Escalating behaviors: 5 episodes of physical aggression toward staff this shift with a failed GDR trial and a documented return of the target psychotic symptom (paranoid delusions with resistance to care) — provider notified with the behavior data, the GDR clinically contraindicated at this time and the rationale recorded, the non-pharmacologic plan intensified (consistent staff, reduced stimulation, structured activity), monitoring continued, and Section E and the care plan updated. RN judgment required to manage the unstable behavioral condition.
Model abnormal 2
New behavioral change with a medical cause suspected: acute agitation and confusion different from baseline, with a low-grade fever and reduced intake — screened for a medical trigger (infection, pain, constipation, hypoxia, medication) rather than reflexively medicating; provider notified, a workup ordered, non-pharm measures in place; will reassess and avoid an unnecessary psychotropic. Documented per F758 and the delirium screen.
