I would code nothing in M1 since it doesn't sound like your patient currently has an ulcer or open lesion. In M3, I would answer "yes" and in M4 I would check "surgical wound". I would RAP all this and explain her situation and risk for further breakdowns. Winona Phelps, RN
-----Original Message----- From: Clair, Sandra [mailto:[EMAIL PROTECTED] Sent: Friday, March 12, 2004 4:46 AM To: Discusion Group Aanac (E-mail) Subject: FW: question regarding skin flap Still interested to see response from question below trying to complete admit MDS thank you -----Original Message----- Pt has hx. of sacral decub stage 3 or 4 prior to admit. Admit to us after flap to area how do I code M1 staging also do I indicate M3 resolved or cured??? Thank You S Clair /---------------------------------------------------------- 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 -----------------------------------------------------------/
