New focal deficit: a new right-arm drift with slurred speech, negative on the last documented exam — a positive BE-FAST screen. Activated the stroke/transfer pathway immediately, provider and responsible party notified at 11:05, time last-known-well documented, vitals and glucose obtained; the resident kept NPO pending evaluation. Reassessment on return with an MDS/CAA update. Skilled recognition required, as a new deficit is time-critical — especially on anticoagulation.
Model abnormal 2
Post-stroke swallowing decline / aspiration risk: new coughing and a wet, gurgly voice with meals and reduced alertness — concerning for worsening dysphagia and aspiration risk. Held oral intake, provider and speech therapy notified, a swallow re-evaluation and an altered diet ordered, aspiration precautions reinforced, and the resident monitored for respiratory signs; supports the Section K/GG update. Skilled assessment required to prevent aspiration. (Swallowing detail routes to the Nutrition reference.)
