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Medicaid

LOC

QuestionAnswer
What score is required for Nursing Facility Level of Care? 18 points
How many LOC categories exist? 12
What is a trigger? Automatic qualification from a single category
Do you stop the assessment after a trigger? No; complete the entire assessment
Late-loss ADLs? Mobility; Eating; Toileting
Early-loss ADLs? Bathing; Dressing; Grooming; Medication Management; Meal Prep
Wandering definition? Movement without a rational purpose or destination awareness
Resisting care definition? Refusal of needed care due to distrust; fear; or behavioral symptoms
Delusion definition? Fixed false belief despite evidence
Hallucination definition? False sensory perception
Minimal mental health monitoring? Monthly monitoring of a stable condition
Moderate mental health monitoring? Monthly monitoring of an unstable condition
Maximum mental health monitoring? Weekly monitoring of an unstable condition
Best source for cognition coding? Observation and collateral contacts
C1 assesses? Daily decision-making ability
Three memory types? Short-term; Procedural; Situational
Short-term memory test? 3-word recall
Procedural memory? Ability to recall steps of a task
Situational memory? Recognition of familiar people and places
Sundowning? Worsening cognition later in the day
Communication section evaluates? Making self understood and understanding others
Cognition trigger? Coma or no discernible consciousness
High Yield Exam Facts Last 3 days is a critical lookback period. • Code controlled behaviors if they would return without supports. • Use collateral contacts whenever cognition is impaired. • Think holistically: one cognitive deficit often affects others.
Created by: research11
 

 



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