Double O7

(Please note this is not an exhaustive list) Guidelines for Determining Significant Change in Resident Status Decline in two or more of the following: Resident's decision-making changes Emergence of sad or anxious mood pattern as a problem that is not easily altered Increase in the number of areas where Behavioural Symptoms are "not easily altered" Resident's continence pattern changes, or there was placement of an indweling catheter Emergence of unplanned weight loss problem (5% change of in 30 days or 10% change in 180 days) Emergence of pressure ulcer at Stage II or higher, when no ulcers were previously present at Stage II or higher Resident begins to use trunk restraint or a chair that prevents rising when it was not used before Overall deterioration of resident's condition; resident receives more support Emergence of condition or disease in which resident is judged to be unstable While your client / resident is already a total care / dependent on ADL, please carefully considered other areas that might contribute to changes in his / her overall status. e.g. Pain will be obvious factor following surgery, whether it is experienced minimally or to excruciating level. Pain is very subjective and although it is a non-triggered item, it does impact resident's in many ways. You may or may not observe the significant change during the observation period, however, I trust you will use your best clinical judgment on this query. Hope this helps.