RAPs are something that I think every NAC struggles with in the
beginning.  It took me a long time to realize what I was truly doing.
The best thing I can tell you is to follow the rap guidelines but tell a
story.  When I teach this process, I tell everyone that the mds and raps
are a story of that individual.  What the raps are doing is getting you
to a conclusion through thorough investigation. For example, is
cognitive loss a problem, does it affect the resident's daily lifestyle,
are there other factors that compound cognitive loss (like hearing
impairment) that may be corrected and help improve cognitive
functioning, or is the cognitive loss irreversible and the resident
needs to be stimulated through low-level activities, hands-on
stimulation, etc.  Raps will be repetitive at times, because each
protocol will generally overlap into the next one.    

I know love (I know some people think this is crazy) doing raps, because
I am writing the past, present, and future of that resident.  

Brenda W. Chance, RN, RAC-C
MDS Coordinator
 
 
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-----Original Message-----
From: katie fox [mailto:[EMAIL PROTECTED] 
Sent: Thursday, November 20, 2003 2:46 PM
To: [EMAIL PROTECTED]
Subject: Basic RAP Help



Hi Everyone,
I was wondering if anyone has some helpful tips as to how to go about
RAPS.  
I feel like I am repeating myself and I do not feel like they are good.
So, 
I am asking experienced MDS people to give me some direction.
Thank You,

Katie Fox, RN
Seaview Nursing and Rehabilitation Facility
St. Thomas, Virgin Islands
340-777-3303 ext. 114

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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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