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Melissa Cott

Recent Posts

Guidance for OASIS M1041/6 Flu Vaccine

Medicare added the status of a patient's vaccination for influenza (as M1040) in 2009. The answer to "Influenza Vaccine Data Collection Period" (now M1041) is collected at transfer/discharge and discharge but many EMRs - home health software - capture the data on admission, resumption...

Posted by Melissa Cott on Jan 2, 2024

Do Not Resuscitate - 4 Keys to Effective Patient Communication

The patient's physician writes a do-not-resuscitate (DNR) order when cardiopulmonary resuscitation (CPR) should not be attempted. Because CPR will not be attempted, other resuscitative measures that follow it (tracheal intubation, cardiac monitoring, cardiac defibrillation etc) will...

Posted by Melissa Cott on Dec 11, 2023

Treating Insomnia in the Elderly: Home Health Careplan

Insomnia, aka 'interrupted nighttime sleep', is a persistent problem in the elderly. Age-related sleep problems are frequently and mistakenly considered to be a normal part of aging. It's been reported that more than 50% of people over 65 experience regular insomnia.

Posted by Melissa Cott on Nov 16, 2023

Home Health Ethics: Explaining Patient Rights on Admission

In the healthcare setting, ethical behavior includes

      1. respecting patient choice,
      2. protecting patient confidentiality, privacy, and security, and
      3. administering health care services according to professionally-accepted standards of practice.

Posted by Melissa Cott on Nov 9, 2023

OASIS M1720: Help Patients Manage Anxiety

If the patient reports anxiety and its noted on the OASIS assessment, make sure you include anxiety management in your careplan.

Your patient may be anxious and/or depressed because illness prevents participation in activities. While anxiety is an understandable response to illness it...

Posted by Melissa Cott on Nov 7, 2023

OASIS M1330 Stasis Ulcers: Which Type are You Documenting?

There are four (4) common types of skin ulcers: venous stasis ulcers, arterial ulcers, diabetic neuropathic ulcers and pressure ulcers.

Posted by Melissa Cott on Oct 31, 2023

7 Teaching Tips for Patients with Diabetic Neuropathy

Adapted from Dr. Axe: Diabetes affects about one in every three adults in the U.S., and diabetic neuropathy is one of the most likely complications to develop as a side effect because high blood sugar levels affect nerve fibers throughout the body. Diabetic neuropathy (also sometimes...

Posted by Melissa Cott on Oct 30, 2023

OASIS M1860 Ambulation/Locomotion - Answer Indicated GG0170 Only

Just because the patient has a mobility deficit doesn’t mean s/he is a candidate for physical therapy. The patient’s status prior to this current episode is the primary driver that determines if physical therapy is needed or not. If the patient is not a candidate for therapy and will...

Posted by Melissa Cott on Oct 25, 2023