If someone is hospice, then they are end-of-life care.  Of course, we
are not God but are pretty able to discern if a resident is
deteriorating related to a end-stage illness and we feel that death is
imminent.  The plan of care is supposed to reflect that resident at the
present time.  

Brenda W. Chance, RN, RAC-C
MDS Coordinator
 
 
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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] 
Sent: Monday, January 19, 2004 3:05 PM
To: [EMAIL PROTECTED]
Subject: Re: 2nd attempt--end of life poicies/standing orders

it becomes somewhat stickey to state end of life since of cours we're
not 
God. we write comfort care only. also I checked with the MDS help desk
in 
Illinois and unless you have good documentation in the progress notes,
ect... I do 
not code 6 mos or less to live in sec J5 even if they're on Hospice. How
many 
times have we seen someone on Hospice for a few years and the md
documents doing 
fine.
/----------------------------------------------------------
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
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