Daily-note bank — change-of-condition / at-risk days
Scenario
Model daily note (edit to the shift)
Recurrent stroke
New worsening left weakness with slurred speech vs trajectory — BE-FAST positive, stroke/transfer pathway activated, provider/representative notified, last-known-well documented, vitals/glucose obtained, NPO; reassess on return; MDS/CAA updated; time-critical. (Neuro.)
Post-stroke aspiration
New coughing/wet voice with meals and a low-grade fever — intake held, SLP/provider notified, swallow re-eval and diet change ordered, precautions reinforced, respiratory monitoring; reassess; supports Section K/GG. (Taste/Swallowing.)
Post-stroke depression
Marked drop in mood/engagement stalling therapy — mood screened, non-pharm support and provider engagement, plan adjusted to re-engage, participation reassessed; supports Section D. (Psychosocial.)
Linked disease-specific scenarios
Base neuro exam and acute-deficit content route to the Neurological reference; rehabilitation-program detail to Restorative and Functional/Section GG; dysphagia to Taste/Swallowing; communication to Communication; antithrombotic therapy and bleeding to the Anticoagulation overlay; post-stroke mood to Psychosocial.
