You got a lot more going on here than just that PICC!  These folks are frequently not all here mentally, and behaviors are a problem until they're VERY ill.  They get VERY ill VERY quickly, as well.  There will be monitoring, dietary control is very important and they rarely adhere to the diet.  They need to have their ammonia med given often, and often measurement of the ascites and reporting it to the physician is ordered.  The liver failure usually brings intense itching, and the skin needs frequent lotion, and is the liver can take it, meds for the itching.  Usually, by the time they reach this state, they're just a little bit a way from going to sleep and not waking up.  In any event, you could skill him on medicare just on the basis of the nursing management, the management of the oxygen to keep him above 90% (or whatever your order says) and preparation of the care plan, but doubt he'd live long enough to actually use his Medicare days. 
----- Original Message -----
Sent: Thursday, January 29, 2004 4:13 PM
Subject: piccline

I have a resident admitted yesterday with end stage cirrhoisis of the liver stage iv with regional necrosis, on o2 continuously, cellulitis of RLE with gross anasarca, plus, acites with overall juandice. He is in and out of a coma?, NH4+ level very high. His insurance is Geisinger, my question being. If  this individual had MCR is the picc a skillable service if flushed only q shift with NSS?
 

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.574 / Virus Database: 364 - Release Date: 1/29/2004

Reply via email to