Isolated Symptoms that Should NOT Prompt Further
Evaluation for Infection
Behavioral Changes Exclusive of Delirium
➤ The authors recommend that clinicians perform a formal delirium
assessment when a behavioral change is newly identified in a nursing
home resident. If delirium has been excluded, the authors do NOT
recommend further evaluation for infection unless additional, more
specific signs and symptoms are present.
Functional Decline
➤ The authors do NOT recommend that clinicians further evaluate a
resident with new-onset functional decline for the presence of infection.
Falls
➤ The authors do NOT recommend that clinicians evaluate a resident who
has experienced a fall for the presence of infection.
Anorexia
➤ The authors do NOT recommend that clinicians further evaluate a
resident with new-onset anorexia for the presence of infection.
