How are changes in health status detected between assessments?

• A. By comparing domain scores (CPS, CHESS, DRS, ADL changes) and noting new diagnoses or functional decline
• B. By physician's opinion only
• C. By annual lab results
• D. By resident mood alone

Answer: (A)

Changes in health status between assessments are identified by systematically comparing multiple domain scores from successive assessments and noting any new diagnoses or declines in function. In InterRAI LTCF, scores such as the Cognitive Performance Scale (CPS), Changes in Health, End-Stage Disease, Signs and Symptoms (CHESS), the Depression Rating Scale (DRS), and ADL (Activities of Daily Living) measures provide a structured view of a resident’s status. When reassessing, you look for shifts in these scores—worsening cognitive status, greater health instability, increased depressive symptoms, or reduced independence in daily activities—and you record any new medical diagnoses. This combination signals a change in health status and informs care planning and timely interventions.

Relying solely on a physician’s opinion, annual lab results, or mood alone misses the standardized, multi-domain view that captures the full picture of a resident’s health trajectory.