Thank you all for your comments, but my question was how to code
this on the MDS in section E. It's not a negative statement (E1a),
E1f? unrealistic fear? E1i is for non health related
complaints/concerns, it doesn't fit E1h either. Where/how should
I code it on the MDS?
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
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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!
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