For a patient discharged with a principal diagnosis of cerebral vascular accident, which of the following would be reported as present on admission?

In the context of a patient being discharged with a principal diagnosis of cerebral vascular accident (CVA), it is essential to understand how the "present on admission" (POA) indicators work. The POA status identifies conditions that were present at the time the patient was admitted to the hospital, which is critical for coding and reporting purposes.

When a patient has a principal diagnosis like a CVA, it's important to recognize that chronic conditions such as Chronic Obstructive Pulmonary Disease (COPD) and hypertension should also be considered as they can significantly contribute to the patient's overall health status and risk profile. The correct answer indicates that all listed conditions were present upon admission.

In the case where all conditions (Cerebral Vascular Accident, COPD, and Hypertension) are reported, it's understood that each condition can affect the management and treatment of the patient. For instance, hypertension could be a contributing factor to the CVA, and COPD may influence the respiratory status of the patient during hospitalization.

Therefore, the rationale behind reporting all three conditions as present on admission is rooted in the comprehensive assessment of the patient’s medical history and current conditions at the time of admission, which is crucial for accurate coding, clinical decision-making, and resource allocation throughout their care