RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

K2: HEIGHT AND WEIGHTINTENT:To record a current height and weight in order to monitor nutrition and hydration status over time and to provide amechanism for monitoring stability of weight over time.CODING DEFINITIONS:K2a. Height:Measure height in centimeters on admission and annually. Round the number to the nearest whole centimeter. Ifresident refuses to have height measured, code “001”. If resident is palliative, and cannot be measured, code “248”K2b. Weight:Measure weight in kilograms based on the last 30 days and round the number to one decimal place, e.g. 64.6 kg. Ifresident refuses to be weighed, code “0001”. If resident is palliative, and cannot be weighed, code “9999”PROCESS:K2a. Height: Check the clinical records. If the last height recorded was more than one year ago, measure the resident again For a resident who cannot stand, height can be assessed using a tape measure and measuring the body insections Arm span, knee height and ulna length measure can be usedK2b. Weight: Check the clinical records If last weight was taken more than one month ago or weight was not available, weigh the resident again andrecord most recent weight.K3: WEIGHT CHANGEINTENT: To record variations in the resident’s weight over timeCODING CHOICES AND DEFINITIONS:a. Weight loss in percentages (e.g. 5% or more in last 30 days or 10% or more in last 180 days)b. Weight gain in percentages (e.g. 5% or more in last 30 days or 10% or more in last 180 days)PROCESS: For new admissions ask resident or family about weight changes over the last 30 and 180 days Consult physician, transfer documentation and compare with admission weight. Calculate weight loss or gain inpercentages during the specified time periods For current residents, review clinical record and compare weight with weights of 30 and 180 days ago. Calculateweight loss or gain in percentages during the specified time periods Code 0 for “No” and 1 for “Yes”. If on admission there is no weight to compare to, code “9” for UnknownFor Information: 416.327.7625 3ltchrai@ontario.ca3