No deficit trajectory, no rehab-nursing, no secondary prevention, no complication surveillance.
The rehabilitation model note in §3: the deficit trajectory, the rehabilitation-nursing carryover, the secondary-prevention parameters, and the reason skilled care was required.
“No new deficits.”
No exam, no comparison, no complication screen.
“Left arm 4/5 (from 3/5), swallowing safe on the ordered texture, communication effective, BP at goal, antiplatelet given without bleeding; no new deficit.”
“Aspirating.”
No action, no swallow-eval, no diet change.
The complication model note in §4: the aspiration signs, the intake held, the SLP/provider notification, the swallow re-eval, and the diet change.
