Patient:
DAVIS, LINDA- MR# 900009515 Chart: 2 Episode: 1 Patient Care Assistant: SISTER |
Visit Date:
08/24/2024
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Problems: |
MYOPATHY RELATED TO CHEMOTHERAPY,, METASTATIC COLON CANCER,, MALNUTRITION, STATUS POST BOWEL RESECTION, NEW COLOSTOMY, DEPRESEED MOOD, GAIT DISTURBANCE, IMPAIRED ADLS, RIGHT CHEST PORT-A-CATH FOR CHEMOTHERAPY ONLY, HX UTI, HYPOTEENSION, SEVERE PROTEIN CALORIC MALNUTRITION |
Tests |
CLOX:
pass |
08/24/2024
OASIS-D |
Evangeline De Guzman-Delaluz
Assessor |
(M0030) Start of Care Date:
08/24/2024
(M1030) Therapies the patient receives at home: (Mark all that apply.)
(M1033) Therapies the patient receives at home: (Mark all that apply.).
1 - History of falls (2 or more falls - or any fall with an injury - in the past 12 months) 2 - Unintentional weight loss of a total of 10 pounds or more in the past 12 months 3 - Multiple hospitalizations (2 or more) in the past 6 months 4 - Multiple emergency department visits (2 or more) in the past 6 months 5 - Decline in mental, emotional, or behavioral status in the past 3 months 6 - Reported or observed history of difficulty complying with any medical instructions (for example, medications, diet, exercise) in the past 3 months 7 - Currently taking 5 or more medications 8 - Currently reports exhaustion
(M1200) Vision (with corrective lenses if the patient usually wears them):
(M1242) Frequency of Pain Interfering with patient's activity or movement:
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Home Health Certification and Plan of Care |
08/24/2024
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Skilled Nursing |
Evangeline De Guzman-Delaluz Added by: Veltra 08/27/24 09:32 AM |
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Primary Care Physician |
DR. KRISTINE CROUCH |
PECOS Enrolled | ||||||
Physician Scheduled Visit |
07/30/2024: DR. KHOI DAO 08/23/2024: DR. MINH NGUYEN |
Reported to: Veltra 08/27/2024 09:32 AM |
Printed By/Date/Time:
09/19/2024 02:18 AM
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