5. Abnormal findings

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

• Speech impairment — dysarthria or expressive or receptive aphasia.
• A language barrier with limited English proficiency and an interpreter need.
• Functional hearing impairment that affects comprehension of instructions.
• Functional vision impairment that affects reading of materials.
• Low health literacy with limited comprehension of health information.
• Cognitive-communication impairment affecting understanding.
• An unmet augmentative-communication need, or any barrier that compromises understanding, safety, or consent.