Re: Reasons for Sig. Changes

[Gail Neustadt]

Your RAI Manual defines significant change as ...    "a consistent pattern of changes, with either two or more areas of decline, or two or more areas of improvement. This may include two changes within a particular domain (e.g., two areas of ADL decline or improvement). Any determination about whether a resident has experienced a significant change is status is a clinical decision."   Gail Neustatd, NHA Pittsburgh, PA   ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, March 02, 2004 10:52 PM Subject: Reasons for Sig. Changes Hello All,      I have a question to pose to the group.  It may sound silly, but I have always been under the impression that if you have a resident with a significant weight loss, you do a Sig. Change.  Also, for new stage 3 or 4 pressure area or  a new restraint.    I thought all of these should stand alone for a Sig. Change.  Here at work recently, some people have really been questioning and trying to get out of doing the changes.  I would rather have the Sig. Changes than try to explain why I didn't do one to the surveyors.  On our recent annual survey we had done a Sig. Change on a lady, then three months later she got a lap buddy restraint.  Surveyors cited us for not doing another change.  Sorta slipped through the cracks.   All info and opinions would be greatly appreciated. You all are a great resource.   Susan Gibbs, RN MDS Coordinator Presbyterian Homes of TN