Susan,
There would be no advantage of completing RAPS on a  resident who has died.  RAPS are 
used to help in careplanning.  Print out what is done and write a note on the front of 
the assessment (or wherever you usually write such notes in your facility) that states 
that the RAPS were not completed due to the resident's death.  If you would like to 
transmit the assessment you could enter a dash in the care plan boxes on section V and 
then transmit, if the assessment was complete.
2.  If your resident has a predictable pattern of decline, it is not necessary to 
complete a significant change assessment.  Make sure that you write a note in the 
resident's record that shows that you recognize the decline but that it is predictable 
and efforts are being made to assist the resident at this time

-----Original Message-----
From: Susan Mohror <[EMAIL PROTECTED]>
Sent: Jan 5, 2004 8:06 AM
To: [EMAIL PROTECTED]
Subject: MDS question

I have two questions that I would like answered.

1) If you have a significant change done on a resident
with the RAPS printed out and the resident has passed
away and the RAPS are noted written on, should they be
completed?

2)  We have a resident that has a DX of depression who
goes through a fluctuation in his behaviors during the
month of Dec. due to the anneversary of his wife's
death.  At this time he is coming back around and the
doctor has changed his medication to help.  This has
been documented by the MDS coordinator in progress
notes.  Should a significant change be done on this
resident if this is a reoccuring problem?

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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
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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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