This item is intended to identify the patient’s ability to take all oral (p.o.) medications reliably and safely at all times on OASIS C. The intent of the item is to identify the patient’s ABILITY, not necessarily actual performance. "Willingness" and "adherence" are not the focus of these items. These items address the patient's ability to safely take oral medications, given the current physical and mental/emotional/cognitive status, activities permitted, and environment. The patient must be viewed from a holistic perspective in assessing ability to perform medication management. Ability can be temporarily or permanently limited by:
- physical impairments (for example, limited manual dexterity);
- emotional/cognitive/behavioral impairments (for example, memory deficits, impaired judgment, fear);
- sensory impairments (for example, impaired vision, pain);
- environmental barriers (for example, access to kitchen or medication storage area, stairs, narrow doorways).
Tips for assessing the patient properly:
- This assessment excludes topical, injectable, and IV medications.
- Only medications whose route of administration is p.o. should be considered for this item. Medications administered by other routes, including sublingual, buccal, swish and expectorate, or administered per gastrostomy (or other) tube are not to be considered for this item.
- If the patient sets up her/his own "planner device" and is able to take the correct medication in the correct dosage at the correct time as a result of this, enter Response 0.
- Includes assessment of the patient’s ability to obtain the medication from where it is routinely stored, the ability to read the label (or otherwise identify the medication correctly).
- Enter Response 1 if the patient is independent in oral medication administration if another person must prepare individual doses (for example, place medications in a medi-planner or other device).
- Enter Response 2 if daily reminders to take medications are necessary, regardless of whether the patient is independent or needs assistance in preparing individual doses (for example, setting up a “planner device”) and/or developing a drug diary or chart. (Reminders provided by a device that the patient can independently manage are not considered “assistance” or “reminders.”)
- If the patient’s ability to manage oral medications varies from medication to medication, consider the medication for which the most assistance is needed when selecting a response.
*Information adapted from OASIS-C2 Assessment Guidance Manual