Progress Note

Mrs. KATE ALLENA

Chart ID 11111D1

Age 69 Years

  • 07-23-1957 (66 years)
  • Male
  • +1-212-456-7890
  • ibeothpeter@gmail,com
  • Non-Dual Aged
  • ibeothpeter@gmail,com
  • 11-02-2023
  • 2.55
  • Medical Health Insurance
  • 14XE-YT78-8901

CONFIRMATION

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Pain Assessment?
Moderate Pain

4 to 6 is moderate pain

Bathing/Grooming
Cooking/Eating
Dressing
Walking
Transferring
Using Toilet
Advanced Care Planning
Advanced Directive
Living Will
Surrogate Decision Letter
Medication Review