Patient:
KRISTENSEN, ANITA- MR# 900009624 Chart: 1 Episode: 1 Patient Care Assistant: husband is assisting with care. |
Visit Date:
09/16/2024
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Problems: |
Chest pain, Palpitations, Tremors, HTN, Hypothyroidism, Generalized weakness |
Tests |
CLOX:
pass |
09/16/2024
OASIS-D |
Karen Sevoian
Assessor |
(M0030) Start of Care Date:
09/16/2024
(M1030) Therapies the patient receives at home: (Mark all that apply.)
(M1033) Therapies the patient receives at home: (Mark all that apply.).
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 |
09/16/2024
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Skilled Nursing |
Karen Sevoian Added by: Ron 09/16/24 04:40 PM |
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Primary Care Physician |
DR. CHRISTINE LYZETTE VILLA |
PECOS Enrolled |
Reported to: Ron 09/16/2024 04:40 PM |
Printed By/Date/Time:
09/19/2024 02:19 AM
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