Memory OK
if the resident accurately recalled long past information.
DiraChart MDS item reference
Item Rationale
Use the item-specific response choices below when structured codes apply.
if the resident accurately recalled long past information.
if the resident did not recall long past information or did
not recall it correctly.
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Determine resident’s long-term memory status by engaging in conversation, reviewing
memorabilia (photographs, memory books, keepsakes, videos, or other recordings that are
meaningful to the resident) with the resident or observing response to family who visit.
2. Ask questions for which you can validate the answers from review of the medical record,
general knowledge, the resident’s family, etc.
•
Ask the resident, “Are you married?” “What is your spouse’s name?” “Do you have any
children?” “How many?” “When is your birthday?”
C0800: Long-term Memory OK (cont.)
3. Observe if the resident responds to memorabilia or family members who visit.
4. Observations should be made by staff across all shifts and departments and others with close
contact with the resident.
5. Ask direct care staff across all shifts and family or significant others about the resident’s
memory status.
6. Review the medical record for clues to the resident’s long-term memory during the look-back
period.
•
Code 0, memory OK: if the resident accurately recalled long past information.
•
Code 1, memory problem: if the resident did not recall long past information or did
not recall it correctly.
•
If the test cannot be conducted (resident will not cooperate, is non-responsive, etc.) and
staff were unable to make a determination based on observation of the resident, use the
standard “no information” code (a dash, “-”), to indicate that the information is not
available because it could not be assessed.
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