DC Treatment: Difference between revisions
Ttenbergen (talk | contribs) |
Ttenbergen (talk | contribs) mNo edit summary |
||
| Line 39: | Line 39: | ||
== Discussion == | == Discussion == | ||
=== DC Treat usage in Medicine === | === DC Treat usage in Medicine === | ||
* Our current practice on Medicine at HSC is to use the DC treatment code when treatment is stopped and death is expected imminently. (...) [[User:GHall|GHall]] 19:11, 8 May 2008 (CDT) | * Our current practice on Medicine at HSC is to use the DC treatment code when treatment is stopped and death is expected imminently. (...) [[User:GHall|GHall]] 19:11, 8 May 2008 (CDT) | ||
| Line 53: | Line 46: | ||
** I added critical care back in... [[User:Ttenbergen|Ttenbergen]] 11:58, 27 November 2008 (CST) | ** I added critical care back in... [[User:Ttenbergen|Ttenbergen]] 11:58, 27 November 2008 (CST) | ||
== | === Palliative care and Survival of DC Treat patients === | ||
***the course of events is not always predictable after the withdrawl of life support treatment. Some patients may die immediately after cessation of ventilator or vassopressor support, while others may survive for hours or even days. | * Is there an expectation to see DC patients survive their ICU stay? How sure of an expectation? Can this still be checked if the patient survives? Usually DC treatment involves removing life support devices which subsequently results in death. However, occasionally the patient may survive to go to a Palliative care ward and in this event [[Palliative care]] should also be coded. --[[User:LKolesar|LKolesar]] 12:54, 8 May 2008 (CDT) | ||
***any patient who has life support treatment withdrawn (DC TX) is also palliative throughout this process. Therefore if death is immediate after stopping life support then there is no need to code palliative. | ** I believe this is now addressed above by stating that DC Treat can be coded together with Palliative. If that clarifies, Laura can you delete this section? If it is still not clear, can you explain what is the remaining question? [[User:Ttenbergen|Ttenbergen]] 12:08, 27 November 2008 (CST) | ||
***If death is not immediate after the stopping of life support(DC TX), then use code palliative | * (...) We have recently talked to Trish about how to code our comfort care patients and using the DC treatment box is often the case. If the patients death is not expected imminently we use the code for palliative care. It is confusing because the term palliative can mean many things. [[User:GHall|GHall]] 19:11, 8 May 2008 (CDT) | ||
**I believe that we should all be coding the same. I personally talked to Trish about the use of the DC treatment box for patients that death was expected imminently and she agreed that palliative would not be appropriate.So as far as I know you should use the DC treatment box.[[User:GHall|GHall]] 13:17, 4 July 2008 (CDT) | |||
***the course of events is not always predictable after the withdrawl of life support treatment. Some patients may die immediately after cessation of ventilator or vassopressor support, while others may survive for hours or even days. who? [[User:TOstryzniuk|TOstryzniuk]] 01:32, 28 November 2008 (CST) | |||
***any patient who has life support treatment withdrawn (DC TX) is also palliative throughout this process. Therefore if death is immediate after stopping life support then there is no need to code palliative.who? [[User:TOstryzniuk|TOstryzniuk]] 01:32, 28 November 2008 (CST) | |||
***If death is not immediate after the stopping of life support(DC TX), then use code palliative who? [[User:TOstryzniuk|TOstryzniuk]] 01:32, 28 November 2008 (CST) | |||
***if a patient who life support treatment was DC'd and he did not die in the ICU and was transferred to a ward and died there a few hours or days later, the ward primary admission code would be Palliative Care, and the DC TX box must also be checked off. | ***if a patient who life support treatment was DC'd and he did not die in the ICU and was transferred to a ward and died there a few hours or days later, the ward primary admission code would be Palliative Care, and the DC TX box must also be checked off. | ||
[[User:TOstryzniuk|TOstryzniuk]] 01:32, 28 November 2008 (CST) | [[User:TOstryzniuk|TOstryzniuk]] 01:32, 28 November 2008 (CST) | ||
**Agree with above statement. This is the way I have been coding D/C treatment}}--[[User:FLindell|FLindell]] 08:39, 4 December 2008 (CST) | |||
****Here at the Vic, when we have a patient deemed ACP 1, we do not use D/C treatment. If a patient comes up from ICU and they are D/C | ****Here at the Vic, when we have a patient deemed ACP 1, we do not use D/C treatment. If a patient comes up from ICU and they are D/C | ||
treatment there, we do code them as palliative care, I personally have not been using the D/C treatment. So this is a collection difference. What is considered imminent? When you say death is imminent? Do we continue to code this way, or are we now going to | treatment there, we do code them as palliative care, I personally have not been using the D/C treatment. So this is a collection difference. What is considered imminent? When you say death is imminent? Do we continue to code this way, or are we now going to | ||
change the way this info is coded this far into the project? [[User:WGobert|WGobert]] 09:38, 4 December 2008 (CST) | change the way this info is coded this far into the project? [[User:WGobert|WGobert]] 09:38, 4 December 2008 (CST) | ||
{{Stub}} | |||
[[Category:Data Collection Guide]] | |||