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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) – NURSING – Skin Impairment – 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

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Generated by Anash, Nikol on 4/17/2025 at 9:36 am
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