Acute or ascending sensory change — possible cord or acute neuropathy: a new sensory loss with an ascending pattern (or a new sensory level) with associated weakness, or a new bowel/bladder change with back pain — concerning for cord compression or an acute polyneuropathy (e.g., Guillain-Barré). The provider notified urgently, the sensory/motor level and any bowel/bladder change documented, the appropriate pathway activated (imaging/evaluation, and the stroke pathway if a hemibody deficit), and the responsible party notified. Will reassess; supports the Section I update. Skilled recognition required, as an acute sensory change with weakness or a bowel/bladder change is a neurologic emergency. (The exam routes to the Neurological reference.)

Injury from lost protective sensation: a new burn, blister, or skin breakdown discovered on an insensate foot/limb that the resident did not feel — an injury from the sensory deficit. The injury assessed and measured, the cause identified (e.g., heat, footwear, pressure), the provider notified, treatment and protective measures ordered/intensified, and the care plan revised; the injury coded on the skin section. Will reassess and trend the wound. Skilled recognition and protective-plan revision required. (Wound detail routes to the Skin reference.)