RE: how to code "I'm going to die"

[Dorothy Wolfe]

I used to manage an in patient Hospice unit.   Perhaps she's got unresolved issues that she may need someone to help her get resolved. Unresolved issues can have a very negative impact on the rest of her life.   Dorothy   Dorothy Wolfe, BSN, MDS Coordinator The Virginia Home 1101 Hampton St. Richmond, VA 23220 Phone: 804-359-4093 X227 Fax:    804-358-4075 [EMAIL PROTECTED] This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If this message contains protected health information (PHI), it should not be forwarded to any other recipient without the authorization of the original sender and should be encrypted when possible. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the email address or telephone number above and delete this email from your computer. -----Original Message----- From: MDSNancy [mailto:[EMAIL PROTECTED] Sent: Tuesday, February 17, 2004 2:08 PM To: [EMAIL PROTECTED] Subject: how to code "I'm going to die" I have a hospice resident who is alert and oriented, young.  She has been told that she only has 6-9 months left to live.  She has cancer, trache, peg tube, ambulates with walker.   She make frequent complaints of "anxiety" and receives ativan.  She makes statements of "what am I going to do?  how can I end this?"  "is there anything I can do to speed this up?  I wish there were a  pill for saying bye bye?"    She knows her condition, she knows she is going to die,  she is making statements about her condition.  It's not an unrealistic fear. But how do we code this?  These don't seem to fit in any of the categories in section E.   I'm hurrying here, so am probably leaving something out.  She is obviously anxious and depressed.  She is being seen by psychiatrist.  Her antidepressants have been increased.  Help! Thanks! Do you Yahoo!? Yahoo! Finance: Get your refund fast by filing online