Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Behavioural problems status |
METEOR identifier: | 318145 |
Registration status: | Community Services (retired), Recorded 16/11/2009 |
Definition: | Whether a person has behavioural problems such as aggression, wandering or agitation. |
Data Element Concept: | Person—behavioural problems status |
Value Domain: | Yes/no/not stated/inadequately described code N |
Collection and usage attributes | |
Guide for use: | CODE 9 Not stated/inadequately described This code is not for use in primary data collections. |
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Data element attributes | |
Collection and usage attributes | |
Guide for use: | Rate the person’s functional status with current aids and appliances in place. |
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Collection methods: | Does the person have any behavioural problems, for example aggression, wandering, agitation? Yes.................................................... No..................................................... Not stated/inadequately described........... Do not ask the person this question. Scoring for this element should be based on all information available to you, including interviewing, observing the person, Client notes, referral letter, and information from carer(s), friends, relatives and referring agencies. |
Relational attributes | |
Implementation in Data Set Specifications: | Home and Community Care (HACC) functional status cluster Community Services (retired), Recorded 16/11/2009 DSS specific information: Agencies should report the most recent functional status that the agency has recorded for the person. It is recommended that functional status should be recorded for HACC care recipients at the beginning of each HACC service episode. The agency should also assess the currency of this information at subsequent assessments/re-assessments within a HACC service episode and should update the agency’s record of the person’s Functional Dependency status if necessary. Note that some jurisdictions may use a different 3-level coding system for this element.
For the Home and Community Care (HACC) MDS, do not ask the Client this question. Scoring for this element should be based on all information available to you, including interviewing, observing the person, Client notes, referral letter, and information form carer(s), friends, relatives and referring agencies. This element records the person’s capabilities in the respective activities based on information from the client as well other relevant sources such as carer(s), family, and service providers. The person should be rated on what they are capable of doing rather than what they do. The questions ask 'Can you?' rather than 'Do you?' since some persons may not, for example, do the housework because their carer does it for them, yet be quite capable of undertaking it themselves. In rating an item that is irrelevant (for example, the person has no shops in the vicinity or does not use any medication), base the rating on what the person would be capable of doing if the item was relevant to their situation. In assessing capability, take into account not only physical function but also cognition (such as problems caused by dementia or an intellectual disability) and behaviour (such as unpredictable or challenging behaviour). Clients able to complete a task with verbal prompting should not be rated as independent (and therefore should be rated as a 2). Rate the person’s functional status with current aids and appliances in place. Record Code 9 for unanswered items. Behavioural problems: Does the person have behavioural problems, for example aggression, wandering or agitation? All items should be recorded, and in the order listed in Data domain. It is recommended that functional status should be recorded for HACC care recipients at the beginning of each HACC service episode. The agency should also assess the currency of this information at subsequent assessments/re-assessments within a HACC service episode and should update the agency’s record of the person’s Functional Dependency status if necessary. Note that some jurisdictions may use a different 3-level coding system for this element. Reporting requirements: Agencies should report the most recent functional status that the agency has recorded for the person. Information provided by the agency about the person’s functional status will be considered to be at least as up to date as the Date of last update reported for the person. This is in line with the request that agencies assess and update the information they have about a person’s functional status at the beginning of each HACC service episode as well as at subsequent assessments/re-assessments within a HACC service episode. This data element is not meant to limit the screening and assessment tools used by agencies, except to the extent that the nine items which are required for MDS reporting will need to be incorporated into the tools used. |