RE: comfort measures only

[Faye Jones]

If the resident care is such that he meets any of the skilled care criteria (O2, MD visits/orders, skin integrity etc) then I would skill him.  IF he doesn’t then I wouldn’t it.  I have had it go both ways.  I have had some that were relatively unstable requiring ongoing skilled intervention despite comfort care status and then some that although terminal were relatively stable basically just getting “custodial type services”.  In these cases I read the notes q1-2 days and go with the flow.   Faye Jones, RN St. Regis Nursing Home 89 Grove Street Massena, NY 13662 Phone: (315)769-2494 Fax: (315)769-3604 Email: [EMAIL PROTECTED]   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Suzanne Holko Sent: Wednesday, May 05, 2004 8:26 AM To: [EMAIL PROTECTED] Subject: comfort measures only   Hi everyone! I have a question about CMO.  I had someone admitted with peripheral neuropathy, weakness, ashd, chf, Alzheimers dementia.  PT and OT evaled. BUT...four days after admit the doctor wrote orders for 1. DNR 2. CMO 3. do not hosp. 4. no GT 5. enact living will terminal dx end stage CHF.  Now that he is CMO, therapy has to dc.  on fluid restriction, poor appetite, no pain.  Also, hospice is to come in "later" to evaluate for appropriateness of hospice house placement.  My question is, can we skill this man under part A?  He has been with us for 6 days now.    Suzanne Do you Yahoo!? Win a $20,000 Career Makeover at Yahoo! HotJobs