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In my facility the MDS/RAPS/CPs do not impact
the resident in one way or another. I am the only person who ever reads
them other than consultants and surveyors. I am not allowed to implement any
interventions. I am only to document in CP any interventions I see are being
done. Most of the RAP related things like interventions for urinary incont or
psychotrophic meds aren't done. The pharmacy consultant can suggest
dosage reductions. Because I am not an RN questions / suggestions are
not well recieved and is seen as over-stepping of boundries. UI,
Physical decline, dehydration is considered an inevitable part of aging.
Is this a common view in LTC?
I can see where the MDS/RAPS could be an
excellant tool if utilized correctly.
Timma
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