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Admission Date: 07/30/2019
Insurance: Seasons Hospice
Directive: Hospice and DNR( Do not Resuscitate)
Allergies: Donepezil, Mirtazapine, Naproxen, Penicillin V potassium
Refused Vaccines: Pneumococal & Influenza
Physician Approved Side Rails
DNR order Signed By Daughter and Physician
Pured Diet
Ambulated with Assistive Devices
Sight; Impaired
Rirk Alerts: Falls and Difficulty Swallowing
Social History: Denies tobacco use or illicit drugs
Podiatrist Notes: Ingrow nail, Chronic Disease PVD. Treatment: Debridement.
Progress Note 12-23-19 ( Chronically ill, lower back pain. Decrease ROM on extremities, Constipation)
Patient always appeared anxious and depressed, she was always complaining of being uncomfortable and seem confused and week. Patient will always keep begging for help and would have to leave the room for her to be able to eat by herself bc otherwise she kept saying she was not able to eat. Patient was also very shy, did not liked being undressed in front of student.
All of the requirements are attached.
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