Re: Significant Change

[Delores234]

May I just add an observation to this discussion of sig change?  When determining whether or not a sig change has occurred I find nurses discussing the MDS coding.  [I know this is the manual criteria].  However,  I always try to assess WHY the MDS coding changed. Assessing for the underlying CAUSE of the change may surprise you and the decision to do the assessment will be very clear

Assess for underlying cause, that is what you will care plan, trust me.
Delores

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. Holly McGran

Delores L. Galias, RN, RHIT

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