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DiraChart Clinical Reference
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EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.
.DEM_SURVEIL Dementia baseline {level}; acute change/fluctuation {none/present}; CAM {negative/positive}. BPSD: {pattern/triggers}; non-pharm plan {measures/effect}; medical-cause screen {result}. Skilled delirium distinction + BPSD management required. Supports Section C/E; goal {###}. (Behavioral reference.) |
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.DEM_DELIRIUM Delirium-on-dementia: acute change from baseline — {fluctuating attention/increased confusion/disorganized thinking} (CAM positive). Workup per order ({vitals/glucose/O₂/infection/med}); provider notified; representative notified; non-pharm intensified; unnecessary psychotropic avoided. Reassess; SCSA {y/n}. Supports Section C. (Cognitive reference.) |
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.DEM_BPSD New/dangerous BPSD: {agitation/aggression, safety risk}. Trigger screen ({pain/infection/constipation/hypoxia/overstimulation}); non-pharm plan implemented; team engaged; safety measures; psychotropic {justified/monitored per Behavioral}. Reassess {when}. Supports Section E. |
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