CARING NURSES, INC.
Recert HHRG
Patient: STORY, JOYCE- MR# 900002325
Chart: 1 Episode: 41
Patient Care Assistant: Lives home with her daughter
Visit Date: 09/03/2024
Problems:
CIDP, DISCOID LUPUS ERYTHEMATOSUS, NEURALGIA AND NEURITIS, FIBROMYALGIA, HTN, HYPOTHYROIDISM, MAJOR DEPRESSION, ENCOUNTER FOR ADJ AND MANAGEMENT OF VAD, OTHER L.T. DRUG THERAPHY

Tests
CLOX:

09/03/2024
OASIS-D
Soline Louis
Assessor
(M0030) Start of Care Date:
02/12/2018

(M1030) Therapies the patient receives at home: (Mark all that apply.)

(M1033) Therapies the patient receives at home: (Mark all that apply.).
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:

(M1400) When is the patient dyspneic or noticeably Short of Breath?
2 - With moderate exertion (e.g., while dressing, using commode or bedpan, walking distances less than 20 feet)

(M1610) Urinary Incontinence or Urinary Catheter Presence:
1 - Patient is incontinent

(M1620) Bowel Incontinence Frequency:
0 - Very rarely or never has bowel incontinence

(M1630) Ostomy for Bowel Elimination: Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay, or b) necessitated a change in medical or treatment regimen?
0 - Patient does not have an ostomy for bowel elimination.
(M1800). Grooming: Current ability to tend safely to personal hygiene needs (specifically: washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).
2 - Someone must assist the patient to groom self.

(M1810) Current Ability to Dress Upper Body safely (with or without dressing aids) including undergarments, pullovers, front-opening shirts and blouses, managing zippers, buttons, and snaps:
2 - Someone must help the patient put on upper body clothing.

(M1820) Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes:
2 - Someone must help the patient put on undergarments, slacks, socks or nylons, and shoes.

(M1830) Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).
3 - Able to participate in bathing self in shower or tub, but requires presence of another person throughout the bath for assistance or supervision.

(M1840) Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.
2 - Unable to get to and from the toilet but is able to use a bedside commode (with or without assistance).

(M1850) Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.
2 - Able to bear weight and pivot during the transfer process but unable to transfer self.

(M1860) Ambulation/Locomotion: Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces.
2 - Requires use of a two-handed device (e.g., walker or crutches) to walk alone on a level surface and/or requires human supervision or assistance to negotiate stairs or steps or uneven surfaces.

(M2030) Management of Injectable Medications: Patient's current ability to prepare and take all prescribed injectable medications reliably and safely, including administration of correct dosage at the appropriate times/intervals. Excludes IV medications.
NA - No injectable medications prescribed.

Home Health Certification and Plan of Care
09/08/2024
Skilled Nursing Soline Louis
Case Manager
Added by: Marlo 09/04/24 01:47 PM
1Day4
09/26/24 - 09/29/24
4
1Day4
10/17/24 - 10/20/24
4
1Day1
11/02/24 - 11/02/24
1
PRN
09/08/24 - 11/06/24
2
Primary Care Physician DR. SHILPA THAKER
PECOS Enrolled
Physician Scheduled Visit 04/17/2018: DR. ELIZABETH BROWN
06/19/2018: DR. ELIZABETH BROWN
01/26/2019: DR. DONIELLE FREEDMAN
Reported to: Marlo 09/04/2024 01:47 PM
Printed By/Date/Time: 09/17/2024 06:03 PM