RE: Significant Change

[Brenda Chance]

You are right.  Your care plan should reflect that decline and weight loss is anticipated if a terminal condition or end-stage disease process exists, then you do not have to keep doing significant changes.   Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Michelle Witges [mailto:[EMAIL PROTECTED] Sent: Friday, November 07, 2003 4:15 PM To: [EMAIL PROTECTED] Subject: Re: Significant Change   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.