Re: How can an accurate MDS and RAPs help provide good care?

[nursejane]

Who writes the careplans?How do they communicate the interventions to the staff? Why arent interventions for UTI and for Psychotropic meds being done? Do you not have a behavior management team?  No, UTI, physical decline and dehydration are not an inevitable part of aging. Who does the raps and careplans in your facility? What type of facility is yours? I think there may be a problem. Jane -----Original Message ----- From: mdsc To: [EMAIL PROTECTED] Sent: Sunday, April 04, 2004 12:29 PM Subject: Re: How can an accurate MDS and RAPs help provide good care?   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