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5.33.2
Care Plan Activity Report
Kings Harbor Multicare Center
Resident: Barksdale, Clydia
Unit-Room-Bed: M1 - 114 - A
DOB: 6/15/1928 (96 y)
System/Facility ID: 19302 / 041353
Selection: Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
Notes
Resident readmitted to facility from Albert Einstein hospital with dx of stroke. Evacuation plan remains in place.
Status / Date
- Created On: 3/07/2025
- Entered On: 3/07/2025
- Entered By: CUMMINGS, ROBERT, RN
Focus
(130 - RA) β NURSING β Skin Impairment β Potential/Actual (Admission)
- Potential for alteration in skin integrity
- Actual skin impairment
AS EVIDENCED BY:
- Abscess
- Abrasions/bruises
- Blister(s)
- Skin tear
- Stasis ulcer(s)
- Arterial ulcer(s)
- Diabetic foot ulcer(s)
- Gangrene
- Pressure ulcer
- Stage I
- Stage II
- Stage III
- Stage IV
- Unstageable secondary to nonremovable dressing/device
- Unstageable secondary to slough and/or eschar
- Unstageable secondary to deep tissue injury
- Excoriation
- Cellulitis to ____________________
- Wound
- Rash
- Surgical wound
- Burn(s)
- Open lesion(s) other than ulcers, rashes, cuts (e.g. cancer lesion)
- Vascular Ulcer
- Moisture Associated Skin Damage (MSAD)
- Other ________________________
RELATED TO:
- Terminal illness
- PVD
- Diabetes
- MS
β’ = Historical Item
Entered By:
CUMMINGS, ROBERT, RN
Status / Date
- Active
- Effective: 11/08/2021
- Entered On: 3/07/2025
- Entered By: CUMMINGS, ROBERT, RN
v4 SigmaCare by MatrixCare
Generated by Anash, Nikol on 4/17/2025 at 9:36 am
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