Long-Term Care

Coding F0400: Interview for daily preferences

MDS 3.0 Insider, April 4, 2011

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Asking a resident about his or her daily preferences and trying to work those preferences into his or her life is imporant because a lack of attention to lifestyle preferences can contribute to depressed mood and increased behavior symptoms.To help ensure an accurate assessment of a resident’s daily preferences, the RAI User’s Manual provides the following steps:

  1. Interview any resident not screened out by the Should Interview for Daily and Activity Preferences Be Conducted? item (F0300).
  2. Conduct the interview in a private setting.
  3. Sit so that the resident can see your face. Minimize glare by directing light sources away from the resident’s face.
  4. Be sure the resident can hear you.
    • Residents with hearing impairment should be interviewed using their usual communication devices/techniques, as applicable.
    • Try an external assistive device (headphones or hearing amplifier) if you have any doubt about hearing ability.
    • Minimize background noise.
  5. Explain the reason for the interview before beginning.
    Suggested language: “I’d like to ask you a few questions about your daily routines. The reason I’m asking you these questions is that the staff here would like to know what’s important to you. This helps us plan your care around your preferences so that you can have a comfortable stay with us. Even if you’re only going to be here for a few days, we want to make your stay as personal as possible.”
  6. Explain the interview response choices. While explaining, also show the resident a clearly written list of the response options, for example a cue card.
    Suggested language: “I am going to ask you how important various activities and routines are to you while you are in this home. I will ask you to answer using the choices you see on this card [read the answers while pointing to cue card]: ‘Very Important,’ ‘Somewhat important,’ ‘Not very important,’ ‘Not important at all,’ or ‘Important, but can’t do or no choice.’”

    Explain the “Important, but can’t do or no choice” response option.
    Suggested language: “Let me explain the ‘Important, but can’t do or no choice’ answer. You can select this answer if something would be important to you, but because of your health or because of what’s available in this nursing home, you might not be able to do it. So, if I ask you about something that is important to you, but you don’t think you’re able to do it now, answer ‘Important, but can’t do or no choice.’ If you choose this option, it will help us to think about ways we might be able to help you do those things.”
  7. Residents may respond to questions verbally, by pointing to their answers on the cue card, or by writing out their answers.
  8. If resident cannot report preferences, then interview family or significant others.

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