5. Abnormal findings

Abnormal findings and what they may signal — each warrants Mode B focused documentation and, where parameters are met, intervention and notification:

• A new or increased need for assistance with one or more activities of daily living or instrumental activities.
• Impaired or unsafe transfers, or an inability to bear weight or transfer.
• Gait instability and fall risk (assessed in Safety).
• Functional decline from baseline — a loss of a previously independent task.
• Inappropriate, missing, damaged, or incorrectly used durable medical equipment.
• An inability to manage a critical instrumental activity — for example medication management or meal preparation — that affects safety.
• A caregiver gap that leaves required assistance unmet.