I would skill her for the first 14 days because of the dx. and did she have iv fluids in hospital or iv meds? Is this a new diagnosis? are you monitoring h/h on this resident? I would lock on the 5 day and if no changes have occured in orders or care and no skill I would go icf day 15. She is probably going to be a se3 or se2 if you have iv's and should have had if she was losing blood.
Billy Jo Stewart <[EMAIL PROTECTED]> wrote:
Billy Jo Stewart <[EMAIL PROTECTED]> wrote:
This resident is alert and oriented x3, she requires minimal assist with
her ADL's when she allows staff to help her. She is independently
ambulatory (therapy did not pick her up). She takes herself to the
bathroom. She is able to feed herself. She is having rectal pain on a
daily basis and is receiving tylenol #3 for it. She did have a couple
of episodes of rectal bleeding noted but she has no labs ordered.
thanks,
billie stewart
[EMAIL PROTECTED]
-----Original Message-----
From: Corey Ali [mailto:[EMAIL PROTECTED]
Sent: Tuesday, February 17, 2004 8:14 PM
To: [EMAIL PROTECTED]
Subject: Re: medicare skilling
What are you doing for her? Does she need help w/ her ADL's? What
about
pain control? Is she cognitively intact, etc, etc.,
----- Original Message -----
From: "Billy Jo Stewart" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, February 17, 2004 1:04 PM
Subject: medicare skilling
Hello Everyone,
I have a resident that was admitted to the nursing unit on
2/12/04. Prior to coming into nursing she had a 3 day hospital stay.
When the MD from the hospital discharged the resident they discharged
her to our personal care department with the understanding that when a
bed became available in nursing that she would be transfered to that
bed. She was admitted with rectal ca and comfort measures. It is noted
that she occasionally has vaginal and rectal bleeding. Her vital signs
are stable, no s/s of dehydration noted. At first I placed her on med A
for 7 day observation period. she is having rectal pain and is
receiving tylenol #3 prn. Would you continue to skill her after the
first 7 day?
Thanks,
Billie Stewart, RNAC
[EMAIL PROTECTED]
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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
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