We have alot of orth patients who have daily pain.We use BID pain meds but they 
usually still need 1-2 prns in a 24 hour period.The short term pain QI looks at the 14 
day MDS.I usually rap my 14 therefore ref day 11-12.These orth patients seem to 
trigger this QI,but if I rap my 5 day,I can use grace days on the 14 day and am 
finding in most cases less daily pain at that point.This is just a general observation 
I am making.I know that many corporations insist that the 5 day be rapped.I can see by 
doing it this way that QIs are more positive.

/----------------------------------------------------------
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
-----------------------------------------------------------/

Reply via email to