RE: Expected Decline

[Gloria Benton]

if the mds is supposed to reflect the resident then i would still do a sig change when the mds no longer reflects the patient status, i was hoping to use this to help stop some of the paper work , if the decline is expected we still have to do something to keep the resident comfortable, out of pain, maintain skin integrity etc -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED] Sent: Thursday, March 04, 2004 6:22 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.