I read your blog, I may be nickpicking, but as a CNA (well I used to be) for couple nursing homes, we are suppose to report any changes of residents to LPN or RN. They will report it to the doctor. And we even have training to wash our hands and use gloves to prevent spread of infectious diseases. It is not really our place to diagnose residents.. we may give our opinions but it is best to leave it to the doctor.