Significant Changes

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.

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."