PMID: 11899911Mar 20, 2002Paper

Documentation with MDS Section M: Skin Condition

Advances in Skin & Wound Care
K M ZulkowskiLia van Rijswijk

Abstract

The Minimum Data Set is designed to be the assessment instrument used in all long-term-care facilities receiving federal funds for Medicare and Medicaid. However, Section M: Skin Condition is one of the most challenging sections to complete when trying to match the Minimum Data Set documentation with the true clinical picture. If wounds are not adequately assessed and documented, outcomes of care cannot be evaluated, and treatment and prevention plans will be inadequate. This may result in less than optimal outcomes and possible lawsuits for inadequate care against both the caregiver and facility. The purpose of this article is to provide examples of medical record documentation necessary to support the Minimum Data Set assessment.

References

Jul 25, 1998·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·D G ArmstrongR P Wunderlich
Sep 7, 1999·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·R H Goebel, M R Goebel
Jan 21, 2000·Journal of the American Geriatrics Society·R G BennettR Remsburg

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Citations

Nov 10, 2004·Journal of Clinical Nursing·Tom Defloor, Lisette Schoonhoven
Aug 9, 2006·Seminars in Oncology Nursing·Patrick McNees

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