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Discussion

PVD/long

Hi I work at a personal care home that is not a SNF. Resident went to regular every 9week podiatry appt since she has PAD no diabetes. No c/o of foot pain, walking with walker, no odor, no drainage on socks. After examining the left foot twice MD found a ulcer between toes, MD felt it was osteo. They decided to amputate toe to prevent spread. Now family is very, very upset and they think we should have seen it. Questioned all caregivers. They did not see, smell, had no changes at all. Previous MD visit did not mention any ulcer. But last progress note says PVD Q 8. I thought it was just mentioning H&P, it also mentioned debriding great toe. No scripts, no orders. Family calling ombudsmen.

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    The only thing I will say at this point is that, in my mind, the family has no right to directly question all the caregivers. It should be directed to the DON who should act as the go between for family/staff.

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    PVD q8?? What does that mean? PVD is usually Peripheral Vascular Disease.

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    That was what was written on a previous progress note. But we are a personal care home and we do not have a Doppler to check pulses or do skin assessments routinely.

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    PVD q8?? What does that mean? PVD is usually Peripheral Vascular Disease.

    I was wondering about this too...especially considering PAD was mentioned in the pt's history.

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