Home Health Blogger

7 Different Careplans for OASIS M1870: Are You Using the Right One?

Posted by Melissa Cott on Feb 2, 2021

There are seven (7) different careplan scenarios based on the answer to OASIS M1870 Feeding or Eating. If the patient is not independent in feeding her/himself (answer '0') , the patient should be any of the the following seven (7) careplans:

    1. assistance with feeding
    2. a nursing careplan for dysphagia
    3. occupational therapy for fine-motor rehabilitation
    4. occupational therapy for cognition therapy
    5. speech therapy for a chewing/swallowing disorder
    6. a nursing careplan for enteral nutrition OR
    7. a nursing careplan for Total Parenteral Nutrition (TPN)
 

The patient's ability to take adequate nutrition is a contingency for being able to stay home. Medicare asks this question to assure that the appropriate careplan is activated and hospitalization or other institutionalization is prevented. 

M1870-Feeding-Eating
 

0 - Able to independently feed self

If the patient can feed her or himself independently there's no need for intervention.

1 - Able to feed self independently but requires:

(a) meal set-up

The patient needs personal care assistance for meal preparation (careplan #1). This can be provided by a family member or paid help.

(b) intermittent assistance or supervision from another person

The patient needs personal care assistance for meal preparation (careplan #1). This can be provided by a family member or paid help.

(c) a liquid, pureed or ground meat diet.

Download the  Guidelines for National Dysphagia Diet

The patient may need speech therapy for swallowing problems such as dysphagia (careplan #4) and/or instructions on how to prepare a pureed or liquid diet (careplan #2). The patient needs personal care assistance for meal preparation (careplan #1), provided by family or paid help.

2 - Unable to feed self and must be assisted or supervised throughout the meal/snack

If there is rehabilitation potential the patient may be a candidate from occupational therapy for cognition (careplan #3 and fine motor rehabilitation to assist with achieving independence in self-feeding. The patient needs personal care assistance for meal preparation (careplan #1), provided by family or paid help.

3 - Able to take in nutrients orally and receives supplemental nutrients through a nasogastric tube or gastrostomy

A nursing careplan for nasogastric tube or gastrostomy (careplan #5) is indicated.

4 - Unable to take in nutrients orally and is fed nutrients through a nasogastric tube or gastrostomy.

A nursing careplan for nasogastric tube or gastrostomy (careplan #5) is indicated.

5 - Unable to take in nutrients orally or by tube feeding.

A nursing careplan for Total Parenteral Nutrition (careplan #6) is indicated.

 

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