I would have not completed careplan process since patient was in hospital and re-evaluated once he returned. If changed further from first significant change assessment- I would have closed the first sig change assessment with no careplan and noted this in the chart and do another change in condition.
Jen in Missouri

Jennifer <[EMAIL PROTECTED]> wrote:

We have a resident who was experiencing bizzare
behavior and declined from setup in dressing and
personal hygiene to extensive assistance. We did a
sig. change but never careplanned him as he was
admitted to the hospital . He has returned with no
improvement but has been incontinent of urine at
night. This is causing a change in coding from 0 to 3
in urine incontinence and 0/0 to 3/2 for toileting. We
are now careplanning him since it's his fourteenth day
of return. The previous assessment that was done does
not reflect the urine incontince. Can we now careplan
him for the incontinence without doing another sig
change assess? Now that's it's already careplanned,
does it make sense to do another sig change. I think
it will resolve soon anyway but noone knows foresure.

All respponses will be appreciated.
Thanx in advance


=====
Jennifer RN BSN MDS Coordinator

__________________________________
Do you Yahoo!?
Yahoo! Search - Find what you�re looking for faster
http://search.yahoo.com
/----------------------------------------------------------
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
-----------------------------------------------------------/


As always-Jen
NOTICE:  This communication is intended only for the use of the
individual or entity to which it is addressed and may contain information that
is privileged, confidential and exempt from disclosure under applicable
law.  If the reader of this communication is not the intended recipient
or the employee or agent responsible for delivering the communication,
you are hereby notified that any dissemination, distribution or copying
of this communication is strictly prohibited.  If you have received
this communication in error, please notify me immediately by replying to
this e-mail. 

REMINDER:  The disclosure of medical information is strictly prohibited
by federal regulation.  Unauthorized release of medical information may
result in administrative, civil and criminal sanctions.

Reply via email to