HealthPRO Heritage: Section GG Scoring

Mrs. V lives in an Independent Living Facility on the first floor and uses a power scooter at all times for mobility. Her facility has a van with a ramp that she can use for community transportation. She does not encounter stairs at any point in her life. The PT determines it is not necessary to attempt stairs as this is not a goal for her. How should 12 stairs be scored on GG?

09, not applicable

During the PT evaluation, Mr. Y ambulates 30' in the hallway with a rolling walker and gait belt before he reports that he is too tired and needs to sit down. OT brings over a chair and he is able to turn around and sit down. The PT is providing > 50% assistance to maintain balance. How should the PT score walking 50 feet with 2 turns?

1, Dependent

If a patient requires 50% touching assistance to ambulate 150' with a rolling walker and a second person to push a wheelchair due to safety concerns, how would you score Walk 150 feet?

1, Dependent

Mrs. X has 12 stairs to enter her apartment and does not have an elevator. Her goal is to become independent with stairs. Your therapy gym has a small set of stairs. During the evaluation, 4 stairs are completed in the gym with you providing 75% assistance. She is too fatigued to attempt any additional steps. How should 12 stairs be scored on the GG?

1, Dependent

Mr. B walks 10 feet on level surfaces with the therapist providing trunk support. He requires 60% assistance to maintain balance and 50% verbal cues for maneuvering around obstacles in his room. How would you score walking for 10 feet?

2, Substantial/Maximal assistance

You are assessing oral hygiene with Ms. S. She has dentures. You push her to the sink in a W/C as she is unable to ambulate and then you unscrew the toothpaste cap and present her with the toothbrush and toothpaste to see if she is able to complete the task. You realize that Ms. S is unable to remove her dentures, but she is able to brush and soak them without cuing or physical assistance. How would you score this task?

3, Partial/Moderate Assistance

How should you score the following scenario: Mr. Z dons his pants with a dressing stick, he requires a helper to bring him the equipment. He does not require touching assistance, but does require 50% verbal cues for sequencing.

4, Supervision or touching assistance

Mr. T is an IL resident that has demonstrated a decline in mobility and self-care. He has now been referred to therapy. At the time of evaluation, Mr. T was able to put on and take off his shoes and socks with adaptive equipment with the OT providing 75% verbal cues. How would you rate putting on/taking off footwear?

4, Supervision or touching assistance

Mrs. S. is evaluated by Physical Therapy. She was sitting in the bedside chair all morning and now reports that she is too tired to attempt any activities out of the bed. The PT asks the CNA assigned to Mrs. S. how much assistance was required for the bed to chair transfer. The CNA reports she used a gait belt, walker and provided steadying assistance. How should this transfer be scored?

4, Supervision or touching assistance

During the OT evaluation, the OT learns that Mr. Q. had completed a bath with CNA assistance earlier in the day. The CNA reports that Mr. required a hydraulic lift to get into the bathtub and was then able to turn on the water and scrub himself once the CNA handed him soap and a washcloth. How would the OT score Shower/Bathe self?

5, Set-up and/or clean-up assistance

In Section GG, to score a resident accurately an assessor should:

A, B, and D <-- all 3 are correct (A) Ask probing questions to the care staff about the resident (B) Attempt to assess as many tasks as you can (D) Take the time to look at each component of each task described

What evaluation findings suggest inaccurate data collection?

A, C, and D <-- all 3 are correct (A) All fields are scored 4/6 (C) Not tested scores are present for many items (D) No change is demonstrated from admission to discharge

When Scoring section GG evaluation all are true except:

Completing GG equates to a complete evaluation

How I score Section GG items at discharge does not have an impact on my facility's ability to demonstrate outcomes.

False

All are true about scoring GG at discharge except:

If the resident transfers to the hospital, I should score everything as dependent

Which of the following is true about GG scoring?

Make a real effort to have your patient complete all GG tasks when you are completing a GG assessment

Select the option that best describes how to score each task for Section GG:

Score usual performance

There are reports in Optima that demonstrate admission scores, discharge scores and change scores for each individual item.

True