I agree, we are to view residents individually. I would love to not have to carry a dx of pneumonia or dehydration on the 14 day assessment. It is easier to resolve dehydration, but it is difficult to resolve pneumonia at times by the 14 day. The residents daily living and their ability to function is directly r/t a dx of pneumonia. Weakness, sob, poor endurance to activity, etc. I myself have had pneumonia two times in a three month period. Per my MD, it can take up to 6 months to resolve depending on the damage done to your lungs, and I am a lot younger that the residents we are providing care for.
Claudia >From: [EMAIL PROTECTED] >Reply-To: [EMAIL PROTECTED] >To: [EMAIL PROTECTED] >Subject: Re: Dave Audit >Date: Sun, 15 Feb 2004 12:00:34 EST > >Coding pneumonia on the 14-day assessment: > >The 14-day assessment using day 11 as the ARD would cover days 5-11 (7-day >look back period). > >A patient admitted with pneumonia on antibiotic therapy x 7 days, oxygen >therapy, nebulizer treatments, with skilled assessments of lung sounds and >occupational therapy for energy conservation and work simplification due to dyspnea >and decreased activity tolerance in my opinion would continue to meet coding >definitions using day 11. > >All of these interventions play a factor in ADL's, medication use. nursing >monitoring and risk for death. RAI instructions state "do not include conditons >that have been resolved or no longer affect the resident's functioning or >care plan. Nursing monitoring includes clinical monitoring by a licensed nurse. > >Of course, this needs to be evaluated for each specific patient. Some >patient's pneumonia will have resolved by day 5, but many others may not. I think a >blanket statement that pneumonia should not be coded on the 14-day assessment >is not accurate.
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