Re: Noncompliant diabetic....

[June Brunelle]

I've always had a problem with the word  noncompliance since I had a resident who said she thought she could eat anything she wanted as long as she was covered by medication.  I've been doing the education thing, and making sure it is well documented(resident response,outcome) Education can be a part of the skilled process.   When one of my residents said I don't care, I'm going to eat the candy anyway, then I care planned her as noncompliant. June ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, April 16, 2004 9:37 PM Subject: Noncompliant diabetic.... Resident had hospital stay and upon return was covered for presumption of care.  After the 5-days we continued to cover this resident for very unstable blood sugars.  We are continuing to skill her due to many physician order changes and fluctuating blood sugars.  The problem with this resident is that she is free to leave her floor of residence and often is downstairs at the vending machines, thus abusing those blood sugars.  Is it OK to continue to skill this person or does the noncompliant behavior nullify Medicare?  I was going on the thought that she could not manage her care at home, without skilled care.  At least we constantly monitor so I felt the coverage was justified.