We're having our annual survey. Surveyor is questioning me on why I coded a lady on anxiousness about health issues and insomnia (I coded less than daily on these 2 items). On the lady's first...
We keep ours under a "care plan" tab in the resident's chart. Kind of a hassle when you need to update the care plan and someone else has the chart, but we've done that for 100 years and sometimes...
KingDom replied to achot chavi's topic in Geriatric, LTC
We have an Indian doctor who dictates his assessment to be typed up later. Because of his heavy accent, words are often mispelled. On confused residents he often starts with "significant memory...
KingDom replied to achot chavi's topic in Geriatric, LTC
We admitted a resident who was in relatively good health (for being in her late 90's). She was no longer safe to take care of herself at home due to weakness and debility. When we asked the physician...