Violent 2nd to dementia: Difference between revisions

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{{DX tag | Neurological Problem | [[:Category: Medical Problem | Medical Problem]] | Violent Behaviour 2nd to Dementia| VIOLENT BEHAVIOUR 2nd TO DEMENTIA | [[53800 -  Violent behavior 2nd to dementia]] | 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 into the [[CCMDB.mdb]]
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}} *the above name shortening is not good, creates confusion and folks are using this code for other reason for violent behaviour. This is not what we want. Please fix wording in ccmdb.[[User:TOstryzniuk|Trish Ostryzniuk]] 12:13, 2012 July 16 (CDT)


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


== Causes for Violent behaviour ==
== Do not use code for non-dementia violence ==
Can collectors please provide examples of other reasons besides [[Dementia]] that is causing violent behavior on wards????TOstryzniuk 17:06, 29 July 2008 (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)
*899-3- [[Schizophrenia]] (comorbid)
**539-00- acute [[Psychosis]]
*539-00- acute [[Psychosis]]
**599-11- [[2nd to Drug OD/ETOH Intox/Withdrawal (Toxic Encephalitis)]] drug withdrawal/intoxication (other neurological problems)
*599-11- [[2nd to Drug OD/ETOH Intox/Withdrawal (Toxic Encephalitis)]] drug withdrawal/intoxication (other neurological problems)
**540-00- [[Confusion/Delirium]]
*540-00- [[Confusion/Delirium]]
**Head Injuries (code?)
*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...


== Name shortening ==
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]].


*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 and Dr. Allan Garland. [[User:TOstryzniuk|Trish Ostryzniuk]] 12:13, 2012 July 16 (CDT)


===Discussion===
{{Discussion}} * is anyone using this code for other reasons for violent behavior on Med wards?[[User:TOstryzniuk|Trish Ostryzniuk]] 12:35, 2012 July 16 (CDT)




 
[[Category:Neurological Problem (old)]]
[[Category:Diagnosis Coding]]
[[Category: Neurological Problem]]
[[Category: Questions Diagnosis]]
Another reason for VB is hepatic encephalopathy, and I am speaking from personal experience here. We could just use the subcode 90 for "other" could we not?[[User:NMiller|NMiller]] 18:53, 22 September 2009 (CDT)