Hi everyone:

I would like to throw a few questions out to the group today....per several 
discussions that have occurred in our facility.  Thanks for any help anyone can offer!

1)  When a resident is re admitted as a bilateral amputee, which is the correct way to 
measure the resident's height, ie: from stump to head, or does it go by the height he 
was before?  Another question came up as to measuring the limbs that are not there in 
a "percentage"?

2)  Are other facilities doing significant change MDS assessments for significant 
weight loss only (if there is no other change)?

3)  Another situation:  A medicare resident is in house during her quarterly 
assessment dates for the MDS.....but goes out to the hospital the day before her care 
meeting.  She returns three days later with absolutely no changes.  Would you just 
schedule a care plan meeting based on the MDS assessment period and document that she 
was in the hospital during her scheduled care plan meeting?

Thanks again!

Donna Browne-Atkins, RN, MDS Coordinator
Wingate at St Francis

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