.PSO_NORMAL

Skilled psychosocial assessment: support system adequate; caregiver capable/willing, no significant strain; patient coping adequately; SDOH stable (housing/food/finances/transportation); no unmet needs or financial barrier; no abuse/exploitation indicators. RN judgment applied to evaluate supports and coordinate resources the plan depends on given {dx}. Continued skilled monitoring indicated.

.PSO_SUPPORT

Support system {adequate/limited/absent}; primary caregiver {who}; capacity {competent/limited}; willingness {y/n}; caregiver health {ok/concern}; strain screen {neg/positive}.

.PSO_SDOH

Housing {stable/unstable}; food security {secure/insecure}; finances {stable/hardship}; transportation {available/none}; utilities {ok/risk}; medication affordability {ok/barrier}; isolation {y/n}.

.PSO_SKILL

Evaluated support/caregiver capacity and strain; screened SDOH; coordinated {social work/community resources/financial assistance/transportation/respite}; supported coping; facilitated advance-care-planning; abuse concern → Safety.

.PSO_TEACH

Reviewed {caregiver support/respite/community resources/coping} with {pt/cg}; method {teach-back}; mastery {##}%.

.PSO_COORD

Provider notified at {time} re {caregiver breakdown/social crisis/unmet need}; reported {content}; order received {support/resources/evaluation}; reassessment {when}.

.PSO_SAFETY

Coordinate urgently for a caregiver breakdown or a social crisis threatening safety; abuse/exploitation → mandated reporting per Safety; psychological crisis → Psychiatric pathway (988/911).

.PSO_NECESSITY

Skilled nursing required today to {action} for {RN-level reason} given {dx}, resulting in {measurable effect}.