Patient:
MUHAMMAD, WALI- MR# 900008897 Chart: 3 Episode: 2 Patient Care Assistant: alone |
Visit Date:
09/02/2024
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Problems: |
COPD exacerbation |
Tests |
CLOX:
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09/02/2024
OASIS-D |
Joan Leyderos
Assessor |
(M0030) Start of Care Date:
06/15/2024
(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) 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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ROC Verbal Orders for Modification |
09/02/2024
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Skilled Nursing |
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Primary Care Physician |
DR. STANLEY KIDIAVAYI |
PECOS Enrolled | ||||
Physician Scheduled Visit |
01/16/2024: DR. MARIE HEWETT 04/12/2024: DR. SOFRONIO SORIANO 05/29/2024: DR. REBECCA PATEL |
Reported to: Ron 09/16/2024 09:55 AM |
Printed By/Date/Time:
09/19/2024 02:18 AM
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