Scribd Logo
Upload

Welcome to Scribd!

  • 94 views

    Alfredo 2

    Uploaded by

    lokohugpo
    This document provides an addendum to a plan of treatment for patient Alfredo Delgado. It summarizes his medications which include Furosemide, Klor Con, Coreg, and Tylenol as needed. It also lists his pertinent medical diagnoses of Alzheimer's disease, hypothyroidism, and osteoarthritis. The addendum outlines safety measures, nutritional requirements, functional limitations, and orders for treatments including instruction on diabetes management, infection control, and pulmonary hygiene. It notes the patient requires assistance with blood glucose and blood pressure monitoring due to vision, dexterity, and memory issues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC or read online from Scribd

    Alfredo 2

    Uploaded by

    lokohugpo
    94 views1 page
    This document provides an addendum to a plan of treatment for patient Alfredo Delgado. It summarizes his medications which include Furosemide, Klor Con, Coreg, and Tylenol as needed. It also lists his pertinent medical diagnoses of Alzheimer's disease, hypothyroidism, and osteoarthritis. The addendum outlines safety measures, nutritional requirements, functional limitations, and orders for treatments including instruction on diabetes management, infection control, and pulmonary hygiene. It notes the patient requires assistance with blood glucose and blood pressure monitoring due to vision, dexterity, and memory issues.

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOC or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides an addendum to a plan of treatment for patient Alfredo Delgado. It summarizes his medications which include Furosemide, Klor Con, Coreg, and Tylenol as needed. It also lists his pertinent medical diagnoses of Alzheimer's disease, hypothyroidism, and osteoarthritis. The addendum outlines safety measures, nutritional requirements, functional limitations, and orders for treatments including instruction on diabetes management, infection control, and pulmonary hygiene. It notes the patient requires assistance with blood glucose and blood pressure monitoring due to vision, dexterity, and memory issues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC or read online from Scribd
    Download as doc
    94 views1 page

    Alfredo 2

    Uploaded by

    lokohugpo
    This document provides an addendum to a plan of treatment for patient Alfredo Delgado. It summarizes his medications which include Furosemide, Klor Con, Coreg, and Tylenol as needed. It also lists his pertinent medical diagnoses of Alzheimer's disease, hypothyroidism, and osteoarthritis. The addendum outlines safety measures, nutritional requirements, functional limitations, and orders for treatments including instruction on diabetes management, infection control, and pulmonary hygiene. It notes the patient requires assistance with blood glucose and blood pressure monitoring due to vision, dexterity, and memory issues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC or read online from Scribd
    Download as doc
    of 1

    epartment of Health and Human Services Form Approved

    Centers For Medicare and Medicaid Services OMB No. 0938-0357


    ADDENDUM TO: ✘ PLAN OF TREATMENT MEDICAL UPDATE
    1. Patient's HI 2. SOC 3. Certification Period 4. Medical Record 5. Provider No.
    Claim No. N/A Date From: 2/6/2009 To: 4/6/2009 No. N/A
    6. Patient's Name 2/6/1009 00015
    7. Provider's Name
    ALFREDO DELGADO NEW LIFE HOME HEALTH AGENCY, INC.
    10251 NW 80 COURT, APTO # 413 6501 NW 36 STREET, SUITE 455
    HIALEAH, FLORIDA 33016 VIRGINIA GARDENS, FLORIDA. 33166
    PHONE # 305 -817-0884
    8.
    Item  
    No 10. Medications: Dose/Frequency/Route
    . FUROSEMIDE 20 MG ONE TABLET ONCE A DAY ORALLY
    KLOR CON 10 MEQ ONE TABLET ONCE A DAY ORALLY
    COREG 3.125 MG ONE TABLET ONCE A DAY ORALLY
    TYLENOL 500 MG TWO TABLETS EVERY 6 HOURS AS NEEDED FOR PAIN

    13. Other Pertinent Diagnosis


    331. 0 ALZHEIMER’S DISEASE
    244.9 HYPOTHYROIDISM NOS
    715.09 GENERALIZED OSTEOARTHRITIS
    V46.2 DEPENDENCE ON SUPPLEMENTAL OXYGEN

    14. DME And Supplies


    SHARPS CONTAINER, CANE OXYGEN CONCENTRATOR.

    15. Safety Measures


    BLEEDING PRECAUTIONS, OXYGEN PRECAUTIONS, CLEAR PATHWAYS, INFECTION CONTROL MEASURES,
    SAFE USE OF ASSISTIVE DEVICES, MEDICATION SAFETY. SAFE STORAGE OF MEDICATION.

    16. Nutritional Requirements


    LOW SODIUM , LOW FAT DIET.

    18. A Functional Limitations


    PARTIALLY IMPAIRED VISION, UPPER/LOWER DENTURES, CHRONIC PAIN OF KNEES, WEAKNESS OF
    LOWER EXTREMITIES, DECREASED RANGE OF MOTION OF LOWER EXTREMITIES, POOR ENDURANCE.

    21. Orders for Discipline and Treatments


    INSTRUCT ON DIABETIC CHART, TESTING AND READING RESULTS., INSTRUCT TO CARRY I.D. THAT
    INCLUDES INFORMATION REGARDING DIABETIC STATUS, INSTRUCT ON IMPORTANCE OF GOOD
    PERSONAL HEALTH HABITS, INCLUDING EXERCISE, ADEQUATE REST, SLEEP, REGULAR MED CHECK-UPS
    (INCLUDING OPHTHALMOLOGIST & DENTIST). INSTRUCT INFECTION CONTROL & PULMONARY HYGIENE. I
    COMPLICATIONS IN CARDIOPULMONARY STATUS, PREVENTION OF COMPLICATIONS: IE: AVOID OVER-
    EXERTION, CHILLING, CROWDS, INSTRUCT COUGHING, DEEP BREATHING EXERCISES, PATIENT TO
    MAINTAIN ADEQUATE REST PATTERN, PACED ACTIVITY PROGRAM, DISEASE PROCESS AND
    MAINTENANCE, SAFE USE OF OXYGEN AND OXYGEN PRECAUTIONS. PATIENT IS UNABLE TO PERFORM
    OWN BLOOD GLUCOSE/BLOOD PRESSURE MONITORING DUE TO: POOR VISION, POOR MANUAL
    DEXTERITY, AND FORGETFULNESS, LIVES WITH WIFE WHO IS UNABLE TO ASSIST DUE TO HER
    FUNCTIONAL LIMITATIONS AND REQUIRES ASSISTANCE HERSELF. SN TO REPORT ANY INCIDENTS DURING
    THE COURSE OF SERVICES TO PHYSICIAN/AGENCY.

    9. Signature of Physician 10. Date

    27. Optional Name/Signature of Nurse/Therapist 12. Date

    Form CMS-487 (C-4) (4-87) PROVIDER

    You might also like