It would be according to how stable he is in terms of his nutritional status and respiratory status. I would look at the wound beside the trach as well and see if this is causing any problems. This can be an erosion occurring which would require careful monitoring. As well, I would monitor his weights, tolerance to feedings, respiratory condition, any adjustment of o2 therapy (while on therapy) and see if he does need skilled services. Also, if he is meeting the caloric and fluid values to meet skilled level will be important as well.
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: Karen Marolf [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 20, 2004 10:24 AM To: [EMAIL PROTECTED] Subject: qualifiers we have a referral for a pt who has had a g tube over 1 year-- trach over 1 year and a wound along side the trach. old cva who was walking with a quad cane prior to being admitted to acute with pneumonia. I believe the feeding trach and wound were all being taken care of by the wife at home prior to the pneumonia admit. the acute would like him to come to skilled for therapy and then back to home. So my question is *-We can prob skill him for therapies---but if the time comes that he is not making progress--then am I right that we can not use the trach/wound or gtube feed for criteria because this all was pre-existing and not a reason why he was hospitalized?? Thanks in advance Karen NOTICE: This communication is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this communication is not the intended recipient or the employee or agent responsible for delivering the communication, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by replying to this e-mail. REMINDER: The disclosure of medical information is strictly prohibited by federal regulation. Unauthorized release of medical information may result in administrative, civil and criminal sanctions. /---------------------------------------------------------- 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 -----------------------------------------------------------/
