I worked with the care plan team - with Nursing, Social Services and sometimes therapy. In my section of the MDS, I was to assess the amount of time spent in activities and in self-recreation. It was important to note anyone who might be an isolation case. This would require more in-room visits and other social charting by Social Services and in soem cases the nursing staff. I was correct in my assessments.
Isolation is a problem that reflects into all aspects of the resident's life.
An alert and oriented resident is aware of their environment. An alert resident can demand care and report shortcomings. If they stay in their room, the care they receive is completely reliant on the call light system. The call light system, in many of the hospitals I worked in, was insufficient at best. The call light must be in reach of the resident.