No settings, no tolerance, no desaturation, no participation link.
The CPAP model note in §3: the ordered pressure and mask seal, tolerance and adherence, the overnight SpO₂/apnea observation, and the reason skilled device management was required.
“Up all night.”
No pattern comparison, no delirium/trigger screen, no action.
The sleep-wake-reversal model note in §4: the change versus the pattern, the CAM/trigger screen, notification, and sleep-hygiene/safety measures.
“Restless, sleeping poorly.”
No cause, no impact, no action.
Document the contributing factor (pain/dyspnea), the impact on participation, and the intervention/response.
