Re: Significant change

[Michelle Witges]

Title: Message

I would include info in your notes and also that she has declined and you are uncertain if she will regain lost ground.  You then have 14 days to see if the decline is permanent or not.  That is just how I would do it. Michelle ----- Original Message ----- From: Kristen Tryba To: [EMAIL PROTECTED] Sent: Monday, November 10, 2003 10:21 AM Subject: Significant change   Just want everyone's opinion. I am currently in the process of completing RAPS on a resident who had a significant improvement due to many improvments with ADL's this assessment is replacing a already scheduled quarterly. Between the A3a date and R2B date the resident fell, banged her head has a subdural hematoma and has had a notable significant decline in numerous areas. Should I just include this information in my raps I'm doing now, or do another significant change assessment. I don't know whether she will improve again or not. She is a little better, but I doubt she'll be back to her prior level of functioning in 14 days. Thanks in advance Kristen Tryba RN Resident Assessment Coordinator Heart of America Medical Center 701-776-5455 ext 146