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Care Plan Activity Report

Kings Harbor Multicare Center

Resident: Barksdale, Clydia
DOB: 6/15/1928 (96 y)
Unit-Room-Bed: M1 – 114 – A
System/Facility ID: 19302 / 041353

Selection: Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025

Activity Notes

Entry 1

Created On: 8/22/2024
Entered On: 8/22/2024
Entered By: Arias, Winnie

Notes:
96 y/o F with PMHX of T2DM, Anemia, CHF, OA, Afib, Depression, Dementia, Pulmonary HTN, Dysphagia.
PO intake: >50% all meals and fluids. No changes in chewing/swallowing reported. No edema or PI/PU as per MD note from 8/1/24. NO GI symptoms reported. No significant wt changes x 1 mo, 3 mo, 6 mo. POC updated and ongoing.

Entry 2

Created On: 11/07/2024
Entered On: 11/07/2024
Entered By: Arias, Winnie

Notes:
PO intake: >50% all meals and fluids. No changes in chewing/swallowing reported. No edema or PI/PU as per MD note from 10/15/24. NO GI symptoms reported. No significant wt changes x 1 mo, 3 mo, 6 mo. POC updated and ongoing.

Entry 3

Created On: 1/31/2025
Entered On: 1/31/2025
Entered By: Arias, Winnie

Notes:
PO intake: >50% all meals and fluids. No changes in chewing/swallowing reported. No edema or PI/PU as per MD note from 1/22/25. NO GI symptoms reported. No significant wt changes x 1 mo, 3 mo, 6 mo. POC updated and ongoing.

Entry 4

Created On: 3/08/2025
Entered On: 3/08/2025
Entered By: Wilson, Sheree

Notes:
PO: 25–100% for fluids as per CNAAR. No new food preferences voiced or observed at present. Substantial weight loss noted x 34 days; x 96 days; x 187 days. Weight maintenance is the goal at this time. Labs on; 1/29/25; A1C(H). No visible s/s fluid deficit. No reported GI disturbances. Skin intact. Res on the following medications w/ potential for effect on nutritional status: Apixaban, Atorvastatin, Losartan, Metformin, Metoprolol, Pantoprazole. Will continue w/ POC and intervene as needed.

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