significant change

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Specializes in Long term care.

NEVER MIND - I FOUND IT, WITH HELP FROM A CO-WORKER (a new set of eyes is always helpful when looking at hundreds of pages of an RAI manual)

With the 3.0 I thought we had to do a significant change assessment if resident goes hospice (from a previous seminar) but I do not see that in the current Chap. 2 of the RAI when reading it online through CMS. Anyone know?

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Specializes in LTC, Hospice, Case Management.

I also remember hearing that a significant change must be done with any hospice admission...but I don't have the books at home to find the page.

We've always done it this way anyways. Who wants to keep doing sig changes for weight loss, skin problems, ADL declines etc when this is all part of the expected process.

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Specializes in Geriatrics, MDS-Careplanning.

Hi

I noticed you were having trouble finding the section in the RAI manual that gives information on making someone a significant change when they are made a Hospice patient while in-house. That information is in Chapter 2,

page 2-21, the fourth bullet down. I am at home now, so cannot post it word for word. Hope that helps!

:)

ETA: I agree with Nascar nurse....if someone is being admitted to Hospice, there must have been changes in their status that would indicate a SCSA would be appropriate.

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