Daily-note bank — change-of-condition / at-risk days
Scenario
Model daily note (edit to the shift)
Worsening dysphagia
New coughing and wet voice with pocketing (or low-grade fevers/respiratory change suggesting silent aspiration) — intake held, positioned/monitored, SLP/provider notified, swallow re-eval + diet modification ordered, precautions reinforced, respiratory watch; reassess; supports Section K.
Aspiration event
Coughing/choking during a meal with color change and new congestion — meal stopped, positioned/suctioned, SpO₂/lungs assessed, provider notified, chest film ordered, precautions intensified, representative notified; reassess; supports Section K. (Respiratory.)
Complete dysphagia
Unable to safely manage the ordered diet or secretions — NPO per order, provider/SLP notified, alternative-nutrition and secretion/airway plan considered, monitoring; supports Section K; skilled escalation.
Linked disease-specific scenarios
Weight, intake, and enteral feeding route to the Nutrition reference; the neurologic cause of dysphagia and stroke rehab route to the Neurological reference and CVA overlay; aspiration pneumonia routes to the Respiratory reference; oral/mucosal contributors route to the Mouth/Oral reference.
