RE: Significant change

[Orth, Ron A]

Title: Significant change

Only if the resident has plateued.  If you are expecting the resident to continue to improve based on the care and treatment currently being provided then you would not be required to do a SCSA.

 

Ron

-----Original Message-----
From: Marilyn Bromley [mailto:[EMAIL PROTECTED]
Sent: Wednesday, February 11, 2004 2:25 PM
To: AANAC
Subject: Significant change

I work in a Rehab facility that has many brain injuried clients who make significant changes, in improvement.  The head nurse does not feel a significant change needs to be done on this specific client who has made several gains in ADLS because this is an expected improvement.  I am saying this does warrant a significant change because it requires an interdisciplinary review and care plan changes.  The question is, do we or do we not do a significant change when it is an expected change?

Marilyn Bromley, CRRN,  RAC-C,MDS Coordinator
Crotched Mountain Rehabilitation Center
1Verney Drive
Greenfield, NH, 03047
Telephone:  603-547-3311 X 423 (voice)
Fax:  603-547-8754  
E-mail:[EMAIL PROTECTED]

IMPORTANT NOTICE: The information in this transmission is privileged and confidential, and is intended only for the recipient(s), you are hereby notified that any unauthorized distrubition or copying of this  transmission is prohibited.  If you received this transmission in error, please notify the sender immediately. Thank you.