1. I measure the resident's height from the top of the head to the lowest extremity
present. So, I would show a change in height when there has been a bi-lateral
amputation.
2. No, I don't do a SCSA for only a significant weight loss, but most of the time, if
there has been a significant weight loss there is also another decline present. There
may be times that I would do a SCSA if only a weight loss, if we could not determine
the reason for the weight loss we would do the assessment to try to come up with the
reason and interventions.
3. If I have completed the quarterly, I usually go ahead with the care plan meeting
even though the resident is in the hospital. Then if there is no change after return,
just another brief meeting to make determination whether or not a significant change
has occurred. If no significant change, you are finished for another quarter. Since
I use the care plan meeting as a time to have everyone go over and sign the MDS in
AA9, we discuss the MDS findings and care plan recommendations based upon the
assessment findings.
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Mar 26, 2004 5:28 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
/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
-----------------------------------------------------------/
