SCSA mds or not?

[Janice]

Just to start out with I want to say THANK YOU to everyone that offers to share their knowledge here.  It has been a great help.  Now to my question.   I have a res. that was originally admitted back in Nov.  Admission assessment with RAPS and CP done back in Dec.  She went to the hospital early in Jan.  Returned to our facility with a new peg tube and tube feeding orders.  She returned on 1/20/04.  I set her ARD for her 5-day to go through 1/24/04 and had planned on doing her SCSA with her 14 day assessment so I would have a bit more information as to how extensive of a SCSA she would be, with ARD set for 1/31/04 and CP set for 2/5/04.  She passed away on 1/24/04.  On 1/20/04 peg tube and the feedings were addressed on her personal POC kardex.  The question I have is 1.  Should I change her 5 day PPS assessment to also be a SCSA assessment, coded dually as a 3/1 or do I really need to do a SCSA MDS with RAPS as no care planning will be done with this res as she is deceased.  I know I need to do the 5day.  But since RAPS are to guide us to the care planning process do I really have to go through the work of doing the SCSA and RAPS when she will not be care planned and the peg tube and feedings are already addressed on the res specific POC kardex.   I would appreciate any input on this.  Thanks.   Janice RN, BSN, RAC-C