Document the skilled interventions delivered this visit; each should connect to a finding and carry a reassessment in Section 10.
Cognitive assessment with a validated screen and interpretation against the baseline.
Delirium screening and urgent escalation when an acute change is present, with a search for the cause — infection, medications, metabolic derangement, dehydration, hypoxia, or pain.
Reorientation and cognitive-supportive strategies — routine, cues, and a calm environment.
Adaptation of medication management and safety for cognitive impairment (coordinated with Safety and Function).
Caregiver education and support, and coordination of evaluation, referral, capacity discussion, and a safety plan.
