Daily-note bank — change-of-condition / at-risk days
Scenario
Model daily note (edit to the shift)
Failed GDR with rationale
Increased aggression and return of paranoid delusions during a GDR trial — provider notified with data, GDR clinically contraindicated and rationale recorded, non-pharm intensified, monitoring continued, Section E/care plan updated.
Behavior change, medical cause
Acute agitation/confusion from baseline with fever and reduced intake — screened for a medical trigger, provider notified, workup ordered, non-pharm measures in place, unnecessary psychotropic avoided; reassess; SCSA evaluated.
Antipsychotic adverse effect
New pill-rolling tremor and rigidity (EPS) on the antipsychotic — held per protocol, provider notified, dose re-evaluated; adverse effect and fall risk documented; care plan revised.
Linked disease-specific scenarios
Dementia-specific BPSD approaches and antipsychotic caution route to the Dementia overlay; acute psychiatric emergencies route to the Psychiatric reference; restraint use routes to the Restraints reference; pain-driven behavior routes to the Pain reference.
