Severe mucositis limiting intake: worsening oral mucositis (grade 3) with confluent ulceration, severe pain, and an inability to take adequate oral intake — a nutrition and pain problem with an infection risk. The mucositis assessed and graded, pain management escalated per order, the oral care regimen intensified, the dietitian and provider notified, an alternative-nutrition plan considered, and the mouth monitored for infection. Will reassess pain, intake, and the mucosa; supports the Section L/K update. Skilled assessment and management required. (Nutrition support routes to the Nutrition reference.)
Model abnormal 2
Oral infection / post-operative bleeding: new white plaques with underlying erythema suggesting thrush affecting intake — or, post-oral-surgery, new bleeding or increasing swelling at the surgical site. The finding assessed, the provider notified, orders received (antifungal for thrush, or evaluation/management of the post-operative bleeding/airway), the site/mucosa monitored, and the resident watched for airway or systemic change. Will reassess; supports the Section L/I update. Skilled recognition and management required.
