Personallllllllllllllllllyyyyyyyyyyy.............. I would complete a significant change and care plan accordingly. The significant change will go on your QI's but as the old story goes....it is what it is. Good Luck The Nose
----- Original Message ----- From: "Jennifer" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Tuesday, March 02, 2004 11:31 AM Subject: SIG CHANGE? > We have a resident who has been experiencing severe > bizarre behavior and has declined from a set-up in > dressing/hygiene to extensive assist. We completed a > sig. change assessment but never careplanned him since > he was admitted to the hospital. He returned and is > now his fourteenth day. Everything remained the same > but he is now incontinent of bladder at night. This is > effecting two areas toileting which is a 3/2 from 0/0 > and incontince bladder a 3 from a 0. We are > careplanning him now. Do I need to do another sig > change or can I write an addendum on the IDC note: > since his return, he has been incontinent of bladder > at night. To me, this looks like one decline, although > it's effecting two areas. Once we careplan the > incontinency, does it pay to do a sig change? If it's > already carplanned? I think it may resolve soon > anyway. > > All responses anticipated. > 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 > -----------------------------------------------------------/ > /---------------------------------------------------------- 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 -----------------------------------------------------------/
