The most effective way to observe changes in a consumer's condition is through frequent interactions and naturalistic observation. Changes in a patient's condition can include physical, emotional, or behavioral changes. Recognizing these changes can help ensure a patient's health and safety. 

All DCWs should report a change in their consumer's condition immediately by notifying our local office.  If the change is a medical emergency, 911 should be called PRIOR to calling our office. 

Changes in condition can be observed as one of the following: 

Noticing the consumer is acting different than usual: forgetfulness, difficulty concentrating, or is disoriented

The consumer is struggling to speak or communicate effectively, or is communicating less than usual

The consumer is having difficulty with chewing and swallowing

The consumer has sudden shifts in mood

The consumer’s sleep pattern or habits have changed (sleeping more, sleeping less, difficulty falling asleep or staying asleep)

The consumer is in pain

The consumer needs more help with activities of daily living than usual

The consumer has become unsteady or lacks coordination and has frequent falls

The consumer is eating or drinking less than usual

The consumer is experiencing intermittent incontinence or having less or more urination and/or bowel movements than usual

Significant weight changes

The consumer is more agitated, nervous, tired, weak, or confused than usual