Was the resident experiencing an acute illness @ time of 12/03 MDS, and if
so was J5a or J5b checked? If so, I think it justifies that it was because
of an acute illness that was expected to reslove. Thus, not a Sig Change.

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
Conley, Donna
Sent: Friday, March 12, 2004 12:04 PM
To: '[EMAIL PROTECTED]'
Subject: Any Suggestions?


  We had a person who had comprehensive assessment done 9/03. Then had
Quarterly done 12/03. Had next Quarterly done late in month of 2/04.  Here
is the problem....the 12/03 quarterly showed ADL decline due to pain in two
areas. . The 2/04 Quarterly shows ADL improvement in those areas due to pain
control. The 2/04 Quarterly also reflects foley cath discontinued and
changes in continence. The care plan reflects all  this in an accurate
manner.I know the ADL decline was not permanent. However none of the
assessments was ever done as a Significant Change Assessment. Any comments
or suggestions on what we should or should not do? Just discovered this
today. Thanks.
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The Case Mix Discussion Group is a free service of the
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/----------------------------------------------------------
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
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