Functional Quadriplegia vs debility

vamiller

Case scenario:  Pt is an 88 yo who is cognitively intact and normally able to ambulate with a rolling walker and do most of her ADL's independently.  Over the past 2 weeks, she has been having more trouble ambulating and now requires 2-3 person max assist to get out of bed and use of the Sarah lift.  She is able to follow directions.  Her Braden score is assessed at 15.  She is receiving OT/PT to assist with strengthening.  The attending physician documents a diagnosis functional quadriplegia.

Review of the chart was completed with the attending and after discussion and review of literature re: the term functional quadriplegia, the attending agrees that this patient does not meet the clinical criteria of the term. 

Are there any other ICD10 diagnoses that could best describe this patient's weakness and need for additional nursing care other than debility? 

Thanks for your help!

Valerie Miller BSN,RN,CCDS,CDIP

Tidelands Health System

Georgetown, SC 29440

morris-jeff@CooperHealth.edu

Don't really have anything to add but interested in this topic. We've recently had a few of our GYN Oncology patients that have had extensive illness and the MD's are documenting "deconditioning". I'm not familiar with critical illness myopathy, but wondering if this is a valid dx for some of the patients who have extended ICU admits for sepsis, resp failure, etc...

Interested to see what other's have to add.

Jeff

axel.olson@essentiahealth.org

what caused the weakness?

 was there a stroke? = weakness codes to hemiparesis

 or as jwmorris1 suggested critical illness myopathy (recent icu admission)?

seems like more information is needed.

vamiller

This was not due to a stroke nor to prolonged stay in ICU or even recent ICU stay. This was an elderly patient that became progressively weaker and was admitted with a fib with rvr --