As I see it, a modification would be appropriate if the nurse doing the MDS knew about the ulcer and inadvertenly make a mistake in data entry. If the nurse was not aware of the ulcer when she did the assessment, a significant correction (reassessment) would be appropriate. If it is a full assessment, the pressure ulcer RAP would be useful in determining which type of error was made.


From: Jeanne <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Subject: Opinions requested
Date: Thu, 29 Jan 2004 10:46:54 -0500

Have a resident who developed a stage 2 pressure ulcer the day before the
MDS ARD. The nurse missed coding this on his mds. Treatment orders were in
place and being carried out the day the wound was found and a wound care
plan for risk for pressure ulcers was in place and was updated shortly after
the ulcer treatment was started.. The question is: Do you do a modification
or a significant correction assessment in this case. Thanks. Jeanne



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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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