Need advice on what to do

[Armds1]

I have a situation that I'm not quite sure what to do . A resident was admitted to our facility on 2/9/04 in what we considered a " vegetative state". The MD did not document this despite the indication on the PRI that she was comatose. He felt that she may come around because the family insists she responds to them{ i highly doubt this}. A 5 day Initial mds and a 14 day mds were completed which did not code her as comatose. A 30 day was done with the ARD of 3/8/04 that was then coded as comatose. After much discussion, I went to the primary MD yesterday and spoke to him about this. She was even seen by a Neurologist in Feb that only put as a Dx "severe OBS, CVA with Hemiplegia , non-responsive". The MD stated he would now write a note indicating the resident is in a vegetative state. My question is what do I do now with the past assessments, do I have to do a significant change since she technically is no different now, do I have to do a sig correction to the old assessments, or do I go on from here and code future assessments as comatose and write a note in the chart to explain ?????? HELP... this one has me stumped.

Amanda Roth RN,C RAC-C