Significant change assessment

[Liza22]

Working on MDS/QTRLY ard 2/15, noted res with a new pressure ulcer stage 3, res has already 2 other area with PU stage 3. do I need to change my MDS assess to a significant change, I hate dashing my F section.

[Talino]

Try to look into other areas that may contribute to the new pressure injury - change in nutrition status, ADL decline, increased incontinence, exacerbation of a clinical condition / comorbidities. Also if mood or psychosocial wellness is affected by the worsened condition. If none and all contributory factors are already addressed in the current plan of care you may forgo the SCSA. Just make sure there are no 2 areas or more of change.