If a mechanical diet is a successful intervention for a chewing problem,
chewing problem still needs to checked in K1 (even if it no longer
exists).
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
[EMAIL PROTECTED]
Sent: Saturday, February 21, 2004 9:11 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
>
>
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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
-----------------------------------------------------------/
