Neurology APCM Care Plan Documentation Checklist

Document current cognitive baseline to measure progression and adjust APCM care intensity during monthly reviews.

Record frequency of agitation, wandering, or sleep disturbances reported via patient or caregiver calls.

Assess the primary caregiver's ability to manage complex medication and safety protocols at home.

Document home safety evaluations, specifically focusing on fall risks and kitchen/driving hazards for cognitive patients.

Confirm and document the status of healthcare power of attorney and end-of-life preferences in the electronic record.

Detail adjustments to Levodopa or other dopaminergic therapies based on daily 'off' time reports from the patient.

Use AI call transcripts to document the timing of dyskinesia or freezing of gait episodes reported by caregivers.

Record all reported falls or near-misses since the last neurological review for accurate APCM risk stratification.

Log autonomic issues like orthostatic hypotension, constipation, or mood changes affecting overall quality of life.

Track participation in specialized programs like LSVT BIG or general gait training to support functional goals.

Maintain a detailed record of breakthrough seizures, including duration, type, and the post-ictal state observed.

Document patient compliance with Anti-Epileptic Drugs, noting any missed doses or side effect barriers reported.

Record potential seizure triggers identified during monthly APCM check-ins, such as stress or sleep deprivation.

Ensure the patient and caregiver understand when and how to administer emergency rescue medications properly.

For patients with implanted devices, document battery status and any recent stimulation adjustments during the call.