trayp33

You can still use these: 331.0 Alzheimer's Disease 331.1 Frontotemporal dementia 331.11 Pick's Disease 331.19 other frontotemporal dementia 331.2 Senile degeneration of brain 331.7 Cerebral degeneration in diseases classified elsewhere 331.82 Dementia with Lewy Bodies 331.89 Other cerebral degeneration 331.9 Cerebral degeneration, unspecified We are mostly coding for Alzheimer's dx or 331.9

Amen!His timing is perfect!

Hi all! I am a QAPI nurse with a home based hospice and responsible for the staging of our wounds. I need some advice on a scenario and would love to hear from wound experts! Patient developed a stage one on her coccyx early June,5 weeks later it had prgoressed to a stage 2. it remained a slowly growing stage 2 until 2 weeks ago where it developed slough and a stage 3. Yesterday the nurse told me it now looks like a necrotic kennedy ulcer. I am told it has the classic kennedy ulcer shape. What i have read defines a kennedy ulcer as a rapid onset/deterioriation. This wound has been around for awhile. I believe the wound is deteriorating as the patient is dying but have a hard time thinking it was not originally a plain old pressure ulcer-stage 2 on 7/22 to stage 3 on 9/9 just dosent seem that rapid to me. I am unable to find information to clarify this and want to code accurately. Any thoughts?

Psychotropics, anticoagulants, antibiotics, diuretics, pain narcotics and if they are taking a watchable combination such as dig and lasix or SSRI with Ultram. Rule of thumb was does it trigger on the MDS, factor into the fall risk or present an increased chance of adverse effect.

Definitely not Med-Surg and LTC is extremely stressful-School Nursing is low-key, until of course the emergency. I'm doing QAPI and staff education and my stress level has significantly decreased along with the enjoyment of being able to be creative.