Refere to page 3-239 in RAI manual. If a resident is dicharged prior to the
completion of Section V, a comprehensive assesment may be in
progress.......Complete all required MDS items, Complete the RAPs, Enter
date RAP triggers were completed, Dash fill all CP decision items, Enter
same date in VB4 that was entered in VB2, and Submit.

If the resident is coming back around, and his behaviors are a typical
pattern around the hoildays, I don't think I'd do a Sig Change. However, I'd
address this in my carepan.



-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
Susan Mohror
Sent: Monday, January 05, 2004 11:06 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
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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