Patient:
BROTHERS, JOHN- MR# 900009943 Chart: 2 Episode: 1 Patient Care Assistant: DAUGHTER |
Visit Date:
03/13/2025
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Problems: |
Diarrhea |
Tests |
CLOX:
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03/13/2025
OASIS-D |
Iwona Arusztowicz
Assessor |
(M0030) Start of Care Date:
01/25/2025
(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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ROC Verbal Orders for Modification |
03/13/2025
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Skilled Nursing |
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Primary Care Physician |
DR. STANLEY KIDIAVAYI |
PECOS Enrolled | ||
Physician Scheduled Visit |
01/23/2025: DR. DON LEO SULLANO PEPITO 01/08/2025: DR. YI MCWHORTER |
Reported to: Ron 03/14/2025 02:47 PM |
Printed By/Date/Time:
07/06/2025 10:14 PM
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