We use VistaCare Hospice program. VistaCare is a national program.
The vistacare DR and nurses as a team communicate with our DR and then we are given the end of life diagnosis if appropiate. The vistacare team helps us by providing extra in house staff such as care giver and a nurse on call 7/24.
It has been a wonderful program to work with.
From: "Brenda Chance" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> Subject: RE: Less than 6 months to live? Date: Tue, 6 Jan 2004 15:17:44 -0500
I would ensure, though, that I could physically read this in the medical record. Having worked hospice, our paperwork did indicate that the resident has 6 months or less to live (expected) but, at times here, hospice does not always leave paperwork on the charts.
Brenda W. Chance, RN, RAC-C MDS Coordinator
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-----Original Message----- From: Wiedemann, Betty R [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 06, 2004 1:30 PM To: '[EMAIL PROTECTED]' Subject: RE: Less than 6 months to live?
It was my understanding that the we must have a statement indicating 6 months or less.Our hospice nurses do the intake work thus no Dr statement
-----Original Message----- From: Deanna J. Ogle [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 06, 2004 1:02 PM To: '[EMAIL PROTECTED]' Subject: RE: Less than 6 months to live?
Does the Hospice admission paperwork include the terminal diagnosis or that she has less than six months to live? Usually, their paperwork includes that statement. We have a good relationship with our local Hospice and we can always get copies of their admission paperwork when the patient signs up with them. If not, I would call or fax and ask for the appropriate dx and/or statement before I checked it on the MDS.
Deanna
-----Original Message----- From: Holly Sox, RN, RAC-C [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 06, 2004 8:30 AM To: [EMAIL PROTECTED] Subject: Less than 6 months to live?
Hi, Group,
I have a new admission, whose D/C Summary contains the following: "Is not eating well and has a decline, but she is 94 and it is very hard to be optimistic about her outlook."
Since admission, she was out to ER and was to be admitted, but resident and family stated they wanted no further intervention, and wanted to return to NH "so she could die." Hospice consult has been made.
In this situation, even though the words, "less than 6 months to live" haven't been written, would it be appropriate to code J5c?
Thanks! HS Holly F. Sox, RN, RAC-C Clinical Editor
www.careplans.com <http://www.careplans.com> [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
/---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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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/----------------------------------------------------------
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
-----------------------------------------------------------/
