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Diane,
I would do a significant change at this time. The fact
that therapy has been D/C'd and the Rt is leaving the rehab unit is an indicator
that they have plateaued. At our facilities we use the therapy discontinuation
as our guide (Rt is evaluated for sign. change at that time) to the
resident plateauing and doing the significant change (unless of course therapy
was d/c'd because they did not progress). I am in CT - we have found our
surveyors also use this as a guide. Good Luck
Holly McGran MSN
RN From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Friday, March 26, 2004 9:52 AM To: [EMAIL PROTECTED] Subject: Question re: SCSA I have a
resident that has been on our rehab unit and has been working with
therapy. The resident will be going to our LTC unit and will no longer
meet skilled criteria for nursing or therapy. My question is if
the resident has met the goals that therapy has set forth and is now
functioning at that level do I need to do a SCSA because he has now plateued at
that level? My raps indicate that we are anticipating improvements toward
therapy goals.
Thanks in
advance for your responses
Diane R. Wierenga RN, BSN,
RAC-C
Spectrum Health Continuing Care
Center
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