I don't think that you are off the hook on this one. Writing in the RAPS that you expect this resident to continue to decline doesn't sound like a good plan to me. It seems as if you should be looking at strategies to help improve the resident's intake/appetite, determine why there were 2 fractures in a short period of time, etc. More investigation needs to be done. If the resident is not considered terminal, it doesn't seem appropriate to give up on him/her to me.
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Mar 4, 2004 5:22 AM
To: [EMAIL PROTECTED]
Subject: Expected Decline
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-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Mar 4, 2004 5:22 AM
To: [EMAIL PROTECTED]
Subject: Expected Decline
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.
