No operative-site detail, no precautions, no complication surveillance, no link of the deficit to the skilled plan.
The post-tympanoplasty model note in §3: the operative-site findings, the enforced precautions, and the reason skilled ear care was required — or the hearing-management note linking the deficit to participation.
“Dizzy.”
No pattern, no fall-risk management, no central-cause screen, no action.
The vertigo model note in §4: the vertigo onset/pattern, the intensified fall precautions, the central-cause screen, notification, and orders.
“Hearing aid in.”
No function check, no communication strategy, no participation link.
“Hearing aid in place and functioning (fresh batteries); communication strategies used; participating in teaching/therapy the corrected hearing enables.”
