New aphasia (stroke)

New expressive aphasia not present last assessment — assessed vs baseline, BE-FAST positive, stroke/transfer pathway activated, provider/representative notified, last-known-well documented; reassess on return; time-critical; supports Section B/I. (Neuro.)

Communication breakdown/safety

Established method failing so needs could not be reliably reported, with a period of possible unreported pain/change — method rebuilt, call-signal re-established, resident reassessed for unreported pain/change, SLP/provider engaged, plan revised; reassess; supports Section B.

Uncommunicated need → agitation

New agitation in a nonverbal resident — assessed for pain/toileting/change before behavior attribution, unmet need (pain) identified and treated, method reinforced; documented; supports Section B.

The neurologic cause of a communication deficit and stroke rehab route to the Neurological reference and CVA overlay; a hearing contribution routes to the Ears/Hearing reference; airway/trach communication routes to the Respiratory reference; cognitive-communication overlap routes to the Cognitive reference.