I would have made an entry in the progress notes regarding the decline and
improvement that the resident returned to his baseline and therefore a sig chg wasn't
necessary for the improvement. If continence is the only change on the 2/14, this is
only one change. I take it the foley came out and now the resident is being coded as
incontinent?? Was the resident receiving therapies and that is why he improved? If
that is the case, I feel this also would be an expected change. However, sounds like
the December MDS is the one that should have been coded a Sig Chg. And if that is the
case, I would do a Significant Correction to that MDS at this time. Does this help?
>>> [EMAIL PROTECTED] 03/12/04 12:03PM >>>
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.
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
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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
-----------------------------------------------------------/
