What is the first step in completing section K of MDS for swallowing disorders?

• A. Ask resident if they've had difficulty swallowing during 7-day lookback period
• B. Interview staff members
• C. Review medical records
• D. Observe mealtime

Answer: (A)

In section K data collection for swallowing disorders, the first step is to ask the resident about swallowing difficulties during the 7-day lookback period. This prioritizes the resident’s own experience and identifies recent, relevant symptoms that guide the rest of the data gathering. The 7-day window ensures you capture current issues that affect safety and function.

After obtaining the resident’s report, you then corroborate with other sources—staff interviews, medical records, and by observing mealtime—to confirm and detail the severity, frequency, and any interventions needed. If the resident cannot communicate well, the gathered information from staff and records becomes especially important, but the initial resident input keeps the assessment centered on the person’s recent experience.