I have appreciated this discussion on vascular vs. pressure. I do find that physicians are the lease possible good source for information on the status of wounds unless they are specialists. We presently have a rt. with known PVD who can develop a wound in an 8 hr pd.. She has 6-8 wounds on her feet all of which are over pressure areas. other than suspending her from the ceiling we are at a loss of what to do.
-----Original Message----- From: Brenda Chance [mailto:[EMAIL PROTECTED] Sent: Friday, November 21, 2003 8:45 AM To: [EMAIL PROTECTED] Subject: RE: skin ulcer I'd like to clarify what I said below. I would not necessarily stage these areas as pressure ulcers, but they may truly be ulcers related to PVD, etc. Look to see if this resident has a dx of PVD, stasis insufficiency, etc. Then I would code M1 as stage 2, but then code M2B as a 2. This will clarify that these are circulatory, or venous ulcers. If you don't have a dx of PVD, ask your physician about this possibility. This sounds like a circulatory problem to me rather than pressure. Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Brenda Chance Sent: Friday, November 21, 2003 8:38 AM To: [EMAIL PROTECTED] Subject: RE: skin ulcer If these blisters are related to cellulitis, then I would not code them. They are not pressure induced (right?) and are related to an infection rather than pressure. I have seen many residents that have PVD and end up with cellulitis with blister formation. Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Thursday, November 20, 2003 11:11 PM To: [EMAIL PROTECTED] Subject: skin ulcer I have question to the group. I am so confused on how to code this. Resident has cellulitis on her both lower extremities with blisters. How will i code this in M1 is it stage 2 then 0 to M2, right. /---------------------------------------------------------- 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 -----------------------------------------------------------/
