecting tool for the resident who is on medicare and medicaid
2020-12-12 09:46:39 PM barbaraabush so mds is updated by lpn / rn then comunitactez to essential personnel to aid in care of resident
2020-12-12 09:46:42 PM 021586 We call them CAAs and they are triggered problems from the MDS
2020-12-12 09:46:44 PM 021586 left the chat room
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2020-12-12 09:47:12 PM kwammack When answering the questions you are actually coding the person on the MDS
2020-12-12 09:47:40 PM kwammack how you code the person will determine how you will get reimbursed
2020-12-12 09:47:44 PM kwammack PPS
2020-12-12 09:48:07 PM kwammack yes cute little doggie, dont know your name.
2020-12-12 09:48:43 PM 021586 Sorry its Cynthia
2020-12-12 09:49:09 PM barbaraabush how do you change that
2020-12-12 09:49:25 PM sarabrophy It is all about documcation to cause if what you are document doesnt add up with the MDS codes a facility could end up oweing money back
2020-12-12 09:49:25 PM kwammack if you go to CMS.gov
2020-12-12 09:49:29 PM barbaraabush im diffenently not lighting lol
2020-12-12 09:49:35 PM sarabrophy This is done when they come into do a MDS aduit.
2020-12-12 09:49:49 PM hollyyates So one person answers all of the questions or is it different people like therapy, dietary, activities...?
2020-12-12 09:49:49 PM kwammack You will also see that MDS has training vidoes and updates to help
2020-12-12 09:50:05 PM kwammack they have a youtube vide for identifiable information
2020-12-12 09:50:22 PM kwammack Hi Cynthia
2020-12-12 09:50:25 PM sarabrophy all deparments have a part
2020-12-12 09:50:32 PM barbaraabush i will check that out good info
2020-12-12 09:50:36 PM hollyyates That is what I thought.
2020-12-12 09:50:48 PM kwammack ok thank you Sara
2020-12-12 09:50:56 PM sarabrophy yupers
2020-12-12 09:51:01 PM sarabrophy yuppers**
2020-12-12 09:51:31 PM kwammack exactly we are looking for section F for activities. What are some of the questions that are asked that can be helpful for us in doing the care plan
2020-12-12 09:51:39 PM kwammack and how does the MDS help us
2020-12-12 09:52:01 PM 021586 Once you get used to gathering the information for an MDS it helpful
2020-12-12 09:52:48 PM barbaraabush It is
2020-12-12 09:52:51 PM kwammack one person normally answers the questions and you lock the MDS when your done so that anyone else will have to unlock it to change the info. IF more than two people do it there is a section on how to have both sign for it.
2020-12-12 09:52:56 PM 021586 It gives a very good picture of the resident
2020-12-12 09:53:26 PM kwammack that is the purpose, surveyors will look for a good picture of the resident
2020-12-12 09:53:35 PM barbaraabush if aging is from normal aging as opposed to not normal aging would determine how you plan activities
2020-12-12 09:53:50 PM kwammack some people in the team to do the MDS only answer the money questions meaning the PPS quesitons that can be billed.
2020-12-12 09:54:16 PM kwammack I would think so
2020-12-12 09:55:11 PM kwammack I could have a person who is aging and having chronic pan but also diagnoses with schizophrenic
2020-12-12 09:55:16 PM kwammack or dementia
2020-12-12 09:55:34 PM hollyyates I think that would play a big part in planning activities. So helpful to see the whole picture.
2020-12-12 09:55:43 PM barbaraabush that is not normal aging
2020-12-12 09:55:51 PM kwammack a care plan for schixophrenic depends on a persons level of hallucinationa and or delusions
2020-12-12 09:56:30 PM kwammack I would have to be careful not to engage the schizophrenic in activities that feed into his situations
2020-12-12 09:56:51 PM barbaraabush yes for sure
2020-12-12 09:57:21 PM kwammack Dementia is more sensory, calming, basic skills to engage in repeatingly to help for a routine
2020-12-12 09:58:05 PM sarabrophy music
2020-12-12 09:58:13 PM barbaraabush yes a change in routine is not good for people with dementia
2020-12-12 09:58:15 PM kwammack That is why the MDS is helpful all the departments have input and the director of nursing is a good source also for understanding a persons diagnosis.
2020-12-12 09:58:28 PM sarabrophy I do agree
2020-12-12 09:58:32 PM hollyyates Agree
2020-12-12 09:58:39 PM barbaraabush yes
2020-12-12 09:59:07 PM 021586 Not only the diagnosis will help but when we get into the different sections of the MDS we will also know their llikes and dislikes
2020-12-12 09:59:21 PM barbaraabush communication is important
2020-12-12 09:59:39 PM hollyyates Communication is key!
2020-12-12 09:59:43 PM kwammack yes, it gives the interdisciplinay team its realistic approaches to a residents care and bases it on a specific individualized charectoeristics
2020-12-12 09:59:47 PM sarabrophy actvities and nursing communication is very key
2020-12-12 10:00:06 PM 021586 its the key
2020-12-12 10:00:51 PM kwammack the MDS has questions on it that can be helpful does anyone know some of the quesiotns of the top.
2020-12-12 10:01:21 PM sarabrophy their likes or dislikes when it comes to hobbies
2020-12-12 10:01:30 PM sarabrophy this way you can find ways to redirect if needed
2020-12-12 10:01:46 PM kwammack it gives ethnic and that can help with culture at times
2020-12-12 10:01:49 PM sarabrophy or ways to put thoes activites in your calander
2020-12-12 10:02:22 PM barbaraabush religious beliefs
2020-12-12 10:02:45 PM kwammack and putting this in a calander has to reflect high functioning and low functioning
2020-12-12 10:03:04 PM kwammack that is a very important one to know is religious beliefs,
2020-12-12 10:03:16 PM barbaraabush yes
2020-12-12 10:03:21 PM hollyyates Agree knowing their likes and dislikes are helpful. Yes...religous beliefs very important too.
2020-12-12 10:03:28 PM kwammack a variety of church services need to be available
2020-12-12 10:03:45 PM sarabrophy if they are a veteran
2020-12-12 10:03:50 PM barbaraabush the elderly are very patriotic and religious
2020-12-12 10:03:51 PM kwammack sorry for my mistakes when typing fast I suck at it.
2020-12-12 10:04:18 PM kwammack so how to you plan for patriotic
2020-12-12 10:05:06 PM kwammack there is a question on the MDS for serious mental illness, intellectual disability, other related conditions
2020-12-12 10:05:41 PM kwammack how would that be helpful for intellectual disability
2020-12-12 10:05:57 PM barbaraabush well have entertainent that sings star spanged bander lol
2020-12-12 10:06:22 PM kwammack yep barbara they do love that and sing to it.
2020-12-12 10:06:50 PM sarabrophy yes they do. as well as decorate the budiling during July and all
2020-12-12 10:07:07 PM kwammack intellectual disability I have had to adjust and set activities at the persons levels of understanding and ability to engage
2020-12-12 10:07:32 PM sarabrophy sometimes just 1v1 actvities
2020-12-12 10:07:38 PM kwammack I have a lady who is challenged and can not do interlocking puzzles like jigsaw
2020-12-12 10:07:49 PM barbaraabush Ive seen residents that Ive never seen stand, stand with their hands on their hearts and sing that. Heart warming.
2020-12-12 10:08:03 PM kwammack but can do the puzzles like abc and 123 that have a seperate space for them individually and she can match the shapes she love it
2020-12-12 10:08:14 PM sarabrophy yes it is and true honor and respect
2020-12-12 10:08:36 PM barbaraabush absolutely
2020-12-12 10:08:56 PM hollyyates I agree. Love the patriotism of seniors. Also Levels of activites so important. I have a 99 year old who does puzzles and loves them and one much younger who cannot.
2020-12-12 10:09:12 PM sarabrophy I do as well!
2020-12-12 10:09:20 PM kwammack I have another who scribbles in a coloring book and I praise him for his work and we hang the pictures. Niether residnet can talk but can clap and dance
2020-12-12 10:09:24 PM barbaraabush They are amazing.
2020-12-12 10:10:05 PM hollyyates I love that! My 99 year old sings the Lord's Prayer every day at 4:00 for all of the other residents. :)
2020-12-12 10:10:07 PM kwammack how about a blind person, what can we do for them
2020-12-12 10:10:22 PM sarabrophy I have two residents that love to play us the memory game pices to play matching with them all in a pile
2020-12-12 10:10:24 PM kwammack that is very cute holly, do you sing along with hger
2020-12-12 10:10:42 PM hollyyates Yes, sometimes. But she loves to do solos. ha
2020-12-12 10:10:52 PM sarabrophy things that involve their sence of touch
2020-12-12 10:10:57 PM 021586 sesory or audio books
2020-12-12 10:11:09 PM sarabrophy I love audio books
2020-12-12 10:11:20 PM kwammack memory is a very good game, I have set up cards with the wizard of oz and had them match the characters
2020-12-12 10:11:34 PM kwammack I pick a classic movie and do the same with it.
2020-12-12 10:11:35 PM sarabrophy we started doing this for our book club now as some of our residents are hard of hearing and cant hear when we read
2020-12-12 10:11:58 PM barbaraabush Okay just sing Jesus love you and see who joins in. They all know it.
2020-12-12 10:12:02 PM hollyyates I have a man right now who recently had a stroke and cannot move one arm and cannot respond except with yes and no. I have done true false questions with him and he really enjoys that.
2020-12-12 10:12:11 PM kwammack picture books from the library nothing but pictdures and tells good short stories
2020-12-12 10:13:07 PM 021586 yes they do
2020-12-12 10:13:08 PM kwammack ON a dry erase board do the price is right with multiple answers for him to choose
2020-12-12 10:13:09 PM sarabrophy thumps up or down works as well for my one resident that is nonverbal
2020-12-12 10:14:01 PM kwammack if he still is doing good with his cognition he can do family feud on a dry erase board
2020-12-12 10:14:20 PM kwammack give him a prize when he wins something he needs,
2020-12-12 10:14:28 PM hollyyates That is a great ida.
2020-12-12 10:14:35 PM kwammack So how do we help a blind person
2020-12-12 10:15:22 PM 021586 touch
2020-12-12 10:15:31 PM sarabrophy smell
2020-12-12 10:15:33 PM kwammack in the library they have talking books that a person can sign up for and have delivered to them
2020-12-12 10:15:45 PM kwammack sensory is very good
2020-12-12 10:16:23 PM kwammack relaxing music, reading a story to them, socializing with them and even in a group
2020-12-12 10:16:34 PM sarabrophy The books on tape are good for someone that is heard of hearing to when it comes to a book club
2020-12-12 10:16:52 PM sarabrophy this way the person reading doesnt have to yell
2020-12-12 10:17:10 PM kwammack very true Sara, what else does the MDS help us with
2020-12-12 10:17:11 PM barbaraabush Well a blind persons other senses are normally enhanced so maybe have a cooking activity or something when you have a sound and ask them what is it.
2020-12-12 10:17:21 PM hollyyates I think talking with them aobut their lives is so important too.
2020-12-12 10:17:35 PM kwammack Barbara excellent
2020-12-12 10:17:58 PM kwammack Helping them realize things they can still do as a blind person.
2020-12-12 10:18:11 PM barbaraabush I have heard the most fantastic stories from talking with them.
2020-12-12 10:18:22 PM kwammack A blind person has to learn a new way of handling their money
2020-12-12 10:18:41 PM hollyyates Yes...I printed a sweries of questions called what's your story and it was great.
2020-12-12 10:18:52 PM kwammack example, folding bills a certain way to help identify them after a trusted person assist them with this
2020-12-12 10:18:53 PM sarabrophy Yes they do my grandmother would fold her money different ways
2020-12-12 10:19:11 PM kwammack That sounds really good Holly
2020-12-12 10:19:21 PM sarabrophy nice you will have to share that if you can somehow and if you dont mind
2020-12-12 10:19:29 PM barbaraabush Wow thats a great idea
2020-12-12 10:19:43 PM hollyyates I don't mind at all. I'll try and find it and share.
2020-12-12 10:20:02 PM sarabrophy cool thanks
2020-12-12 10:20:08 PM kwammack to help identify a person they are very tuned into perfumes a person would were that comes to see them on a regular routine.
2020-12-12 10:20:14 PM 021586 thank you for thst
2020-12-12 10:20:40 PM kwammack Thank you Holly that is very kind of you
2020-12-12 10:20:48 PM barbaraabush that would make sense
2020-12-12 10:21:00 PM kwammack how about physical limitations how do we plan for this.
2020-12-12 10:21:24 PM kwammack how does the MDS help us with this
2020-12-12 10:21:36 PM sarabrophy we do bowling however we do it on a table this way they can push the ball accross the table to the pins
2020-12-12 10:22:00 PM kwammack that is very helpful when most are in wheelchairs.
2020-12-12 10:22:17 PM barbaraabush no sure how mds helps with this
2020-12-12 10:22:32 PM kwammack how about a person with one arm and wants to paint.
2020-12-12 10:22:37 PM hollyyates Maybe therapy will give a better understanding of their capabilities?
2020-12-12 10:22:51 PM sarabrophy well if they are in a wheelchairs you can see who would all be able to join in for that rather then doing it on the floor
2020-12-12 10:23:26 PM kwammack Therapy is very helpful finding a persons mind set and understanding how they process their feelings and perceive things
2020-12-12 10:24:04 PM kwammack So what about our one arm painter how do we engage them in painting.
2020-12-12 10:24:29 PM kwammack activities have to be adjusted for the individual right
2020-12-12 10:24:37 PM sarabrophy can tape what they are painting this way the pater doesnt move on them
2020-12-12 10:24:51 PM kwammack yes very good point
2020-12-12 10:25:00 PM barbaraabush teach him how to use his good sirm
2020-12-12 10:25:04 PM 021586 person centered care
2020-12-12 10:25:05 PM barbaraabush arm
2020-12-12 10:25:10 PM kwammack yes
2020-12-12 10:25:32 PM kwammack set up a station that he can reach everything and go over all the material he would like to have for painting
2020-12-12 10:25:37 PM hollyyates Love the idea of taping the paper!
2020-12-12 10:25:40 PM sarabrophy its not really on us to teach them how to use their arm tho that would be therapy
2020-12-12 10:25:47 PM kwammack very important for bingo also
2020-12-12 10:26:00 PM sarabrophy we dont want to do something not in our wheelhouse
2020-12-12 10:26:19 PM kwammack ok so where we talking about physical therapy earlier
2020-12-12 10:26:27 PM kwammack I was thinking the other
2020-12-12 10:26:36 PM barbaraabush yes therapy would needed
2020-12-12 10:26:42 PM hollyyates Yes, physical therapy. Sorry. :)
2020-12-12 10:26:58 PM 021586 yes
2020-12-12 10:26:59 PM barbaraabush could we aid in that
2020-12-12 10:27:02 PM kwammack we can assist in ideas how to hold the paint brush or ask therapy to join us for his activity in the beginning
2020-12-12 10:27:15 PM barbaraabush yes
2020-12-12 10:27:17 PM sarabrophy yes
2020-12-12 10:28:11 PM kwammack how do we adjust for outdoor activities say going to walmart with a person who has difficulties staying focused
2020-12-12 10:28:18 PM kwammack but is calm and can go
2020-12-12 10:28:22 PM 021586 threapies do sttend our care plan meetings an that id helpful
2020-12-12 10:29:06 PM kwammack they are really good at helping understand a persons range of motion and what they can and can not do.
2020-12-12 10:29:30 PM kwammack Can anyone think of anything else the MDS would be helpful in
2020-12-12 10:29:52 PM sarabrophy not sure on the trip one as I have not been able to do any since the shutdown we have not opened up all the way and are not able to take resdients out to stores or resturants

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