Improved mood and behaviors AND NEW
MEDS. How many mood indicators have improved? How many
behaviors? Do these medications fall into the psychoactive medication
catergory? Without the mood and behavior problems are there changes
in any of the other areas such as communication, ADL functional abilities,
etc? Do you need to alter the plan of care?
I agree that the sig change should have
happened. I have, at times, counted each mood indicator, behavior
indicator, etc. to justify to my team the need for the significant change of
status (i.e. 5 mood indicators and 3 behavior indicators). That is a total
of 8 items that have improved.
Just
my 2 cents,
Julia A. Onken, R.N. LTC Nurse
Manager
Goshen Care Center
2009 Laramie Street
Torrington, WY
82240
Phone (307) 532-4038 ex.
3044
Fax (307) 532-3800
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gail RN
Sent: Tuesday, March 16, 2004 5:16 PM
To: [EMAIL PROTECTED]
Subject: Splitting hairs?We have a Resident who had a sig change done in January and had moods and behaviors, both not easily altered. He now has NO moods OR behaviors after successful new medications. I wanted to do a significant change on him but there was team disagreement because on page 2-8 of the RAI manual, a sig change for decline is indicated if the Resident has 2 or more of the following and moods and behaviors are listed SEPERATELY whereas on the next page for improvement, where 2 or more are also indicated, moods and behaviors are both on the same bullet line! The team feels that mood and behaviors should be treated as one area because of this. And didnt want to proceed to a significant change for this reason. I have always seen moods and behaviors as seperate (depression doesnt necessarily mean a behavior problem and vice versa).Aslo too, where they werent easily altered prior and now dont exist at all is even more reason. Anyone have any input into this?PS As it turned out, we did a sig change but only because he improved in feeding skills.Thanks
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