Which of the following is NOT listed as a status change red flag?

• A. New confusion
• B. Falls
• C. Swallow changes
• D. Fever

Answer: (D)

Status-change red flags are signs that someone’s baseline cognitive, communication, or functional abilities have suddenly worsened and need prompt assessment. New confusion signals a rapid drop in mental status, suggesting delirium or another acute brain issue. Falls point to safety risks and potential functional decline in daily activities. Swallow changes raise concerns about safety and nutrition, including the risk of aspiration. Fever, while it requires medical attention for infection or illness, does not by itself indicate a change in cognitive-communication or functional status. So fever is not a status-change red flag.