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Describing it as we see it is the current coding practice
demanded by CMS.
----- Original Message -----
Sent: Tuesday, December 30, 2003 9:46
AM
Subject: Re: Fw: staging of a pressue
area
Just playing devil's advocate - If the resident had been re-admitted to
the same Skilled Nursing Facility and that facility knew it had at one time
been a Stage 4 how would they stage it as compared to a facility that doesn't
know what it had been in the past? I wish we could just "describe the
wound as we see it" at all times versus all this other stuff.
----- Original Message -----
From:
karen white
Sent: Monday, December 29, 2003 7:06
PM
To: [EMAIL PROTECTED]
Subject: Fwd: Fw: staging of a pressue
area
thank you all for your input....
karen
--
--------- Forwarded Message ---------
DATE: Mon,
29 Dec 2003 08:41:53
From: "Christina Manibog"
<[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Cc:
I agree.
----- Original Message -----
From: "Brenda
Chance" <[EMAIL PROTECTED]>
To:
<[EMAIL PROTECTED]>
Sent: Monday, December 29, 2003 8:24
AM
Subject: RE: staging of a pressue area
> If the area is
not necrotic, then I too would code as a stage I but
> document in the
nurses' notes the exact thing that you have described
> here so that
it will not be a problem if it becomes a huge ulcer.
>
>
Brenda W. Chance, RN, RAC-C
> MDS Coordinator
>
>
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> -----Original
Message-----
> From: Debbie Settle
[mailto:[EMAIL PROTECTED]
> Sent: Monday, December 29,
2003 1:07 PM
> To: [EMAIL PROTECTED]
> Subject: RE: staging of a
pressue area
>
> Since it's not open, I'd lean toward a stage
I. However, I agree that
> there
> is most likely underlying
damage. I'm interested in seeing how other
> nurses
> would code
it.
>
> -----Original Message-----
> From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
> karen
white
> Sent: Monday, December 29, 2003 12:40 PM
> To:
[EMAIL PROTECTED]
> Subject: staging of a pressue area
>
>
> I have a question for the group. We had an admit over the weekend
with a
> 4x4
> area on her coccyx. It is closed, but discolored,
with a 3x3 purple area
> in
> the center. Staff called it a
Stage I . I am not comfortable with that.
> The
> nurse on the
floor who does the wound care does not understand why I
> want
to
> stage it differently. I am leaning toward a stage 4, only because
we are
> not
> sure what is beneath that purple.
> There
is obviously underlined damage. What would you stage it?
Thanks
> Karen.
>
>
>
>
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> "Committed to the
Assessment Professional"
> Be sure to visit the AANAC website.
Accurate answers to
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The Case
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Be sure to visit the AANAC website.
Accurate answers to your
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