Re: Significant Change

[Michelle Witges]

I may be mistaken but I believe that quote is taken a little out of context.  My interpretation is once you have completed an initial sig. change and the resident continues to decline you don't need to continue with the sig. change.  If your patient has a terminal diagnosis and has had a sig. change you should complete at least one sig. change and then document that it is expected that he/she will continue to decline and you will keep care plan up to date but not complete a sig. change with every decline in status.  That's my two cents.  Michelle   ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, November 06, 2003 4:36 PM Subject: Re: Significant Change My DON likes to show me the one in the bible that says : if it doesn't benefit the resident and there is a terminal diagnoses we don't have to do a significant change in condition. That way when all the ADL's decline, and there is a weight loss we won't have to show it on our QI report.