Remember that residents perform activities of daily living multiple times over a 24 hour period. Limited assistance introduces weight-bearing assistance. Full staff performance means that staff performed all aspects of the activity for the resident. Activities of daily living include multiple tasks. Registered nurses need to carefully read the definition for the activity.
Few residents are completely dependent on staff for performance of an activity.
The resident must be incapable of participating in any aspect of the activity. If the resident performs one aspect of an activity one time during the assessment period, a coding of 4 -Total Dependence is inaccurate. Code 8 - Activity did not occur during the entire assessment period. A resident who is bedfast and did not leave the bed during the assessment period would be coded on the MDS as a 4 for self performance for transfer. The resident was able to perform the activity completely independently without physical assistance or cuing by staff.