Patient:
MALONE, WINIFRED- MR# 900004963 Chart: 4 Episode: 2 Patient Care Assistant: family |
Visit Date:
06/17/2025
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Problems: |
Edema, Decrease appetite |
Tests |
CLOX:
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06/17/2025
OASIS-D |
Jennifer Negrete
Assessor |
(M0030) Start of Care Date:
03/01/2025
(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 |
06/17/2025
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Skilled Nursing |
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Physical Therapy
1/WK X 1WK for eval, safety transfer, and hep. |
Conrad Chi Added by: Ron 06/18/25 02:00 PM |
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Primary Care Physician |
DR. TAMIKA PHYFER |
PECOS Enrolled | ||
Physician Scheduled Visit |
11/16/2020: DR. MATTHEW PREKUPEC 01/08/2021: DR. RONNIE VALLE 02/09/2022: DR. STEVEN CARTER 02/27/2025: DR. ROBERT GAO |
Reported to: Ron 06/17/2025 02:53 PM |
Printed By/Date/Time:
07/06/2025 10:15 PM
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