Refer to page 2-7 of the December 2002 User Manual for the MDS. It indicates that you have up to a 14 day window to return the resident to "baseline". That is, the resident may have qualified for a significant change in condition assessment but you have some time to develop and implement a treatment plan designed to reverse the decline, unless it is irreversible or an improvement. I recommend the team re-evaluate the resident's status every couple days to determine early if the plan is working or not. If not, you would still have time to make some changes to the care plan (where the treatment plan has been detailed) with the hope of demonstrating improvement before the 14th day. If your treatment plan demonstrates success but has not totally reversed the loss/es, make a note in the clinical record indicating that the interdisciplinary team anticipates the treatment plan is likely to continue to encourage resident improvement given additional time and that the interdisciplinary team does not believe a new assessment is needed. So, the identification of the decline should be outlined in the clinical record, entries made every couple days during the (up to) 14 days discussing the resident's response to the plan of care (the new treatment plan can be modifications of current care plan problems or new care plan problems) and ultimately, the team's decision regarding the need to proceed to the significant condition change assessment.
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of Bogda Habich
Sent: Tuesday, December 16, 2003 10:17 PM
To: [EMAIL PROTECTED]
Subject: Sig.Change
The last 60 day assessment was pone 12/04/03 and submitted.
t present the resident started to deteriorate. How should I code this.Please
help. Bogda.
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