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Home » Methodology Spot: July 2024

Methodology Spot: July 2024

Test your knowledge with our methodology quick quiz. This month's focus is a change in coding for all assessments. You can read more about this change in the July Pānui.

Q1: The person you are assessing takes Laxsol each day to treat constipation and usually has no problems. Last week though, they had to take extra tablets, and eat some kiwifruit as they hadn’t been for 4 days and were feeling uncomfortable. 

 

Constipation would be coded: 

0. Not present 

1. Present but not exhibited in last 3 days 

2. Exhibited on 1–2 of last 3 days 

3. Exhibited daily in last 3 days  

 


Q2: The person you are assessing has osteoarthritis in her hips
and back. When you ask her about her pain, she tells you that she has no pain at all anymore as she takes paracetamol four times each day which works for her.
 

 

Frequency with which person complains or shows evidence of pain would be coded: 

0. Not present 

1. Present but not exhibited in last 3 days 

2. Exhibited on 1–2 of last 3 days 

3. Exhibited daily in last 3 days 

 


Q3:
You are assessing a person who is receiving end of life care and are using the interRAI Palliative Care assessment. She is on a syringe driver to manage her pain, and she tells you that she is very comfortable, experiencing no pain at all.

 

 Frequency with which person complains or shows evidence of pain would be coded:

0. Not present

1. Present but not exhibited in last 3 days

2. Exhibited on 1–2 of last 3 days

3. Exhibited daily in last 3 days

 

 

 

 

 

 

 






Answers:

A1: (Correct answer: 1. Present but not exhibited in last 3 days)

A2: (Correct answer: 0. Not present) 

A3: (Correct answer: 1. Present but not exhibited in last 3 days)  
Palliative Care item C1a: The frequency of a person's pain is coded differently than the similar pain item in other interRAI assessments because it has a unique definition and ’i-code’.