oo nga pala...for rehab also...pwedeng i-implement ang quarterly screening ng mga pasyente for any fall incident or decline in mobility thus making them a candidate for falls...so gagawa ng quarterly screens for fall prevention...pwede din gawin ito ng restorative nursing and then i-report na lang sa rehab for evaluation
pero on #3 pag no code ang pt. comfort measures na lang. no drugs or any physical means to keep pt alive in case na mamamatay na. pero pwede drugs (for pain) or any physical means (like suctioning kung vented to prevent aspirations). a pt has a right to elect code/no code. but in any instance that he/she can't decide on their own (any type of incapacity i.e. documented and affirmed ng doctor), yung DPOA ang magdi-decide. comfort measures mean maintaining the dignity of life (whatever remains of it). maraming examples sa mga CA and AIDS pts.
to be continued to huh kasi i need to go to work na.
on #2 the MDS question: mahirap na question kasi mahaba ang explanation. in summary, MDS tracks the progress of the pt as it relates to the multi-disciplinary treatment they receive. pag di nagtugma (i.e. ginawang magic), posibleng denied ang medicare claim ng pt, facility at lahat ng nag-provide ng care, which leads to forfeiture of financial compensation from the federal govt. example ang rehab care ng pt. if there's no progress/nag-plateau na ang condition ng pt, there's no need to keep on providing therapy kasi nga hanggang dun lang. the prognosis is no longer good and any aggressive treatment can no longer be validated. hence, the pt must be d/c from rehab and referred to restorative na lang. Basta ang key sa MDS is multi-disciplary plan of care na dapat magtugma at heto ang pinakaimportante: federally mandated, standardized, comprehensive, accurate & reproducible assessment of all long term care residents
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pharma - yun nga yung sabi ko most drugs have side effects that will disorient the patient's mental awareness = falls
psycho - shempre kung may sayad ang pasyente = falls
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eh sinagot ni Pee eh :)
i'll get back to you on the last 2 questions.
pero on #3 pag no code ang pt. comfort measures na lang. no drugs or any physical means to keep pt alive in case na mamamatay na. pero pwede drugs (for pain) or any physical means (like suctioning kung vented to prevent aspirations). a pt has a right to elect code/no code. but in any instance that he/she can't decide on their own (any type of incapacity i.e. documented and affirmed ng doctor), yung DPOA ang magdi-decide. comfort measures mean maintaining the dignity of life (whatever remains of it). maraming examples sa mga CA and AIDS pts.
to be continued to huh kasi i need to go to work na.
babu
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on #2 the MDS question: mahirap na question kasi mahaba ang explanation. in summary, MDS tracks the progress of the pt as it relates to the multi-disciplinary treatment they receive. pag di nagtugma (i.e. ginawang magic), posibleng denied ang medicare claim ng pt, facility at lahat ng nag-provide ng care, which leads to forfeiture of financial compensation from the federal govt. example ang rehab care ng pt. if there's no progress/nag-plateau na ang condition ng pt, there's no need to keep on providing therapy kasi nga hanggang dun lang. the prognosis is no longer good and any aggressive treatment can no longer be validated. hence, the pt must be d/c from rehab and referred to restorative na lang. Basta ang key sa MDS is multi-disciplary plan of care na dapat magtugma at heto ang pinakaimportante: federally mandated, standardized, comprehensive, accurate & reproducible assessment of all long term care residents
click on the link below for FYI:http://www.
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magaling talaga ako! 'la nga lang papel to prove it.
LOL :)
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