The definition of Resists care on page 3-66 of the manual states, "This category does
not include instances where the resident has made an informed choice not to follow a
course of care (e.g., resident exercised his or her right to refuse treatment, and
reacts negatively as staff try to reinstitute treatment.)"
So, a resident may make an informed choice not to accept care and not be resisting
care. The important phrase here is INFORMED. Have your staff informed the resident
of the risks and benefits of the treatment? Has the resident voiced why he/she does
not want the treatment? Are there alternatives that the resident will accept? Are
there barriers to his/her understanding of the reason for the treatment plan? Is all
this documented and on the care plan?
-----Original Message-----
From: Andrea Marks <[EMAIL PROTECTED]>
Sent: Mar 5, 2004 7:17 AM
To: [EMAIL PROTECTED]
Subject: Choice Vs. Resisting Care
Good morning Group,
I resident that is alert and oriented X3. Refused meds, ordered treatments. We got
sited because the MDS did not code for resisting care. It is the SS impression that he
is simply stating his right to refuse. I remember reading something last week from the
group about this.
Can someone give me a source to back up failing to code resisting of care due to right
to choose. Thanks.
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
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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
-----------------------------------------------------------/
