I have to agree, remember Section G also measure the resources by the faciltiy to take care of this resident. Nursing resources are utilized to administer the flushes as ordered. I would code as a 4/2.
Ron -----Original Message----- From: Brenda Chance [mailto:[EMAIL PROTECTED] Sent: Friday, February 06, 2004 4:46 PM To: [EMAIL PROTECTED] Subject: RE: Gtube without feeding I still say we are splitting hairs here. In a lot of end-stage dementia residents that do not have pegs, of course, the water is not going to do enough to hydrate them because of the disease process, but do we quit trying? No, because if we did,that would be withholding nutrition. If you are administering any water via a peg, you are still providing hydration. Plain and simple. 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: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Friday, February 06, 2004 11:07 AM To: [EMAIL PROTECTED] Subject: Re: Gtube without feeding In a message dated 2/3/2004 11:41:28 AM Eastern Standard Time, [EMAIL PROTECTED] writes: > How would you code a resident who has a tube, is no longer being fed (dying), but is getting flushes to keep the tube patent in case she needs any pain meds? For eating would she be 8/8 or 4/2 for the flushes? Do the flushes count as > feeding? They are not being used for hydration. > Thanks, Karen Is she on Hospice? Is she a DNR? Your message states she is no longer being fed - does that also mean no hydration either? If you are giving her flushes she is being hydrated and you are losing the body's natural response to not receiving hydration or nutrition. Please see the following website for some info on this: http://endoflifecare.tripod.com/Caregiving/id90.html I have learned from working with dying patients, doctors and hospice nurses that even small sips of water shouldn't be given for the reasons noted in the website. The flushes are something you might want to rethink. /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
