1-10 NURSING FACILITY SERVICESLOCATION: Nursing Home PATIENT: Thomas WeissPHYSICIAN: Frank Gaul, M.
1-10 NURSING FACILITY SERVICESLOCATION: Nursing Home PATIENT: Thomas WeissPHYSICIAN: Frank Gaul, M.D.HISTORY: Mr. Weiss is seen for a routine visit for Alzheimer’s. There is no code in place. The chart is reviewed along with the nursing notes. Advanced directives are in place. The graphic chart is also reviewed. The patient is experiencing no fevers, chills, chest pain or shortness of breath. Nurse states patient continues to be frequently delusional.EXAMINATION: This well-developed, well-nourished gentleman is sitting without distress.HEENTnormocephalic and atraumatic. Neck is supple. Lungs are clear to auscultation. Extremities show little to no edema.IMPRESSION:1. Alzheimer dementia2. Atypical psychosis with delusions Health Science Science Nursing HIM 2724 Share QuestionEmailCopy link Comments (0)
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