1. Rehabilitation services: Medical declines, as well as functional, should be considered when reviewing a resident’s need for a therapy. For example, a resident being treated for pneumonia, IV therapy, and/or general changes medical conditions should be looked at by a therapist to review their overall functional status. Most of the time when there is an acute medical change, direct care staff will also not a decline in the resident’s physical abilities. Nursing staff should document functional changes seen and notify therapy for follow up. Remember, therapy can not be the only discipline documenting on resident’s function.