Documentation Guidelines

• Any changes in cognitive function: Confused orientation (time, place, person), emotional outbursts, forgetfulness, paranoia, decreased short-term memory, impaired judgment, loss of speech, disturbed affect, decline of problem-solving ability, and reduction in abstract thinking

• Response to medications (anxiolytics, antipsychotics, cholinesterase inhibitors, antidepres-sants, sedatives)

• Verbal and nonverbal methods that effectively meet or communicate the patient's needs

• Caregiver response to patient behaviors and information about DAT

• Ability to perform the activities of daily living

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