RE: Expected Decline

[k.karren]

I thought it had been discussed here that SCOC assessment is not required if decline is expected. I guess I don’t know how the determination of expected decline is made.  Did I misunderstand the discussion?  By the way, I am not giving up on this resident, we have been careplanning him extensively with new/different approaches...he has been a challenge….and he is  now terminal but not formally written in chart by doctor.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of carol maher Sent: Thursday, March 04, 2004 11:43 AM To: [EMAIL PROTECTED] Subject: Re: Expected Decline   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 Clean Clean DocumentEmail MicrosoftInternetExplorer4 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. /---------------------------------------------------------- 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 -----------------------------------------------------------/