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The purpose of the first interview section of MDS 3.0 is to assess the

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resident's cognitive patterns. The Brief Interview for Mental Status efficiently

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provides insight into the resident's current condition and helps to identify

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needed supports. Most residents are able to attempt this brief interview for

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mental status. Without an attempt at structured cognitive interview a resident

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may be mislabeled based on his or her appearance or assumed diagnosis. Now we

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will demonstrate an interview. Score the interview as you watch. To do this you

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need to know that it is Monday, November the 23rd, 2009. Before watching and

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scoring the interview, review the coding instructions in the manual.

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"Mrs. Jones. Mrs. Jones. Mrs. Jones I'd like to ask you those questions now. We

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ask these questions of everyone, and we do it so we can better plan your care.

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Some of the questions may seem easy, others more difficult. Are you ready?"

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(Mrs. Jones nods) "Ok, I'm going to say 3 words for you to remember. Please

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repeat the words after I have said all 3. The words are sock, blue, and bed. Now

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tell me the 3 words."

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"Bed, blue, blue's my favorite color."

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Interviewer: "Ok, yes, two of the words are bed a piece of furniture and blue a

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color. The third, sock, is something that you wear. Now tell me the 3 words."

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"The blue socks are on the bed."

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"Ok, now can you tell me what year it is right now?"

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"Don't you know?"

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"We ask these questions so that we can better plan your care. Please tell me the

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year we're in."

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"Um, 1999 the millennium."

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"And what month is it?"

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"November, my grandchildren made that turkey for me."

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"Oh, very creative. And, what day of the week is it?"

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"Monday. Monday we play bingo. It's Monday."

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"You play bingo on Monday?"

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"Monday."

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"Wonderful. Now let's get back to the earlier question. What were those 3 words

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I asked you to repeat?"

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"Blue."

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"Ok, and something that you wear?"

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"Dress."

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"Ok, and a piece of furniture?"

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"Bed."

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"Ok. Now, I'd like to ask you some questions about your mood. Would that be

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alright with you?"

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The resident's responses provide a total score of 8, indicating possible

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moderate cognitive impairment. You notice that the assessor did not total the

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score while talking to the resident. The score was based on the following: C200

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is 2, C300A is 0, C300B is 2, C300C is 1, C400A is 0, C400B is 2 and C400C is 1.

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Although you do not know the reason for the cognitive impairment, your observation of

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behavior and responses to these specific items will also help you better code

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the delirium questions C1300A to D. You also learned that she could use

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environmental cues and verbal reminders to improve her interactions and recall.

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Do not be concerned that she used these environmental cues to answer some

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questions. Those questions should still be coded as correct.

