💡 Every decompensation has a precipitant. Find it.

Precipitant	Ask
Medication non-adherence	"Missed any doses? Run out of meds?"
Dietary sodium excess	"Restaurant meals? Canned foods? Holidays?"
Infection	"Fever, cough, burning with urination?"
Atrial fibrillation	"Palpitations or irregular heartbeat?"

Med non-adherence is #1. Use a non-judgmental approach: "Many patients find it hard. How has it been?"