Appropriate is not a question for us ( unless NP) Aphasia is also a symptom
for Dementia.I have had doc write the dx and others who won't.I believe the
dx must be from the MD not us.

-----Original Message-----
From: carol maher [mailto:[EMAIL PROTECTED]
Sent: Friday, November 07, 2003 10:47 AM
To: [EMAIL PROTECTED]
Subject: Re: APHASIA - Please help!


If you think that these residents meet the definition of aphasia " A speech
or language disorder caused by disease or injury to the brain resulting in
difficulty expressing thoughts (i.e., speaking , writing), or understanding
spoken or written language" then, I think that it is appropriate to ask the
physician for a diagnosis.  Sometimes they will give one of "Expressive
Aphasia" or "Receptive Aphasia".  I code the MDS for aphasia if I have
either of those diagnoses.


-----Original Message----- 
From: BONNIE RANDOLPH 
Sent: Nov 7, 2003 7:20 AM 
To: [EMAIL PROTECTED] 
Subject: APHASIA - Please help! 


If a resident has a cerebral palsy or Parkinson's diagnosis and has
dysarthria, is it acceptable to ask the doctor to write a diagnosis of
aphasia?  Both these residents are hard to understand and I do not think
either is capable of writing messages.  
 
Bonnie

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/---------------------------------------------------------- The Case Mix
Discussion Group is a free service of the American Association of Nurse
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to visit the AANAC website. Accurate answers to your questions posted to NAC
News and FAQs. For more info visit us at http://www.aanac.org
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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