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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
- Hemiparesis/Hemiplegia
- Impaired sensory perception
- Hx stasis/pressure ulcers
- Use of restraint
- Dementia/Alzheimer’s Disease
- Incontinence
- Bed mobility problems
- Splint/Cast/Device to (Specify) ____________________
- Use of antidepressants, antianxiety, hypnotics, & antipsychotics
- Contractures
- S/P Fracture Specify: ____________________________
- Edema
- Impaired mobility
- S/P Surgery
- Weight loss
- Malnutrition/low body weight/obesity
- Trauma
- Advanced age
- Bed rest
- Prolonged hospitalization
- Eczema/Psoriasis/Rash/Dermatitis
- Fragile skin
- Cancer
- History of previous breakdown
- Hypoalbuminemia
- LBM
- ESRD
- Anemia
- Depression
- Neuropathy
- Friction
- Shear
- Other: Mycotic toenails
(130 – RA) NURSING – Skin Impairment – Potential/Actual (Admission)
Discharged
Caregiver: Peguero, Jazmin
Entered On: 3/06/2025
Entered By: Peguero, Jazmin
~~- [x] 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~~
■ = Historical Item
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