Yes, I would - if they are changes that are not expected to spontaneously resolve within a couple of weeks.

These changes represent a decline in 2 or more areas of the resident's health condition, and an assessment is required to identify the causes and the extent of the problem as well as any new risk factors or complications the resident might be facing as a result of the change in condition.  Since this resident's status meets the criteria for a SCSA, that is the assessment to do.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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Subj: Significant Change
Date: 2/18/04 9:33:26 AM Pacific Standard Time
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  Would you do a Significant change if a resident went from a 3 to a 4 in dressing and a 3 to a 4 in personal hygeine on an MDS with absolutely no other change in any other areas on the MDS? Thank you in advance.




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