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Care Plan Activity Report

Facility: 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

Risk Factors / Conditions

  • 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

Note: Items shown in strikethrough are historical.


Goals

Goal Time Frame Type Status / Date
Ms. Barksdale’s skin integrity will be maintained as evidenced by no skin breakdown. 90 days Long-term Active
Effective: 11/09/2021
Review: 5/19/2025
Entered On: 3/07/2025
Entered By: CUMMINGS, ROBERT, RN
Ms. Barksdale’s skin integrity will be maintained as evidenced by no skin breakdown. 90 days Long-term Discharged
Review: 5/19/2025
Entered On: 3/06/2025
Entered By: Peguero, Jazmin
Ms. Barksdale’s skin integrity will be maintained as evidenced by no skin breakdown. 90 days Long-term Active
Review: 5/19/2025
Entered On: 2/18/2025
Entered By: Woodhouse, Theresa

Generated by Anash, Nikol on 4/17/2025 at 9:36 am
Page 112 of 464
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