I didn't mean that you would not code chewing if there had once been a problem. I meant that you would not code chewing just because of a mechanically altered diet. I understand what the manual states about once chewing and swallowing problems are identified, and even remedied, they are always coded.
Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Saturday, February 21, 2004 10:11 PM To: [EMAIL PROTECTED] Subject: Re: Re: Section K > Not always, Now that I have access to a dental clininc (not good access,but nevertheless some access) I have residents that are getting teeth pulled and getting dentures. I have always understood that once a chewing or swallowing problem, always a > chewing or swallowing problem. > > > > > ----- 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 > > > > > What if the chewing problem was due to dental problems that were corrected, > for example loose dentures. > Janice Martin, RN > > /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
