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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Nurse here.

1.   Is her DPOA activated? If not, the case worker who had her sign the form likely just looked at the chart, saw it wasnt activated, and had her sign. Likely had no idea about her change in mentation.
2.  If it is activated, the DPOA needs to talk to the social worker
3. The DPOA or whoever is helping manage care if its not activated should talk to the social worker about the inpatient status. Its an easy thing to fix if it needs to be coded differently for insurance.  There is an "observation" level of admissions even when on a unit, so you definitely want to make sure things are coded right.
4.  If DPOA isnt active, definitely talk to the doctor about activating it [/quote]

Thank you!  I did not know we had to activate it.  [/quote]

Sometimes doctors will do it if the confusion is obvious. But sometimes they don't really spend enough time with the patient to really get to the "huh. Clearly they actually don't understand what's going on". I've had it happen to me!   They can answer all my orientation questions fine and maybe sometimes they'd trip up a little but not significantly so. And then the more time I'd spend with them the more small things would show that made their confusion more obvious.

So yes, if she's truly not in the state of mind to understand things, talk with the doctor about getting the DPOA activated. [/quote]

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