Patient:
BIJOLD, URSULA- MR# 900008010 Chart: 4 Episode: 4 Patient Care Assistant: Lives home with her husband |
Visit Date:
08/29/2024
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Problems: |
PNEUMONIA, SINGLE SUBSEGMENTAL P.E. W/O ACUTE COR PULMONALE, CAD, HLD, GERD, PRESENCE OF CORONARY IMPLANT AND GRAFT, PERIPHERAL VASCULAR ANGIOPLASTY STATUS W/ IMPLANTS, L.T. USE OF ANTICOAGULANTS, L.T. USE OF ANTITHROMBOTICS AND ANTIPLATELETS |
Tests |
CLOX:
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08/29/2024
OASIS-D |
Jeanne Javinar
Assessor |
(M0030) Start of Care Date:
03/07/2024
(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) 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 |
09/03/2024
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Skilled Nursing |
Jeanne Javinar Case Manager Added by: Marlo 09/03/24 02:32 PM |
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Primary Care Physician |
DR. STANLEY KIDIAVAYI |
PECOS Enrolled | ||
Physician Scheduled Visit |
05/01/2023: DR. DAVID ENG 10/30/2023: DR. MILAN PATEL 03/05/2024: DR. KARTIKA SHETTY |
Reported to: Marlo 09/03/2024 02:32 PM |
Printed By/Date/Time:
09/17/2024 05:57 PM
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