Significant Changes


When doing a significant change, this means that the problems or problems are most likely going to be permanent right. Well what if you have 2 areas that change in a resident's ADL section but this resident changes from day to day. They change from being independent to needing extensive assistance with say with transfers and ambulation daily. Do you have to do a significant change even if this is normal for this resident. Thanks for any help.:wink2:


1,010 Posts

Specializes in ER CCU MICU SICU LTC/SNF.

the scenario would meet the definition of "self limiting", rai p2-7.

"a condition is defined as "self-limiting" when the condition will normally resolve itself without further intervention or by staff implementing standard disease related clinical interventions."

since this is not uncommon for the resident i would assume interventions are already in place to address the variance. in any case, the staff would have up to 2 weeks to decide when the changes become major or permanent.


22 Posts

First of all, be sure to check J5a, conditions/diseases make resident patterns unstable.

I always make a note in the chart describing that the resident has been reviewed for a significant change-- "Resident reviewed for significant change. ADL patterns continue to fluctuate during the week/day between independent and extensive asst. due to (behavioral issues, etc.) Discussed with interdisciplinary team. No noted signs of trends indicating improvement or decline."

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