Violent 2nd to dementia: Difference between revisions

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{{DX tag | Neurological | Medical Problem | Violent ~~Behaviour~~ | VIOLENT ~~BEHAVIOUR~~ | ~~538~~-00 | No | 0 | '''Critical Care and Medicine''' | Currently Collected |May 27, 2004 | |}}

{{PreICD10 dx

| NewDxArticle = Violent behavior

}}

{{DX tag | Neurological Problem | Medical Problem | Violent 2nd to [[Dementia]]| VIOLENT 2nd TO DEMENTIA | 53800 - Violent 2nd to dementia | No | 1 | '''Critical Care and Medicine''' | Currently Collected |May 27, 2004 | |}}

~~The full name in~~ the ~~coding guide is~~ "~~VIOLENT BEHAVIOR - 2nd TO MODERATE/ SEVERE DEMENTIA~~" ~~but had~~ to ~~be shortened to fit on the PDA~~.

Violent behavior secondary to [[Dementia]] it the only "specific" reason we are tracking violent behavior. We will not change this until we go to ICU10. As discussed with Dr. Allan Garland. [[User:TOstryzniuk|Trish Ostryzniuk]] 12:13, 2012 July 16 (CDT)

~~{{discussion}}~~

In ICD-10 coding, this single entity becomes a co-code of Violent behavior + the appropriate type of dementia.

~~==Discussion==~~

*Can collectors please provide examples of ~~other reasons besides [[Dementia]] that is causing violent~~ behavior ~~on wards????TOstryzniuk 17:06, 29 July 2008 (CDT)~~

**899-3- [[Schizophrenia]](comorbid)

**539-00- acute [[Psychosis]]

**599-11- [[Toxic encephalitis]]drug withdrawal/intoxication (other neurological problems)

**540-00- [[Delerium/Confusion-NYD]]

**Head Injuries [[Jan Kothuber]]

* Most of the examples listed here are ~~conditions that can ''cause'' violent behavior. This is well known~~, ~~i.e.~~ if ~~there~~ is ~~a diagnosis of psychosis, then violent behavior should probably be expected. If something~~ is ~~part~~ of ~~a diagnosis, it should not have to be coded separately, should it? If someone has an appendectomy we would not want~~ to code ~~"sutures", right~~?

== Do not use code for non-dementia violence ==

So, ~~my question is, is there value~~ in ~~recording VB in this case?~~ [[~~User~~:~~Ttenbergen|Ttenbergen~~]] ~~16:37~~, ~~20 April 2009 (CDT)~~

There are psychological problems we code however, we do not differentiate if violence is or is not associated with the any of the following conditions:

*899-3- [[Schizophrenia]] (comorbid)

*539-00- acute [[Psychosis]]

*599-11- [[2nd to Drug OD/ETOH Intox/Withdrawal (Toxic Encephalitis)]] drug withdrawal/intoxication (other neurological problems)

*540-00- [[Confusion/Delirium]]

*Head Injuries (code?)

** interesting, no code in [[:Category:Trauma]]; could find neurologic seizure head trauma 50904, a search of the s_alldiagnoses table didn't find anything except OR codes...

~~{{stub}}~~

== Name shortening ==

[[~~Category:Diagnosis Coding~~]]

The full name in the coding guide is "VIOLENT BEHAVIOR - 2nd TO MODERATE/ SEVERE DEMENTIA" but had to be shortened to fit into the [[CCMDB.mdb]].

[[Category: ~~Questions Diagnosis~~]]

[[Category:Neurological Problem (old)]]

@@ Line 1: / Line 1: @@
-{{DX tag | Neurological | Medical Problem | Violent Behaviour | VIOLENT BEHAVIOUR | 538-00 | No | 0 | '''Critical Care and Medicine''' | Currently Collected |May 27, 2004 | |}}
+{{PreICD10 dx
+| NewDxArticle = Violent behavior
+}}
+{{DX tag | Neurological Problem | Medical Problem | Violent 2nd to [[Dementia]]| VIOLENT 2nd TO DEMENTIA | 53800 -  Violent 2nd to dementia | No | 1 | '''Critical Care and Medicine''' | Currently Collected |May 27, 2004 | |}}
-The full name in the coding guide is "VIOLENT BEHAVIOR - 2nd TO MODERATE/ SEVERE DEMENTIA" but had to be shortened to fit on the PDA.
+Violent behavior secondary to [[Dementia]] it the only "specific" reason we are tracking violent behavior.  We will not change this until we go to ICU10. As discussed with Dr. Allan Garland. [[User:TOstryzniuk|Trish Ostryzniuk]] 12:13, 2012 July 16 (CDT)
-{{discussion}}
+In ICD-10 coding, this single entity becomes a co-code of Violent behavior + the appropriate type of dementia.
-==Discussion==
-*Can collectors please provide examples of other reasons besides [[Dementia]] that is causing violent behavior on wards????TOstryzniuk 17:06, 29 July 2008 (CDT)
-**899-3- [[Schizophrenia]](comorbid)
-**539-00- acute [[Psychosis]]
-**599-11- [[Toxic encephalitis]]drug withdrawal/intoxication (other neurological problems)
-**540-00- [[Delerium/Confusion-NYD]]
-**Head Injuries [[Jan Kothuber]]
-* Most of the examples listed here are conditions that can ''cause'' violent behavior. This is well known, i.e. if there is a diagnosis of psychosis, then violent behavior should probably be expected. If something is part of a diagnosis, it should not have to be coded separately, should it? If someone has an appendectomy we would not want to code "sutures", right?
+== Do not use code for non-dementia violence ==
-So, my question is, is there value in recording VB in this case? [[User:Ttenbergen|Ttenbergen]] 16:37, 20 April 2009 (CDT)
+There are psychological problems we code however, we do not differentiate if violence is or is not associated with the any of the following conditions:
+*899-3- [[Schizophrenia]] (comorbid)
+*539-00- acute [[Psychosis]]
+*599-11- [[2nd to Drug OD/ETOH Intox/Withdrawal (Toxic Encephalitis)]] drug withdrawal/intoxication (other neurological problems)
+*540-00- [[Confusion/Delirium]]
+*Head Injuries (code?)
+** interesting, no code in [[:Category:Trauma]]; could find neurologic seizure head trauma 50904, a search of the s_alldiagnoses table didn't find anything except OR codes...
-{{stub}}
+== Name shortening ==
-[[Category:Diagnosis Coding]]
+The full name in the coding guide is "VIOLENT BEHAVIOR - 2nd TO MODERATE/ SEVERE DEMENTIA" but had to be shortened to fit into the [[CCMDB.mdb]].
-[[Category: Questions Diagnosis]]
+[[Category:Neurological Problem (old)]]