The level of assistance the client will need to manage his/her medications.
What is the self-administration category for medication management trying to capture?
The highest level of support that client may needed.
Does not include set-up.
How is Medication self-administration coded?
Must be administered
How is Independent defined?
Client remembers to take own medications as prescribed and will manage own administration independently.
How is Assistance Required defined?
Reminding or coaching client
Handing the medication container to client
Using an enabler to assist client in getting med to mouth
Placing medication in client's hand
DOES NOT INCLUDE: Assistance with intravenous medications or injectable medications. The client must have an awareness that they are taking medication.
How is Must be administered defined?
Medication must be placed in the client's mouth and applied or instilled to the skin or mucous membrane OR client is not aware that he/she is taking medication.
How is self-direction defined?
Client with functional disability that prevents them from performing a health-care function that he or she would normally do who chooses and is able to self-direct medication assistance or administration
Who can administer medications to clients?
Client can self-administer
Family IPs (whoever client calls family)
Informal supports (e.g. family, friends)
Paid providers (non-family) under nurse delegation.
Individual Providers who are "self-directed" by client
Who can fill a Medi-set?
How do you know if an over-the-counter (OTC) topical medication can be done by IP/Agency provider?
If it is a topical cream used for prevention it can be done by an IP/Agency Provider.
If it is a topical cream that is a treatment, it is considered medication administration. (E.g. anti-fungal creams for a yeast infection, hydrocortisone for a psoriasis outbreak)
If client directs medications, what should be included in the comments screen?
A description of the care
Name of prescribing healthcare provider
How is status and assistance available scored for medication management?