check with your agency providing hospice care---I believe in most cases the physician must document an end of life situation to certify the need for the hospice services.  It may not be in your chart, but they require the documentati9on from the MD and they give us a copy of this assessment/statement of need for services to validate the MDS

>From: [EMAIL PROTECTED]
>Reply-To: [EMAIL PROTECTED]
>To: [EMAIL PROTECTED]
>Subject: Re: 2nd attempt--end of life poicies/standing orders
>Date: Mon, 19 Jan 2004 20:19:02 EST
>
>In a message dated 1/19/2004 12:29:38 PM Pacific Standard Time,
>[EMAIL PROTECTED] writes:
>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.
>But we are NOT to mark "6 mos or less...etc" without Physician documentation.


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