1.  I am not sure what you would do.  The manual isn't clear what do to
in this situation.  Call your state agency contact.  
2.  we do not do sig changes with wt loss only.  We follow the
guidelines in the manual: 2 declines in 2 areas.  Wt loss would be only
one decline.
3.  I would reschedule her care plan meeting as she missed her care
conf. d/t hospitalization.  Also you would be completing a new
assessment anyways d/t her hospitalization.  Even if she has had no
changes it warrents a care plan meeting.


Heidi Ebertowski,R.N.
MDS Care Coordinator
Valley Memorial Homes
Grand Forks, ND
(701)787-7937   fax (701)787-7901
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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] 
Sent: Friday, March 26, 2004 7:29 AM
To: [EMAIL PROTECTED]
Subject: Questions for the group!

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