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I wouldn't follow a blanket policy of "always"
doing a significant change on any particular class of people. You need to be
looking individually at the resident's needs and status. For example, if someone
came in for therapy after a CVA, but was unable to make significant progress,
therapy would be discontinued eventually without there being a need for
significant change. Or, there may be improvement in the area that therapy
was addressing, while other needs remain the same.
If you do feel that SC is appropriate, then a care
conference is appropriate to do, but not required by any reg (that I am aware
of)
Hope this helps.
Holly
Holly F. Sox, RN, RAC-C
Clinical Editor
----- Original Message -----
Sent: Saturday, January 10, 2004 8:12
AM
Subject: Re: Care Plan Conferences
can someone share with me about how their care conferences are
schedule for
those residents who have had all therapies d/c'd? we always do
a significant
change assessment for this and wondering if a care conference
is needed. How
reasoning is that there has been some change either improve
or decline that
results in the discontinuing of therapy. I am on the right
tract?
----- Original Message -----
From: "Gola, Tammy" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, January
08, 2004 3:07 PM
Subject: RE: Care Plan Conferences
> we have
a few a week, but I personally think they are unproductive for us.
> Our
Social Worker, Therapists and nurses work very closely with the family
>
and patients. Usually if the family or patient has a question or
concern
> they address it at that time and not at care conference, we
just have to
> much of a turn over to make them beneficial. We
meet weekly for rehab and
> discuss patients in depth, we get more
information in those meetings than
we
> ever did from care
conferences. But this is just my opinion on care
> conferences in
sub acute setting.
>
>
> Tammy Gola BSN, RN, CRNAC
>
Wilkes-Barre General Hospital
> Transitional Care Unit
> 575 North
River Street
> Wilkes-Barre, PA. 187641-0001
>
570-552-5417
> [EMAIL PROTECTED]
>
>
>
>
-----Original Message-----
> From: Michelle Witges
[mailto:[EMAIL PROTECTED]
> Sent: Wednesday, January 07, 2004
10:11 AM
> To: [EMAIL PROTECTED]
> Subject: Re: Care Plan
Conferences
>
>
> I work in a SNF attached to a hospital and
our social service aide
contact's
> families shortly after admission
as they need to complete their social
> service assessment. She
then will offer conference at day 5 or 14. She
> calls and
documents response in a note book she keeps in her office.
In
the
> notebook it will include if family accepted and/or declined
and if she
left
> a message on answering machine. She has been
doing this for over 10 years
> and survey has never had a
problem.
> Michelle
>
> ----- Original Message -----
> From: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
> To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
> Sent:
Tuesday, January 06, 2004 6:45 PM
> Subject: Care Plan
Conferences
>
> I am having a real delimma getting my team to
conduct care plan
conferences
> on our sub-acute unit-ultimate excuse
is they are only in the facility
> 10-20days. Out of curiosity how
are the rest of you arranging care plan
> conferences for sub-acute?
Currently our Social worker calls the family
> within 72 of admission,
introduces themselves and states that if at
anytime
> they want a
family conference one can be scheduled. I am
uncomfortable
with
> this as this is no documentation to support that
we offered the family a
> care plan conference and whether or not the
accepted or declines. Who
> notifies the families on conferences
and how? Do to our turn over 120
> admissions/discharges a month
we do not have care conferences unless the
> family requests one.
Is this acceptable? Any recommendations on care
> conferences how
to get them going, content of conference with or without
> family etc
would be greatly appreciated. Thanks
> Lisa
> Aurora,
CO
>
>
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> The Case
Mix Discussion Group is a free service of the
> American
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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
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