KINGDOM OF GOD HOSPITAL LOS ANGELES,CALIFORNIA 900000.
INTERDISCIPLINARY KARDE.
Age/Sex 86years old female.
Account number : Q0966566225.
Status: Inpatient admission.
Date of admission:07/02/21.
MR# Q56660094447.
Location: MedTelemetry.
Room:410019.
Patient name: Jemison,Godwishe.
Attending doctor: Tumtum,Worry.
Code Status: DNR.Co-signature done.
Primary diagnosis:Anemia, GI bleed.
Secondary diagnosis:Anemia, Asthma, severe hypothyroidism HLD,Dm,orif of left leg,disease of aorta, left pleura effusion. Colonoscopy and EGD done: Polyps removed. H/H 8.9/27.7 after transfusion of 1 unit of PRBC.+ Occult blood.
Thoracentesis done 450ml removed.Lower lobe atelectases noted.
Skin integrity impaired: Yes.Excoriation to bilateral buttocks.
Is patient at risk for fall: Yes.Language barrier.
Is patient at risk for suicide :No.
Picc line right subclavian.
Diet:Cardiac heart health diet mechanical ground.Thin liquid. Ensure tid.
02 at 2liters NC . Saturation of 93%.Ejection fraction of 25%.
PT evaluation done.No treatment recommended at this time.
Patient will be transferred to Beautiful Comfort Skilled Nursing Facility in Los Angeles, California 909999.
Laboratory tests:WBC:4.7.H/H 8.9/27.7.K:4.9.NA : 135.
