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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


v4 SigmaCare by MatrixCare
Generated by Anash, Nikol on 4/17/2025 at 9:36 am
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