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What Diagnosis would you say this patient is?



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  #21  
Old May 17, 2008, 10:01 PM
aimeee's Avatar
median moderator
Join Date: May 1999
Re: What Diagnosis would you say this patient is?

I searched the CMS website for links to Palmetto's LCD's but I couldn't find one for debility there.

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  #22  
Old May 18, 2008, 06:42 PM
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Join Date: Feb 2000
Re: What Diagnosis would you say this patient is?

Originally Posted by aimeee View Post
I searched the CMS website for links to Palmetto's LCD's but I couldn't find one for debility there.
Thank you Aimee. I also searched and did not find one specific for debility. I am thinking that it would fall under a "general" diagnosis criteria but not sure.
I appreciate your help though! Thank you!

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  #23  
Old May 18, 2008, 08:33 PM
Suesquatch's Avatar
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Join Date: Jan 2006
Re: What Diagnosis would you say this patient is?

You know what I don't understand? Why can't we just use "dying"? Seriously.

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  #24  
Old May 18, 2008, 09:48 PM
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Join Date: Feb 2004
Re: What Diagnosis would you say this patient is?

Originally Posted by CANRN View Post
Thank you Aimee. I also searched and did not find one specific for debility. I am thinking that it would fall under a "general" diagnosis criteria but not sure.
I appreciate your help though! Thank you!
We use debility unspecified interchangeably with general decline

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  #25  
Old May 18, 2008, 11:43 PM
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Join Date: Feb 2000
Re: What Diagnosis would you say this patient is?

Originally Posted by Suesquatch View Post
You know what I don't understand? Why can't we just use "dying"? Seriously.
We can't even use "dying" as a reason to put a patient on continuous care or inpatient! There has to be a symptom out of control that needs managed!

Dying? Wouldnt that make us all terminal? hmmm......

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  #26  
Old May 20, 2008, 07:48 PM
aimeee's Avatar
median moderator
Join Date: May 1999
Re: What Diagnosis would you say this patient is?

Originally Posted by Suesquatch View Post
You know what I don't understand? Why can't we just use "dying"? Seriously.
You know, when I am admitting someone who is already in the active stage, I've wondered the same thing!

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  #27  
Old May 20, 2008, 11:35 PM
redding-er-rn (Female)
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Join Date: Jul 2006
Re: What Diagnosis would you say this patient is?

Sure looks liek COPD to me and ES heart

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  #28  
Old Jun 01, 2008, 07:47 PM
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Join Date: Dec 2007
Re: What Diagnosis would you say this patient is?

i recently switched from emergency on call to case manager for approx 16 pts - most in assited living- lots of dementia and some cardiac- the problem is- many of them don't technically qualify!
has anyone had this experience?
txs g in jersey

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  #29  
Old Jun 05, 2008, 11:08 PM
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Join Date: May 2008
Re: What Diagnosis would you say this patient is?

medicare provides criteria guidelines it sounds like he could be end-stage Alz. did he aspirate?

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  #30  
Old Jun 08, 2008, 02:59 AM
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Re: What Diagnosis would you say this patient is?

Originally Posted by caringhospiceheart View Post
medicare provides criteria guidelines it sounds like he could be end-stage Alz. did he aspirate?
No he did not aspirate, he did not qualify for Alz. He had "upper respiratory obstruction". The patient died last week. He had the worse Kennedy ulcers I have ever seen! They came out of no where!

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