Expected Decline

[k.karren]

If a decline is expected in resident’s condition, how much and what type of documentation is needed in the RAPS, so that a significant change in condition assessment will not be necessary in the future?  I have struggled with this in the past and now I have a resident with a new hip fracture (2nd fx in 9 months) not eating (has had a history of poor eating habits and thought to be anorexic although never documented as so by doctor), my nursing judgement tells me he will continue to decline which leads me back to my original question.   Thanks in advance.