Even without the physical ordering palliative care your nurses notes should indicate the decline in condition & the continuing changes required to care for him. Because of this I believe he would probably remain qualified until he does. However, I might make a notation in his chart as to what's keeping him qualified.
Pat Whitcomb, RN MDS Coordinator Madonna Towers 507-288-3911, Ext. 3050 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Wiedemann, Betty R Sent: Friday, April 02, 2004 12:33 PM To: List Server (E-mail) Subject: continuation of skilled care Rt returned from acute care with therapy orders. Within the last 48 hrs has taken a dramatic change for the worse. Appears to be in acute renal failure. Therapy had to pull out. No notation from doc re terminal. family requested no further treatment. Will prob die this week end. at what point do you all cut from medicare as nursing continues to do the things they have to do without orders for palliative care. /---------------------------------------------------------- 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 -----------------------------------------------------------/ This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by HIPAA you need to hold this information as privileged and confidential. If you have received this communication in error, please destroy all copies of this communication and any attachments. /---------------------------------------------------------- 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 -----------------------------------------------------------/
