Psychosocial decompensation

New drop in mood/engagement with therapy/ADL refusal and reduced intake over two days — change assessed, mood screen updated, support/re-engagement intensified, provider/social services notified, plan re-evaluated and revised; reassess; supports Section D/Q.

Caregiver-capacity gap

Identified caregiver unable to demonstrate medication management/transfers and voicing they cannot manage safely — teaching intensified with a structured plan, social services/team engaged, alternatives explored, discharge plan/goals revised with the representative; reassess; supports Section Q.

Safety concern — ideation

Resident expresses hopelessness with passive ideation — immediate safety ensured, provider notified, crisis pathway followed, 988 resources provided, close support; documented objectively without means/methods. (Behavioral reference.)

Acute psychiatric crisis, psychotropic management, and BPSD route to the Behavioral reference; mood versus cognition/delirium routes to the Cognitive reference; the functional impact of disengagement routes to the Functional/Section GG reference; dementia-specific psychosocial care routes to the Dementia overlay.