Was the resident still on therapy when you did the quarterly assessment and had not reached the stabilization point yet? If so, then you would not do the significant change until therapy had been completed. If you do a quarterly and recognize a significant change, then by all means, do one unless this was expected and had been careplanned as such.
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: joelene galie [mailto:[EMAIL PROTECTED] Sent: Wednesday, May 07, 2003 9:10 AM To: [EMAIL PROTECTED] Subject: Re: SIG.CHANGES ONCE AGAIN I disagree. Pg 2-7 RAI Manual - If Sig Change is identified in process of completing a Quarterly assessment ... complete a comprehensive assessment. The Quidelines list categories that are on both types of assessment and provide the basis for comparison from one assessment to the next regardless of the type being completed. >From: "carol maher" <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: <[EMAIL PROTECTED]> >Subject: Re: SIG.CHANGES ONCE AGAIN >Date: Wed, 7 May 2003 13:11:40 -0700 > >The comprehensive assessment is to be an accurate reflection of the >resident. You need to always look back to the last comprehensive >assessment in order to determine if their is a significant change. >Comprehensive assessments are admission, annual and significant change >assessments. PPS assessments are not comprehensive assessments unless >combined with an admission, annual or significant change assessment. >Comprehensive assessment include RAPS and lead to care plans--so alway look >back all the way to the last comprehensive assessment. > ----- Original Message ----- > From: [EMAIL PROTECTED] > To: [EMAIL PROTECTED] > Sent: Tuesday, May 06, 2003 4:34 PM > Subject: SIG.CHANGES ONCE AGAIN > > > HI EVERYONE. I NEED SOME CLARIFICATION PLEASE. I WAS ASKED TO DO A >SIG. CHANGE ON A RES TODAY BECAUSE THEY HAD COMPLETED PT AND HAD AN >IMPROVEMENT IN ADL STATUS. HOWEVER WHEN I BEGAN TO COMPARE TO LAST MDS >ASSESSMENT WHICH WAS A QUATERLY. THERE WERE NO CHANGES THAT I COULD FIND. >THERE WAS A CHANGE IN ADL STATUS IN COMPARING THE ADMISSION ASSESSMENT AND >THE QUATERLY ASSESSMENT. I WAS TOLD A SIG CHANGE COULD NOT BE DONE INSTEAD >OF THE QUATERLY AS THIS RES. WAS STILL ON THERAPY. THE ADMIT WAS IN JAN 03, >QUATERLY MARCH 03 AND NOW THE SIG. CHANGE > > 2.SIG. CHANGES ARE ALSO BEING DONE ON OUR MED A RESIDENTS IN THIS MANNER >ALSO. WE HAVE RESIDENTS ON WHICH A 90DAY/ QUATERLY IS DONE AND THERAPY >CARRY THEM FOR A EXTRA 4 WEEKS, WHEN THERAPY IS D/C ED AT THAT TIME A SIG. >CHANGE IS COMPLETED ALTHOUGH LOOKING BACK TO THE 60 AND 90 DAY ASSESSMENTS >THERE HAS BEEN NO CHANGE. I'M TOLD WE HAVE TO LOOK AT THE FIRST OMRA >ASSESS. WHICH WE DO WITH THE 14 DAY ASSESS. I HAVE NEVER LOOKED THAT FAR >BACK. IS IT NECESSARY. ARE WE MAKING WORK FOR OURSELVES. THE MDS ASKS FOR A >90 DAY LOOK BACK OR SINCE LAST ASSESS FOR CHANGES IN ADL FUNCTION . >PLEASE HELP. THANKS _________________________________________________________________ The new MSN 8: advanced junk mail protection and 2 months FREE* http://join.msn.com/?page=features/junkmail /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
