Nursing Home Progress Note
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PATIENT NAME NURSING HOME PROGRESS NOTE o Initial Visit Date: o Acute Care o Recertification Advance Directives o Yes o No o Annual Exam ADDRESSOGRAPH ROS: Constitutional o neg HPI: CC: Recent problems with Allergies Eyes o neg Problem List: o Reviewed o Updated ENT, Mouth o neg HISTORY: History obtained from: o Patient o Family o Nursing Staff o Chart o Therapy Staff Respiratory o neg Cardiovascular o neg GI o neg PMHx: GU o neg N U R S I N G Neuro o neg Social/Family Hx MS o neg FUNCTIONAL STATUS Basic ADLs Indep.
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