Daily-note bank — change-of-condition / at-risk days
Scenario
Model daily note (edit to the shift)
Significant weight loss
8 lb over 30 days (≈5.1%), unplanned, intake 40%, new coughing at meals — dietitian/provider notified, swallow eval and fortified/altered diet ordered, precautions reinforced, Section K coded, care plan revised.
Enteral intolerance
High residuals, new distension, one emesis — feed held per protocol, provider notified, anti-reflux/rate change requested, precautions reinforced; reassess tolerance; Section K updated.
Aspiration event
Coughing with color change and new congestion after lunch — feeding stopped, positioned and suctioned, SpO₂ and lungs assessed, provider notified, chest film ordered; precautions intensified; event documented.
Linked disease-specific scenarios
Diabetic diet and glycemic interplay route to the Diabetes overlay; GI symptoms (nausea, constipation, GI bleed) route to the Gastrointestinal reference; nutrition support for wound healing routes to the Skin reference.
