You can continue to skill her for pain management with Dr order
changes
-----Original Message-----
From: Tanya Jordan [mailto:[EMAIL PROTECTED]
Sent: Thursday, February 26, 2004 9:17 AM
To: List Server
Subject: Skilled or Not Skilled?I have a resident that is Medicare skilled presently, Her 5 day assessment was just completed. She had the qualifying stay in the hospital and she was receiving PT/OT. However, she was experiencing alot of pain. A bone scan was done on her this week and she has several fractures from a fall prior to admission. We knew she had the rib fractures but not the others. She has been placed on bedrest, and therapy D/Cd her today. She is receiving a Durgesic patch, and Percocett for pain that is not controling her pain, we are consulting the doctor to day for better pain management., she has O2, is on a speciality mattress to prevent breakdown, and has behavior issues due to dementia.I want to keep her skilled for pain management, but I havent been able to find in the Medicare manual what qualifies as skilled pain management. HELP!!!!!Tanya
Tanya Jordan, RNAC
Homewood Retirement Centers
Williamsport, MD
Fax 301-582-1819
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