User:Lliwolg

EVAL/SOC

ENVIRONMENT SAFETY REMOVAL OF THROW RUGS AND KEEPING WALKING PATHWAYS FREE OF CLUTTER AND WELL LIT.  HOMEBOUND STATUS

SHORTNESS OF BREATH DIFFICULTY TRANSFERRING AMBULATION DIFFICULTIES UNABLE TO LEAVE HOME WITHOUT ASSIST LEAVING HOME REQUIRES SIGNIFICANT AND TAXING EFFORT

WEAKNESS, FALL RISK, USES TWO HANDED ASSISTIVE DEVICE FOR SAFE MOBILITY AND AMBULATION, REQUIRES ASSISTANCE FROM ANOTHER PERSON TO SAFELY LEAVE THE HOME AND LEAVING HOME REQUIRES SIGNIFICANT TAXING EFFORT

, REQUIRES SUPPLEMENTAL OXYGEN

PATIENT IS CURRENTLY EXPERIENCING SIGNIFICANT WEAKNESS RESULTING IN HIGH RISK OF FALLS AND REQUIRES THE PRESENCE OF ANOTHER PERSON OR ASSISTIVE DEVICE FOR SAFETY

PATIENT IS CURRENTLY EXPERIENCING IMPAIRED MOBILITY/LIMITED AMBULATION OR PRESENT WITH UNSTEADY  GAIT/ BALANCE AND OR REQUIRE ASSTANCE DUE TO POST  SURGICAL RESTRICTIONS.

MEDICATION RECONCILIATION

ALL MEDICATION REVIEWED INCLUDING USE, SIDE EFFECTS, AND INTERACTIONS

MEDICATION RECONCILIATION: MED RECONCILIATION PERFORMED AND NO ISSUES WERE FOUND.

PT EDUCATED ON PLAVIX AS HIGH-RISK MEDICATION; AND INCREASE RISK OF BLEEDING AS WELL AS INSULIN AND DIABETIC MEDICATION AS HIGH-RISK MEDICATION WITH INCREASED RISK OF HYPOGLYCEMIA AND

NORCO AS HIGH-RISK WITH INCREASE RISK OF FALLS AND CONSTIPATION

MEDICATION RECONCILIATION: PT HAS ALL MEDS IN HOME. PT KNOWLEDGABLE OF ACTION/PURPOSE OF ALL MEDS. REINFORCED SIDE EFFECTS OF HIGH RISK MEDS THAT MAY INCLUDE : OXYCODONE ( DIZZINESS/CONSTIPATION), METFORMEN ( LOW BLOOD SUGAR/ WEAKNESS), ASPIRIN ( UNUSUAL BRUSING/PROLONGED BLEEDING)

PATIENT'S RIGHTS

PLAN OF CARE REVIEWED WITH PATIENT/CAREGIVER:

PATIENT VERBALIZED UNDERSTANDING OF SERVICES AND AGREEED TO PLAN OF CARE. CLIENT VERBALIZED UNDERSTANDING OF HIS RIGHTS AND RESPONSIBILITIES. WRITTEN CONSENT SIGNED AND IN HOME.

ADVANCE DIRECTIVE

DISCUSSED AND REVIEWED MCLAREN HOMECARE HANDBOOK. PATIENT HAS SHOWN GOOD UNDERSTANDING. SIGNED NECESSARY DOCUMENTS.

DRUG INTERACTION

Patient has been taking the following medications for several years now with no side effects or drug interactions noted and physician aware of potential medication interaction.

PATIENT HAS BEEN TAKING COUMADIN AND NABUMENTONE FOR SEVERAL MONTHS NOW WITH NO SIDE EFFECTS OR ADVERSE REACTIONS NOTED. WILL CONTINUE TO MONITOR FOR ANY POTENTIAL ADVERSE REACTIONS.

WOUND

LEFT KNEE INCISION 6 INCHES WITH DERMABOND GLUE. NO REDNESS, DRAINAGE OR SIGNS OF INFECTION. INCISION WELL APPROXIMATED REMAINS CLOSED WITH ABD PAD APPLIED UNDER TED HOSE. PATIENT INSTRUCTED ON SIGNS AND SYMPTOMS OF INFECTION AND WHEN TO REPORT.

GOAL

INTRO PATIENT WILL BE SEEN **** TO OPTIMIZE SAFETY AND MOVEMENT IN ORDER TO IMPROVE HEALTH AND PARTICIPATION IN LIFE BY ADDRESSING THE FOLLOWING GOALS:

PATIENT IS A GOOD CANDIDATE FOR PHYSICAL THERAPY SERVICES ***  WITH EMPHASIS ON DEVELOPMENT OF HEP FOR B LE STRENGTHENING, BED MOBILITY TRAINING, SAFE FUNCTIONAL TRANSFER TRAINING, GAIT TRAINING PROGRESSION, STAIR TRAINING, BALANCE TRAINING TO REDUCE FALL RISK, HOME SAFETY ASSESSMENT, PAIN MANAGEMENT TECHNIQUES

PATIENT IS A FAIR CANDIDATE FOR PHYSICAL THERAPY SERVICES 1WK2, 2WK3, 1WK4 WITH EMPHASIS ON DEVELOPMENT AND PROGRESSION OF HEP TO IMPROVE BILATERAL LE STRENGTH TO PROMOTE INDEPENDENCE WITH FUNCTIONAL MOBILITY, SAFE FUNCTIONAL TRANSFER TRAINING, GAIT/PRE-GAIT TRAINING AND PROGRESSION, BALANCE TRAINING TO DECREASE FALL RISK, PAIN MANAGEMENT TECHNIQUES,CAREGIVER EDUCATION, ENERGY CONSERVATION TECHNIQUES

PATIENT IS A GOOD CANDIDATE FOR PHYSICAL THERAPY SERVICES 1WK1, 2WK3,  WITH EMPHASIS ON DEVELOPMENT AND PROGRESSION OF HEP TO IMPROVE BILATERAL LE STRENGTH TO PROMOTE INDEPENDENCE WITH FUNCTIONAL MOBILITY, SAFE FUNCTIONAL TRANSFER TRAINING, GAIT TRAINING AND PROGRESSION, BALANCE TRAINING TO DECREASE FALL RISK, PAIN MANAGEMENT TECHNIQUES, ENERGY CONSERVATION TECHNIQUES, ENDURANCE TRAINING

ONCOLOGY GOAL

ORDER DESCRIPTION: PHYSICAL THERAPIST TO EVALUATE/ASSESS AND DEVELOP PHYSICAL THERAPY PLAN OF CARE TO BE SIGNED BY THE PHYSICIAN. PHYSICAL THERAPIST MAY DELEGATE DUTIES TO PHYSICAL THERAPIST ASSISTANT AS APPLICABLE PT TO PROVIDE TREATMENT ACCORDING TO ONCOLOGY REHABILITATION PROTOCOL INCLUDING ROM, STRENGTH, TRANSFERS, CARDIOVASCULAR INTENSITY TRAINING, BALANCE, SAFETY INCLUDING RPE SCALE AND SYMPTOM MANAGEMENT EDUCATION. GOAL DESCRIPTION: A PHYSICAL THERAPY PLAN OF CARE WILL BE ORDERED BY PHYSICIAN AND PROVIDED BY PHYSICAL THERAPIST OR DELEGATED TO A PHYSICAL THERAPIST ASSISTANT AS APPLICABLE. ALL GOALS TO BE MET BY END OF CURRENTLY APPROVED PLAN OF CARE. IMPROVED OVERALL FUNCTIONAL MOBILITY WITH RPE IMPROVED FROM ** TO ** DURING ADL, GAIT. 6 MINUTE WALK TEST TO IMPROVE FROM * FEET TO **FEET. IMPROVED 5X SIT TO STAND TO IMPROVE FROM * TO ** SECONDS. IMPROVED TRANSFERS FROM * ASSIST TO **ASSIST. IMPROVED BALANCE FROM * TO * AS SEEN BY THE MCTSIB WHICH WILL ALLOW THE PATIENT TO OPTIMIZE SAFETY AND MOVEMENT IN ORDER TO IMPROVE HEALTH AND PARTICIPATION IN LIFE. GOAL Combo

1)CLIENT/CAREGIVER TO DEMONSTRATE UNDERSTANDING OF AND COMPLIANCE WITH ENERGY CONSERVATION MEASURES, AS EVIDENCED BY IMPROVED RPE FROM * TO * AND ABILITY TO MAINTAIN SPO2 ABOVE 9O DURING FUNCTIONAL MOBILITY TO ALLOW INCREASED TOLERANCE DURING ADLS/IADLS AND FUNCTIONAL MOBILITY.

2)PATIENT WILL DEMONSTRATE IMPROVED FUNCTION FOLLOWING SPECIFIC EXERCISE TECHNIQUE (PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION (PNF), ROOD, CODMANS, WILLIAMS) AND/OR MANUAL; THERAPY (SOFT TISSUE AND JOINT MOBILIZATION TO REDUCE JOINT DEFORMITY AND INCREASE FUNCTIONAL RANGE OF MOTION), AS EVIDENCED BY INCREASED INDEPENDENCE IN ACTIVITIES OF DAILY LIVING. THIS MAY INCLUDE AROM ON *LE, PRE'S UP TO GREEN THERABAND, OPEN/CLOSED KINETIC CHAIN EXERCISE . PATIENT WILL DEMONSTRATE INCREASE STRENGTH FROM */5 TO */5 AS A RESULT OF THERA EXERCISE PROVIDED TO ALLOW ABILITY TO PERFORM FUNCTIONAL MOBILITY WITH IMPROVED STRENGTH, STABILITY, AND SAFETY. 3) PATIENT WILL IMPROVE ABILITY TO POSITION SELF, ROLL SIDE TO SIDE, MOVE UP/DOWN, AND SUPINE TO SIT BED MOBILITY FROM * TO *** 4) PATIENT/CAREGIVER WILL DEMONSTRATE SAFE TRANSFERS USING APPROPRIATE BODY MECHANICS AND EQUIPMENT, AS EVIDENCED BY INJURY FREE TRANSFERS TO BED, BATH, TOILET, SOFA, CHAIR, COMMODE. PATIENT WILL IMPROVED ABILITY TO SAFELY PERFORM SIT TO STAND, BED TO CHAIR, AND TOILET TRANSFER FROM *ASSIST TO *** 5) PATIENT WILL DEMONSTRATE USE OF SAFETY PRECAUTIONS AND IMPROVED AMBULATION WITH USE OF ASSISTIVE DEVICE AS NEEDED TO MINIMIZE RISK OF INJURY; PATIENT WILL BE ABLE TO AMBULATE FROM A DISTANCE OF *0 TO *00 FEET USING SAFE AND APPROPRIATE LEAST RESTRICTIVE AD FROM * TO *** WITH MINIMAL TO NO GAIT DEVIATION WITH IMPROVED FUNCTIONAL ACTIVITY TOLERANCE.

patient will be able to safley ascend and descend stairs from * ASSIST to *** with improved safety.

6)IMPROVED TINETTI SCORE FROM ** TO ** /28 MCTSIB FROM ** TO */4

AND 5X SIT TO STAND FROM ** TO ** SECONDS TO DECREASE PATIENT&apos;S RISK FOR FALLS.

7) PATIENT WILL DEMONSTRATE OXYGEN SATURATION WITH NORMAL LIMITS OR TO PATIENT'S OPTIMAL LEVEL AS ESTABLISHED BY THE PHYSICIAN. TO BE ABLE TO MAINTAIN SPO2 ABOVE 93%.

GOAL BACK

PATIENT WILL DEMONSTRATE IMPROVED SPINE SAFETY DURING TRANSFERS, BED MOBILITY, AND AMBULATION AS EVIDENCED BY PATIENT'S VERBALIZATION OF KNOWLEDGE OF SAFETY TECHNIQUES/PRECAUTIONS AND DEMONSTRATED IMPROVEMENT OF BED MOBILITY FROM * TO *ASSIST, TRANSFERS FROM * TO * ASSIST, AND AMBULATION FROM * TO *. PAIN TO BE REPORTED AT < */10 WITH FUNCTIONAL MOBILITY.

GOAL DM

PATIENT / CAREGIVER WILL VERBALIZE / DEMONSTRATE ADEQUATE KNOWLEDGE OF ENDOCRINE STATUS AEB PATIENT WILL LEARN TO USE GLUCOMETER AND KEEP BLOOD SUGAR LOG WITHIN 4 WEEKS.

PATIENT / CAREGIVER WILL VERBALIZE / DEMONSTRATE ADEQUATE KNOWLEDGE OF ENDOCRINE STATUS. PT WILL BECOME MORE CONSISTENT TO MONITOR BLOOD SUGAR STATUS DAILY AND BE MORE AWARE OF DIET/EXERCISE R/T DIABETES WITHIN 6-8 WEEKS

GOAL INCISION

¹ SKILLED PHYSICAL THERAPIST TO PROVIDE / INSTRUCT / REINFORCE TO CLIENT / CAREGIVER WOUND CARE TO CLOSED INCISION / SUTURE LINE LOCATED *** DAILY. KEEP INCISION DRY AND COVERED WHILE SHOWERING. NO LOTION,  CREAM OR MOISTURIZER.NO SOAKING, POOLS. HOT TUB. DO NOT SCRUB INCISION. WHILE SHOWERING COVER FUSION TAPE WITH SARAN WRAP. KEEP FUSION TAPE ON UNTIL FOLLOW UP APPOINTMENT.


 * ² PATIENT WILL DEMONSTRATE INCISIONAL CARE, SHOW IMPROVEMENT IN INCISION / SUTURE LINE STATUS AS EVIDENCED BY DECREASE IN SIZE / DRAINAGE OF WOUND, NO S/S OF INFECTION, AND DECREASED PAIN AS A RESULT OF SKILLED INTERVENTION.


 * ¹ Therapists TO ADMINISTER WOUND CARE TO CLOSED INCISION/SUTURE LINE. SILVER DRESSING TO BE REMOVED 10 DAYS POST-OP, THEN COVER WITH 4X4'S IF DRAINAGE NOTED USING CLEAN TECHNIQUE. STAPLE REMOVAL 12 TO 14 DAYS POST-OP IF STAPLES PRESENT. PT/PTA TO EDUCATE FAMILY ON WOUND CARE TECHNIQUE.


 * ² PATIENT WILL DEMONSTRATE IMPROVED INCISION/SUTURE SITE STATUS AS EVIDENCED BY DECREASE IN SIZE/DRAINAGE OF WOUND, NO S/S OF INFECTION, AND DECREASED PAIN AS A RESULT OF SKILLED INTERVENTION. GOAL TO BE ACHIEVED IN 3 WKS.


 * ¹  SKILLED PHYSICAL THERAPIST TO PROVIDE / INSTRUCT / REINFORCE TO CLIENT / CAREGIVER WOUND CARE TO CLOSED INCISION / SUTURE LINE LOCATED R HIP DAILY. KEEP INCISION DRY AND COVERED WHILE SHOWERING. NO LOTION,  CREAM OR MOISTURIZER.NO SOAKING, POOLS. HOT TUB. DO NOT SCRUB INCISION. Foam DRESSING TO BE REMOVED 10/25/21. PT/PTA TO EDUCATE FAMILY ON WOUND CARE TECHNIQUE.


 * ²  PATIENT WILL DEMONSTRATE INCISIONAL CARE, SHOW IMPROVEMENT IN INCISION / SUTURE LINE STATUS AS EVIDENCED BY DECREASE IN SIZE / DRAINAGE OF WOUND, NO S/S OF INFECTION, AND DECREASED PAIN AS A RESULT OF SKILLED INTERVENTION.

GOAL INFECTION

PATIENT/CAREGIVER WILL VERBALIZE APPROPRIATE INFECTION CONTROL MEASURES TO PREVENT INFECTION OR CONTAMINATION FROM COVID-19 IN 3 WEEKS

PATIENT / CAREGIVER WILL VERBALIZE APPROPRIATE INFECTION CONTROL MEASURES TO PREVENT INFECTION OR CONTAMINATION. PATIENT WILL VERBALIZE UNDERSTANDING OF INFECTION PREVENTION TECHNIQUES SUCH AS FREQUENT HANDWASHING, MONITORING TEMPERATURE DAILY, AND ADHERENCE OF QUARANTINE BY WEEK 2.

ORDER

PHYSICAL THERAPIST TO INSTRUCT CLIENT/CAREGIVER REGARDING INFECTION CONTROL MEASURES RELATED TO COVID 19 AND POST SURGICAL INFECTION.

GOAL

PATIENT/CAREGIVER WILL VERBALIZE APPROPRIATE INFECTION CONTROL MEASURES TO PREVENT INFECTION OR CONTAMINATION AS IT RELATES TO COVID-19 SUCH AS HAND-WASHING, SOCIAL DISTANCING AND COVERING YOUR COUGH AND REPORTING S/S SURGICAL INCISION INFECTION SUCH AS REDNESS, SWELLING, AND EXCESSIVE DRAINAGE IN 6 WEEKS.

ORDER

PHYSICAL THERAPIST TO INSTRUCT CLIENT/CAREGIVER REGARDING INFECTION CONTROL MEASURES RELATED TO COVID 19 AND OTHER INFECTION.

GOALS

PATIENT/CAREGIVER WILL VERBALIZE APPROPRIATE INFECTION CONTROL MEASURES TO PREVENT INFECTION OR CONTAMINATION AS IT RELATES TO COVID-19 SUCH AS HAND-WASHING, SOCIAL DISTANCING AND COVERING YOUR COUGH AND REPORTING S/S OF INFECTION WHICH INCLUDE FEVER,  CHILLS,  FATIGUE. GOAL TO BE ACHIEVED IN TWO WEEKS GOAL MEDICATION PATIENT/CAREGIVER WILL BE KNOWLEDGEABLE IN ADMINISTRATION OF PRESCRIBED MEDICATIONS AS EVIDENCED BY ABLE TO VERBALIZE PURPOSE OF MEDS AND AT LEAST ONE SIDE EFFECT.

GOAL PAIN PHYSICAL THERAPIST TO PROVIDE INSTRUCTION AND/OR INTERVENTION REGARDING PHARMCOLOGICAL AND NON-PHARMOCOLOGICAL PAIN CONTROL METHODOLOGIES. MAY INCLUDE INSTRUCTION ON USE OF HEAT AND/OR COLD THERAPY APPLICATION TO *** X 20 MINS X 3 TIMES PER DAY AS NEEDED.

PATIENT/CAREGIVER WILL VERBALIZE UNDERSTANDING OF AND PROPER USAGE OF AVAILABLE PAIN CONTROL METHODOLOGIES AND REPORT REDUCTION OF PAIN */10 TO 3-2/10 WITH FUNCTIONAL ACTIVITY. GOALS TO BE ACHIEVED IN 3 weeks

GOAL SAFETY

INSTRUCT PATIENT/CAREGIVER IN MEASURES TO IMPROVE HOME SAFETY AND PREVENT FALLS/ ASSESS HOME SAFETY IN ORDER TO REDUCE FALL RISKS WITH APPROPRIATE HOME MODIFICATIONS.

GOAL PATIENT/CAREGIVER WILL VERBALIZE/DEMONSTRATE UNDERSTANDING OF FALL PREVENTION/SAFETY WITH REMOVAL OF THROW RUGS IN HALLWAY AND BATHROOM, MAKING SURE WALKING PATHWAY FREE OF CLUTTER,   AND APPROPRIATE USE OF ** AT ALL TIMES WITHIN ** WEEKS.

GOAL THR

PHYSICAL THERAPY TO PROVIDE TREATMENT ACCORDING TO THR PROGRAM INCLUDING STRENGTHENING (MAY INCLUDE PROM/AAROM/AROM/ARROM/PRE`S UP TO GREEN THERABAND 1-20 REPS X 1-3 SETS), ESTABLISH AND IMPLEMENT A HEP, SAFE TRANSFER TRAINING, PAIN MANAGEMENT (MAY INCLUDE EDUCATION ON POSITIONING/POSITIONAL CHANGE, ICING 15-30 MINS WITH BARRIER UP TO EVERY OTHER HOUR AS NEEDED WITH ELEVATION), GAIT AND STAIR MGMT TRAINING WITH APPROPRIATE DEVICE, SAFETY, HIP, AND POST-SURGICAL EDUCATION, AND INCISIONAL CARE INCLUDING MONITORING FOR S/S OF INFECTION.

PATIENT WILL DEMONSTRATE IMPROVED ROM WITH * HIP FLEXION FROM 45 TO 90 DEGREES AND HIP ABDUCTION FROM 10 TO 25 DEGREES, IMPROVE STRENGTH FROM 2/5 ON *LE TO 3+/5 AND *LE FROM 3+/5 TO 4/5, IMPROVE ABILITY TO POSITION SELF AND SUPINE <>SIT FROM MOD ASSIST TO MOD INDEPENDENT; IMPROVE TRANSFER FROM CGA TO MOD INDEPENDENT; IMPROVED GAIT FROM A DISTANCE OF 75 TO 500 FEET USING SAFE AND APPROPRIATE LEAST RESTRICTIVE AD, IMPROVE ABILITY TO ASCEND AND DESCEND STAIRS FROM MIN ASSIST TO MOD INDEPENDENT; IMPROVED BALANCE AND MOBILITY AS EVIDENCED BY ABILITY TO PERFORM 5X SIT TO STAND FROM 73 TO 30 SECONDS AND TUG FROM 48 TO 20 SECONDS. PAIN MANAGEMENT WITH DECREASE PAIN FROM 6/10 TO 2-3/10, SAFETY AND FUNCTIONAL SKILLS.

GOAL TKR

PATIENT WILL DEMONSTRATE IMPROVED ROM R KNEE FROM 88 TO 100 AND R KNEE EXTENSION FROM -24 TO -5 DEGREES, INCREASE STRENGTH LLE FROM 3+/5 TO 4/5, R KNEE FLEXION/EXTENSION FROM 2+/5 TO 3+/5, BED MOBILITY FROM MIN TO MOD INDEPENDENT, TRANSFER FROM MIN TO MOD INDEPENDENT, GAIT FROM DISTANCE OF 50 TO GREATER THAN 400 FEET USING SAFE AND APPROPRIATE AD FROM MIN TO MOD INDEPENDENT,IMPROVED ABILITY TO ASCEND AND DESCEND STAIRS TO MOD INDEPENDENT, IMPROVED TUG FROM 38 TO 13 AND 5X SIT TO STAND FROM 72 TO 30, PAIN MANAGEMENT WITH DECREASE PAIN FROM 6/10 TO 2-3/10, SAFETY AND FUNCTIONAL SKILLS.INDEP WITH HOME EXERCISE PROGRAM, VERBALIZES GOOD UNDERSTANDING OF SAFETY CONCERNS.

PATIENT WILL DEMONSTRATE IMPROVED ROM L KNEE FROM 60 TO 90 AND L KNEE EXTENSION FROM -16 TO -5 DEGREES, INCREASE STRENGTH RLE FROM 3+/5 TO 4/5, L KNEE FLEXION/EXTENSION FROM 2/5 TO 3+/5, TRANSFER FROM MIN TO MOD INDEPENDENT, GAIT FROM DISTANCE OF 50 TO GREATER THAN 500 FEET USING SAFE AND APPROPRIATE AD FROM SBA TO MOD INDEPENDENT, IMPROVED TUG FROM 47 TO 20 AND 5X SIT TO STAND FROM 62 TO 25, PAIN MANAGEMENT WITH DECREASE PAIN FROM 6/10 TO 2-3/10, SAFETY AND FUNCTIONAL SKILLS.INDEP WITH HOME EXERCISE PROGRAM, VERBALIZES GOOD UNDERSTANDING OF SAFETY CONCERNS.

IMPROVE ABILITY TO POSITION SELF AND SUPINE <>SIT FROM MOD ASSIST TO MOD INDEPENDEN

PATIENT WILL DEMONSTRATE IMPROVED KNEE FLEXION/EXTENSION ROM FROM */* TO */* DEGREES, LE STRENGTH FROM * TO *, BED MOBILITY FROM * TO *, * TRANSFERS FROM * TO *, EFFECTIVE PAIN MANAGEMENT FROM */10 TO */10, GAIT FROM * FEET ON * SURFACES WITH * ASSIST USING * DEVICE TO * FEET ON * SURFACES WITH * ASSIST USING * DEVICE, STAIR MANAGEMENT FROM * ASSIST USING * DEVICE TO * ASSIST USING * DEVICE, INDEP WITH HOME EXERCISE PROGRAM, VERBALIZES GOOD UNDERSTANDING OF SAFETY CONCERNS.

SOC GOAL COMBINED

ORDER

PHYSICAL THERAPIST TO INSTRUCT CLIENT/CAREGIVER REGARDING INFECTION CONTROL MEASURES RELATED TO COVID 19 AND OTHER INFECTION.

GOALS

PATIENT/CAREGIVER WILL VERBALIZE APPROPRIATE INFECTION CONTROL MEASURES TO PREVENT INFECTION OR CONTAMINATION AS IT RELATES TO COVID-19 SUCH AS HAND-WASHING, SOCIAL DISTANCING AND COVERING YOUR COUGH AND REPORTING S/S OF INFECTION WHICH INCLUDE FEVER,  CHILLS,  FATIGUE. GOAL TO BE ACHIEVED IN TWO WEEKS

INSTRUCT PATIENT/CAREGIVER IN MEASURES TO IMPROVE HOME SAFETY AND PREVENT FALLS/ ASSESS HOME SAFETY IN ORDER TO REDUCE FALL RISKS WITH APPROPRIATE HOME MODIFICATIONS.

GOAL

PATIENT/CAREGIVER WILL VERBALIZE/DEMONSTRATE UNDERSTANDING OF FALL PREVENTION/SAFETY WITH REMOVAL OF THROW RUGS IN HALLWAY AND BATHROOM, MAKING SURE WALKING PATHWAY FREE OF CLUTTER,   AND APPROPRIATE USE OF ** AT ALL TIMES WITHIN ** WEEKS.

PATIENT/CAREGIVER WILL BE KNOWLEDGEABLE IN ADMINISTRATION OF PRESCRIBED MEDICATIONS AS EVIDENCED BY  ABLE TO VERBALIZE PURPOSE OF MEDS AND AT LEAST ONE SIDE EFFECT.

PATIENT/CAREGIVER WILL VERBALIZE UNDERSTANDING OF AND PROPER USAGE OF AVAILABLE PAIN CONTROL METHODOLOGIES AND REPORT REDUCTION OF PAIN 6/10 TO 2/10 WITH FUNCTIONAL ACTIVITY.

PATIENT / CAREGIVER WILL VERBALIZE / DEMONSTRATE ADEQUATE KNOWLEDGE OF ENDOCRINE STATUS. PT WILL BECOME MORE CONSISTENT TO MONITOR BLOOD SUGAR STATUS DAILY AND BE MORE AWARE OF DIET/EXERCISE R/T DIABETES.