20008200781Change of 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(RN)ARAA12812864255255255000000000000000002550001Arial140050101842150400000000020008200782700000000000000000000000000000000000000000200082007827000100000000000000000000000000000000000000000000000000100000000000200082007813ASAA12812864255255255000000000000000002550001Arial140050101842150400000000020008200781300000000000000000000000000000000000000000200082007813000100000000000000000000000000000000000000000000000000100000000000200082007828Appearance 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to calling MD/NP/PA:AAAB25525525500000000000000000001105251020001Arial10500001000000000020008200788400000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788400000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788400000000000000000000000000000000000000000200082007884000100000000000000000000000000000000000000000000000000100000000000200082007817SYMPTOM/SIGN/CHANGE:VEhFIFNZTVBUT00vU0lHTi9DSEFOR0UgSSdNIENBTExJTkcgQUJPVVQgSVM6ABAB212208200000101000000000000011052510216500Arial80001012550000000002000820078170000000000000000000000000000000000000000020008200781701400100000000000100000000000000000000000000000000008010000000000020008200781710116*20008200781710117*200082007818THIS STARTED:ACAB212208200000101000000000000011052510216500Arial8000101255000000000200082007818000000000000000000000000000000000000000002000820078180120010000000000010000000000000000000000000000000000167772240100000000000200082007819SINCE STARTED HAS GOTTEN:U0lOQ0UgVEhJUyBTVEFSVEVEIElUIEhBUyBHT1RURU46ADAB212208200000101000000000000011052510216500Arial800010125500000000020008200781900000000000000000000000000000000000000000200082007819000001000000000001000000000000000000000000000000000080100000000000200082007823THINGS THAT MAKE IT WORSE:VEhJTkdTIFRIQVQgTUFLRSBUSEUgQ09ORElUSU9OIFdPUlNFOg==AEAB212208200000101000000000000011052510216500Arial800010125500000000020008200782300000000000000000000000000000000000000000200082007823014001000000000001000000000000000000000000000000000080100000000000200082007824THINGS THAT MAKE IT BETTER:VEhJTkdTIFRIQVQgTUFLRSBUSEUgQ09ORElUSU9OIEJFVFRFUjo=AFAB212208200000101000000000000011052510216500Arial8000101255000000000200082007824000000000000000000000000000000000000000002000820078240140010000000000010000000000000000000000000000000000801000000000002000820078137SIGN/CONDITION OCCUR BEFORE:VEhJUyBDT05ESVRJT04sIFNZTVBUT00sIE9SIFNJR04gSEFTIE9DQ1VSRUQgQkVGT1JFOg==AGAB212208200000101000000000000011052510216500Arial800010125500000000020008200781370000000000000000000000000000000000000000020008200781370000010000000000010000000000000000000000000000000000801000000000002000820078140TREATMENT FOR LAST EPISODE:AHAB212208200000101000000000000011052510216500Arial80001012550000000002000820078140000000000000000000000000000000000000000002000820078140014001000000000001000000000000000000000000000000000080100000000000200082007825OTHER RELEVANT INFORMATION:AIAB212208200000101000000000000011052510216500Arial800010125500000000020008200782500000000000000000000000000000000000000000200082007825014001000000000001000000000000000000000000000000000080100000000000200082007826^ View BackgroundAKAB22422117500000000000000000001105251021000Arial800001184215040000000002000820078260000000000000000000000000000000000000000020008200782600010000000000000000000000000000000000000000000000009010000000000020008200782620244100002000200082007866MENTAL STATUS CHANGES:AMAB212208200000101000000000000011052510216500Arial800010125500000000020008200786600000000000000000000000000000000000000000200082007866000001000000000001000000000000000000000000000000000080100000000000200082007868FUNCTIONAL STATUS CHANGES:ANAB212208200000101000000000000011052510216500Arial800010125500000000020008200786800000000000000000000000000000000000000000200082007868000001000000000001000000000000000000000000000000000080100000000000200082007870RESPIRATORY:AOAB212208200000101000000000000011052510216500Arial800010125500000000020008200787000000000000000000000000000000000000000000200082007870000001000000000001000000000000000000000000000000000080100000000000200082007872GI/ABDOMEN:APAB212208200000101000000000000011052510216500Arial800010125500000000020008200787200000000000000000000000000000000000000000200082007872000001000000000001000000000000000000000000000000000080100000000000200082007874GU/URINE CHANGES:AQAB212208200000101000000000000011052510216500Arial800010125500000000020008200787400000000000000000000000000000000000000000200082007874000001000000000001000000000000000000000000000000000080100000000000200082007829THE PROBLEM MAY BE:ARAB212208200000101000000000000011052510216500Arial800010125500000000020008200782900000000000000000000000000000000000000000200082007829014001000000000001000000000000000000000000000000000080100000000000200082007830THE RESIDENT APPEARS:ATAB212208200000101000000000000011052510216500Arial800010125500000000020008200783000000000000000000000000000000000000000000200082007830014001000000000001000000000000000000000000000000000080100000000000200082007832SUGGEST/REQUEST THE FOLLOWING:AVAB212208200000101000000000000011052510216500Arial8000101255000000000200082007832000000000000000000000000000000000000000002000820078320000010000000000010000000000000000000000000000000000801000000000002000820078143ADDITIONAL COMMENTS:AXAB212208200000101000000000000011052510216500Arial80001012550000000002000820078143000000000000000000000000000000000000000002000820078143014001000000000001000000000000000000000000000000000080100000000000200082007841REPORTED TO:AZAB212208200000101000000000000011052510216500Arial800010125500000000020008200784100000000000000000000000000000000000000000200082007841014//5FAG4AdABlAHIAIABNAEQALwBOAFAALwBQAEEAIABjAG8AbgB0AGEAYwB0AGUAZAA=001000000000001000000000000000000000000000000000080100000000000200082007842DATE:BAAB212208200000101000000000000011052510216500Arial8000101255000000000200082007842000000000000000000000000000000000000000002000820078420120010000000000000000000000000000000000000000000000167772240100000000000200082007843TIME:BBAB212208200000101000000000000011052510216500Arial800010125500000000020008200784300000000000000000000000000000000000000000200082007843013001000000000000000000000000000000000000000000000080100000000000200082007860^ Print Communication ReportBEAB22422117500000000000000000001105251021000Arial800001184215040000000002000820078600000000000000000000000000000000000000000020008200786000010000000000000000000000000000000000000000000000009010000000000020008200786020364400002000200082007885*Evaluate the residentAAAC25525525500000000000000000001105251020000Arial8000001000000000020008200788500000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788500000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788500000000000000000000000000000000000000000200082007885000100000000000000000000000000000000000000000000000000100000000000200082007820WorseADAC025525500000100100000000001105251020000Arial8000001797457400000000020008200782000000000000000000000000000000000000000000200082007820000000000000000000000001000000000000000000000000000000100000000000200082007820120008200781932000820078139yesAGAC025525500000100100000000001105251020000Arial80000017974574000000000200082007813900000000000000000000000000000000000000000200082007813900000100000000000000000100000000000000000000000000000010000000000020008200781391200082007813732000820078141(if applicable)AHAC25525525500000000000000000001105251020000Arial800010100000000002000820078141000000000000000000000000000000020000000000000110111000000000000000000000000000000200082007814100000000000000000000000000000002000000000000011011100000000000000000000000000000020008200781410000000000000000000000000000000000000000020008200781410001000000000000000000000000000000000000000000000000001000000000002000820078145^ View Physician OrdersAKAC22422117500000000000000000001105251021000Arial800001184215040000000002000820078145000000000000000000000000000000000000000002000820078145000100000000000000000000000000000000000000000000000090100000000000200082007814519994100002000200082007876Compared to baseline, checkAMAC25525525500000000000000000001105251020000Arial8000001000000000020008200787600000000000000000000000000000002000000000000011011100000000000000000000000000000020008200787600000000000000000000000000000002000000000000011011100000000000000000000000000000020008200787600000000000000000000000000000000000000000200082007876000100000000000000000000000000000000000000000000000000100000000000200082007892Compared to baseline, checkANAC25525525500000000000000000001105251020000Arial80000010000000000200082007892000000000000000000000000000000020000000000000110111000000000000000000000000000000200082007892000000000000000000000000000000020000000000000110111000000000000000000000000000000200082007892000000000000000000000000000000000000000002000820078920001000000000000000000000000000000000000000000000000001000000000002000820078108not applicableAOAC025525500000100100000000001105251020000Arial8000001797457400000000020008200781080000000000000000000000000000000000000000020008200781080000010000000000000000010000000000000000000000000000001000000000002000820078108120008200787032000820078114not applicableAPAC025525500000100100000000001105251020000Arial8000001797457400000000020008200781140000000000000000000000000000000000000000020008200781140000010000000000000000010000000000000000000000000000001000000000002000820078114120008200787232000820078102Compared to baseline, checkAQAC25525525500000000000000000001105251020000Arial80000010000000000200082007810200000000000000000000000000000002000000000000011011100000000000000000000000000000020008200781020000000000000000000000000000000200000000000001101110000000000000000000000000000002000820078102000000000000000000000000000000000000000002000820078102000100000000000000000000000000000000000000000000000000100000000000200082007853What do you think is going onARAC25525525500000000000000000001105251020000Arial8000001000000000020008200785300000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785300000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785300000000000000000000000000000000000000000200082007853000100000000000000000000000000000000000000000000000000100000000000200082007857How does the resident appear?ATAC25525525500000000000000000001105251020000Arial8000001000000000020008200785700000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785700000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785700000000000000000000000000000000000000000200082007857000100000000000000000000000000000000000000000000000000100000000000200082007833Provider visit 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fingerAAAD25525525500000000000000000001105251020000Arial8000001000000000020008200788600000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788600000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788600000000000000000000000000000000000000000200082007886000100000000000000000000000000000000000000000000000000100000000000200082007821BetterADAD025525500000100100000000001105251020000Arial8000001797457400000000020008200782100000000000000000000000000000000000000000200082007821000000000000000000000001000000000000000000000000000000100000000000200082007821120008200781932000820078138noAGAD025525500000100100000000001105251020000Arial8000001797457400000000020008200781380000000000000000000000000000000000000000020008200781380000010000000000000000010000000000000000000000000000001000000000002000820078138120008200781373200082007877all that you observe, relevantAMAD25525525500000000000000000001105251020000Arial8000001000000000020008200787700000000000000000000000000000002000000000000011011100000000000000000000000000000020008200787700000000000000000000000000000002000000000000011011100000000000000000000000000000020008200787700000000000000000000000000000000000000000200082007877000100000000000000000000000000000000000000000000000000100000000000200082007893all that you observe, relevantANAD25525525500000000000000000001105251020000Arial8000001000000000020008200789300000000000000000000000000000002000000000000011011100000000000000000000000000000020008200789300000000000000000000000000000002000000000000011011100000000000000000000000000000020008200789300000000000000000000000000000000000000000200082007893000100000000000000000000000000000000000000000000000000100000000000200082007871shortness of breathAOAD025525500000100100000000001105251020000Arial8000001797457400000000020008200787100000000000000000000000000000000000000000200082007871000001000000000000000001000000000000000000000000000000100000000000200082007871120008200787032000820078115nauseaAPAD025525500000100100000000001105251020000Arial8000001797457400000000020008200781150000000000000000000000000000000000000000020008200781150000010000000000000000010000000000000000000000000000001000000000002000820078115120008200787232000820078103all that you observe, relevantAQAD25525525500000000000000000001105251020000Arial80000010000000000200082007810300000000000000000000000000000002000000000000011011100000000000000000000000000000020008200781030000000000000000000000000000000200000000000001101110000000000000000000000000000002000820078103000000000000000000000000000000000000000002000820078103000100000000000000000000000000000000000000000000000000100000000000200082007852with the 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the sameADAE025525500000100100000000001105251020000Arial800000179745740000000002000820078220000000000000000000000000000000000000000020008200782200000000000000000000000100000000000000000000000000000010000000000020008200782212000820078193200082007878to the change of conditionAMAE25525525500000000100000000001105251020000Arial800000100000000002000820078780000000000000000000000000000000200000000000001101110000000000000000000000000000002000820078780000000000000000000000000000000200000000000001101110000000000000000000000000000002000820078780000000000000000000000000000000000000000020008200787800010000000000000000000100000000000000000000000000000010000000000020008200787812000820078663200082007894to the change of 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confused)ATAE25525525500000000000000000001105251020000Arial8000001000000000020008200785900000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785900000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785900000000000000000000000000000000000000000200082007859000100000000000000000000000000000000000000000000000000100000000000200082007835IV or SC fluidsAVAE025525500000100100000000001105251020000Arial800000179745740000000002000820078350000000000000000000000000000000000000000020008200783500000100000000000000000100000000000000000000000000000010000000000020008200783512000820078323200082007888*Review recordAAAF25525525500000000000000000001105251020000Arial8000001000000000020008200788800000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788800000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788800000000000000000000000000000000000000000200082007888000100000000000000000000000000000000000000000000000000100000000000200082007875not applicableAMAF025525500000100100000000001105251020000Arial8000001797457400000000020008200787500000000000000000000000000000000000000000200082007875000001000000000000000001000000000000000000000000000000100000000000200082007875120008200786632000820078101not applicableANAF025525500000100100000000001105251020000Arial8000001797457400000000020008200781010000000000000000000000000000000000000000020008200781010000010000000000000000010000000000000000000000000000001000000000002000820078101120008200786832000820078110labored 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 urine outputAQAF025525500000100100000000001105251020000Arial800000179745740000000002000820078128000000000000000000000000000000000000000002000820078128000001000000000000000001000000000000000000000000000000100000000000200082007812812000820078743200082007854respiratory, urinary,ARAF25525525500000000000000000001105251020000Arial8000001000000000020008200785400000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785400000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785400000000000000000000000000000000000000000200082007854000100000000000000000000000000000000000000000000000000100000000000200082007836Monitor vital signs and observTW9uaXRvciB2aXRhbCBzaWducyBhbmQgb2JzZXJ2ZQ==AVAF025525500000100100000000001105251020000Arial800000179745740000000002000820078360000000000000000000000000000000000000000020008200783600000100000000000000000100000000000000000000000000000010000000000020008200783612000820078323200082007889progress notes, labs, ordersAAAG25525525500000000000000000001105251020000Arial8000101000000000020008200788900000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788900000000000000000000000000000002000000000000011011100000000000000000000000000000020008200788900000000000000000000000000000000000000000200082007889000100000000000000000000000000000000000000000000000000100000000000200082007867increased confusionAMAG025525500000100100000000001105251020000Arial800000179745740000000002000820078670000000000000000000000000000000000000000020008200786700000100000000000000000100000000000000000000000000000010000000000020008200786712000820078663200082007895needs more assistance with ADLbmVlZHMgbW9yZSBhc3Npc3RhbmNlIHdpdGggQURMcw==ANAG025525500000100100000000001105251020000Arial8000001797457400000000020008200789500000000000000000000000000000000000000000200082007895000001000000000000000001000000000000000000000000000000100000000000200082007895120008200786832000820078111non-productive 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statusARAG25525525500000000000000000001105251020000Arial8000001000000000020008200785500000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785500000000000000000000000000000002000000000000011011100000000000000000000000000000020008200785500000000000000000000000000000000000000000200082007855000100000000000000000000000000000000000000000000000000100000000000200082007837Change in current orders:AVAG025525500000100100000000001105251020000Arial800000179745740000000002000820078370000000000000000000000000000000000000000020008200783700000100000000000000000100000000000000000000000000000010000000000020008200783712000820078323200082007890*Have relevant 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signs:AOAI025525500000100100000000001105251020000Arial8000001797457400000000020008200781130000000000000000000000000000000000000000020008200781130140010000000000000000010000000000000000000000000000001000000000002000820078113120008200787032000820078121distended abdomenAPAI025525500000100100000000001105251020000Arial8000001797457400000000020008200781210000000000000000000000000000000000000000020008200781210000010000000000000000010000000000000000000000000000001000000000002000820078121120008200787232000820078131urinating more frequentlyAQAI025525500000100100000000001105251020000Arial800000179745740000000002000820078131000000000000000000000000000000000000000002000820078131000001000000000000000001000000000000000000000000000000100000000000200082007813112000820078743200082007839Transfer to the 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- CNA Report (past 7 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