Restorative program tolerance declined: ambulation distance fell from 75 ft to 25 ft with increased assist over three sessions and new right-knee pain 6/10 — functional decline. Program held pending evaluation; provider and therapy notified; a PT re-evaluation and an analgesic order requested; the decline documented for the Section GG/CAA and the care plan revised. RN judgment required to recognize the decline and adjust the plan.
Model abnormal 2
Restorative goal met and program stepped down: resident now ambulates 150 ft independently and safely, meeting the discharge goal — RN evaluation confirms independence, the restorative walking program is discontinued and a maintenance/monitoring plan substituted; Section GG updated to reflect improved performance; care plan revised.
