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Agree with Corey. We just had a resident like this, very unstable. Constant in and out of hospital, frequent MD visits/order changes/paracentesis—Mega assessment skills needed with frequent skilled intervention. I would skill without a second thought about it PICC or not.
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You got a lot more going on here than just that PICC! These folks are frequently not all here mentally, and behaviors are a problem until they're VERY ill. They get VERY ill VERY quickly, as well. There will be monitoring, dietary control is very important and they rarely adhere to the diet. They need to have their ammonia med given often, and often measurement of the ascites and reporting it to the physician is ordered. The liver failure usually brings intense itching, and the skin needs frequent lotion, and is the liver can take it, meds for the itching. Usually, by the time they reach this state, they're just a little bit a way from going to sleep and not waking up. In any event, you could skill him on medicare just on the basis of the nursing management, the management of the oxygen to keep him above 90% (or whatever your order says) and preparation of the care plan, but doubt he'd live long enough to actually use his Medicare days.
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- piccline Shopqueen62
- Re: piccline Corey Ali
- Faye Jones
