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I would think this would be coded as Negative
Statements. Regardless of why a resident exhibits any of these indicators
of depression or what we perceive their reasons for doing so are, they still
need to be coded. She has every right to feel this way, but I would
still code it. "How can I end this?", "Is there anything I can do to speed
this up", "I wish there was a pill to say bye bye". These are all negative
statements regarding her wish to die soon.
Toni Rounds, RN, BSN, RCC
----- Original Message -----
Sent: Tuesday, February 17, 2004 3:59
PM
Subject: RE: how to code "I'm going to
die"
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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