I will usually continue on med A for observation/assess,then management/eval if the
patient and or family desires skilled care.If the patient becomes dehydrated will they
want an IV,or a hospitilization.To keep on med A ,I feel we need to provide skilled
care if the assessment leads in that direction.When a patient or their family says no
hospitilizations,no ivs,etc just care and comfort,then we have the hospice talk or
else we deny med A.I feel all our patients are treated for care and comfort,and do not
consider that alone as my med a basis.
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