Dawn you are correct. If the diet is changed/ Mech etc, then it is d/t a chewing or swallowing problem. On our state site for transmittals, this statement continues to be posted, around 2 years ago I believe in July. Not at work, so can't give exact date. I personally feel that if the diet is altered so that the resident doesn't experience difficulty w/eating their foods and the intervention worked---there is not a problem.
Claudia >From: "dawn" <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: <[EMAIL PROTECTED]> >Subject: Re: Section K >Date: Fri, 20 Feb 2004 21:31:24 -0500 > > > I seem to recall a Q&A last year...maybe 2 years ago. You code chewing problem on MDS if on a mechanically altered diet, regardless. Anybody out there, please correct me...... Of course I keep all that at work. > > dawn > > > > ----- Original Message ----- > From: Brenda Chance > To: [EMAIL PROTECTED] > Sent: Friday, February 20, 2004 10:59 AM > Subject: RE: Section K > > > Your director needs to talk with a speech therapist. Mechanically altered diets include Mech Soft, Pureed, etc. and can be as much for swallowing problems as for chewing. I would not code chewing unless there was a chewing problem. This would be like assuming just because a resident has difficulty lying flat they have copd. > > > > Brenda W. Chance, RN, RAC-C > > MDS Coordinator > > > > >
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