Lame admit Dx's

  1. Ever wonder how/why some can even be admitted?

    Maybe it's a small hosptial thing?

    One of our Docs admitted an old guy with: Fear of back pain.

    Does insurance even reimburse for that??
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  2. 77 Comments

  3. by   CEN35
    yeah........

    abdominal pain.....

    chest pain.....

    cephalgia......

    inability to ambulate....

    intractible vertigo.... (which i had once , but wasn't admitted)

    failure to thrive (@ 97 years old....i would be failing also)

    me
  4. by   kaycee
    Our docs put ACUTE in front of everything. Makes it sound well.....more acute.
    Try it....ACUTE fear of back pain. Sound better, yea right.
    It's like when you read your fortune from a fortune cookie. Just end them all with...IN BED.
    I guess we could do that for all DX too.

    ...fear of back pain IN BED
    ...Abd pain IN BED
    ...Chest pain IN BED
    ...Cephalgia IN BED
    ...Inability to ambulate IN BED..oops doesn't work there
    ...Intractable vertigo IN BED
    ...Failure to thrive IN BED....this one could be interesting

    OH well can you tell I'm bored!!!
  5. by   dawngloves
    I had a 82 year old Failure to Thrive once! So lame!!!:chuckle
    The Syncope ones always drove me nuts. Anytime someone over the age of 60 tripped on a curb....syncope. On had an admission note that read, "Syncopal after falling off bar stool"!:roll
    Then there's the good ole' Change in Mental Status.
  6. by   oramar
    How about "NEAR SYNCOPAL EPISODE". We used to get that all the time. That used to crack me up. Will insurance companies pay because I THINK I MIGHT GET DIZZY. I actually had to list that under chief complaint once. PS what this diagnosis usually meant was that the elderly person was becomming to much a burden for the family to bear and admission to the hospital was the only way for MD to get them off their back.
  7. by   Furball
    How about a 90 year old c/o sob and fatigue after walking 10 blocks?
  8. by   Agnus
    I bet this stuff drives the coders crazy
  9. by   CEN35
    how about near syncope? or syncope............. however, reading the notes, one comes to find out that this extremely elderly person experienced this after trying to force a bm on the commode..lmao!! :roll

    me
  10. by   WashYaHands
    I had a patient in the 90's with dx of failure to thrive. Her daughter was constantly complaining, ranting and raving about everything (driving me nuts). The patient rarely said a word. If I had to return home with a daughter like that, I'd fail to thrive too.

    Linda
  11. by   eagleRN
    "Failure to Thrive" is a legal dx. for the elderly. I read it in last months geriontological nursing mag. Same criteria as infants, #1 problem weight lost. #2 problem will not eat #3 withdraws from family/caregivers. etc.., happens frequently in convalescent homes. Just thought yall like to know.
  12. by   thisnurse
    i have a failure to thrive patient....hes a chubby thing lol

    submitted for your consideration, my favorite dx:

    CHANGE IN MENTAL STATUS
  13. by   ERNurse752
    How about the pt who comes in by ambulance, adm with Dx of "change in mental status," who has brain CA and a DNR?
    <sigh>
  14. by   CEN35
    i know that one well! the person is in hospice, or a nh with hospice set up, and their pox drops, or resps drop, etc etc. the family is totally aware of the end stage ca, and the caregiver calls 911 to send them in to the er.

    oh well? what are ya gonna do?


    me

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