18th Case of the Week Due 12/13/18, by 1pm EST
HF Medicare SNF- Review on 11/8/18
CCR1. 74 yoF admitted to the hospital 10/31/2018 for elective R TKA. C/o generalized weakness and dizziness. Orthostatic hypotension limiting functional mobility. Target LOS 14 days provided to facility based on DRG#470. Treatment Goal Date: 11/15/2018. Expected DCP: To return home, d/c date: TBD. Number of Skill Days used prior to current review/100 days: 12. PMH: OA, HTN, hypothyroidism. PLOF/ Living Situation: Pt lives alone in AFT building with elevator access. Pt was independent with all ADLs and functional mobility without AD. Home Setup: Not provided. Behavioral Health: Not provided. Advanced Directive/Living Will: Not provided. Service requested for: SNF.
*Skilled Medical Needs: Not provided.
*Current Mental Status: A&Ox3 Dementia Score: Not Provided.
*Bed Mobility: MinA.
*Ambulation: Not provided.
*Transfer: Not provided.
*Stairs: 0 step Not tested.
*Bathing UB: Not tested.
*LB: Not tested.
*Dressing UB: ModA.
*LB: not provided.
*Toileting: Not provided.
*Toilet Transfers: Not provided.
*Speech Tx: Speech and swallow evaluation performed.
PT/OT for therapy initiation to assist w/ all functional mobility.
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