458 CASE SCENARIO. LEFT PERIORBITAL CELLULITIS. (INFECTION OF THE LEFT EYELID)

KINGDOM OF GOD HOSPITAL, LOS ANGELES,CA 900000. INTERDISCIPLINARY KARDEX. Age/Sex:40years. Account number: Q666000444354. MR# Q000878664532. Location Opthomology department 6th floor. Room 630016. Patient Name: Freshisher,Fish. Attending doctor: Landis Godi. Secondary diagnosis: Hypertension, diabetes type 2. Isolation status: Standard precautions. Is patient at risk for falls No. Is patient at risk for suicide No. Do you …

456 CASE SCENARIO. GALLBLADDER REMOVAL.

KINGDOM OF GOD HOSPITAL, LOS ANGELES,CA 900000. INTERDISCIPLINARY KADEX. Age/Sex: 51years old female. Account # Q678000543. Status: Inpatient admission. Medical Record number: Q00557813096. Location: General surgery unit. Room 300016. Attending doctor : Don’thate,Big. Patient name: Pinsol,Great. Alert and oriented x4. No respiratory distress. 02 at 2liter NC,saturation of 94%. Is patient risk for falls No. …

455 CASE SCENARIO. SEPSIS/UTI/MRSA WOUND.

KINGDOM OF GOD HOSPITAL,LOS ANGELES,CA 900000. INTERDISCIPLINARY KADEX. Age/Sex 66years.Female. Account number : Q0096654444. MR# Q000099933771. Location 4th Floor. (MedTelemetry) Room 400129. Patient name: Miliky Worda. Attending doctor : Tumtum,Worry. Code Status: DNR. Primary diagnosis:Sepsis/UTI/MRSA Wound. Secondary diagnosis: diabetes mellitus, hypertension, stroke, glaucoma, Seizures. Is patient at risk for falls?:Yes. Do you have an advanced …

454 CASE SCENARIO. DEHYDRATION/PYELONEPHRITIS/RENAL FAILURE/ANEMIA.

KINGDOM OF GOD HOSPITAL ,LOS ANGELES,CA 900000. INTERDISCIPLINARY KADEX. Age/ Sex 30years Male. Status :Inpatient admission . Account #Q000000069. MR# Q00453601178. Date of admission: 03/24/21 12noon. Location 4Center. Room 456003. Primary diagnosis: Dehydration, Pyelonephritis, Renal failure, Anemia. 03/29/21 S/P Revision of prolapsed colostomy, and partial colon resection by doctor Cute James. Secondary diagnosis: Paraplegic ; …

453 CASE SCENARIO. UTI,RETRACTABLE NAUSEA/VOMITING.

KINGDOM OF GOD HOSPITAL LOS ANGELES,CA 90000. INTERDISCIPLINARY KARDEX. Age/ Sex : 38years old female. Admission date: 02/21/21 0340am. Account number : Q009665437. MR# Q56660004443. Name of patient: Mymistake Monistat. Attending doctor: Tumtum,Worry. Location: Medical Surgical floor. Room :356003. Primary diagnosis: UTI,Retractable nausea/Vomiting. Secondary diagnosis: Diabetes, UTI,Migraine. Code Status: full code. Patient belongings Checklist done. …

450 CASE SCENARIO. ACUTE ISCHEMIC STROKE.

KINGDOM OF GOD HOSPITAL ,LOS ANGELES,CALIFORNIA 900000. INTERDISCIPLINARY KARDEX. Age/Sex: 68years old woman. Mrs J.O. Primary diagnosis: Acute Ischemic stroke. Secondary diagnosis: Hyperlipidemia, Hypertension. Inpatient admission. MR# : Q600645865. Acount # :Q000000005. Attemding doctor: Don’thate,Big. Code Status: Full Code. Isolation Status: Standard precautions. Is patient at risk for falls: yes. Did patient signed the advanced …

449 CASE SCENARIO. MR W. N. LEFT HAND CELLULITIS / DOG BITE.

KINGDOM OF GOD HOSPITAL LOS ANGELES,CALIFORNIA 900000. Interdisciplinary Kardex. Attending doctor: Tumtum,Worry Primary diagnosis: Left hand Cellulitis due to dog bite. S/P incision and drainage of left 03/04/21. Secondary diagnosis: Diabetes. Code Status: Full code. Age/ Sex : 39years old male. Status: Inpatient admission. Date of admission:.03/04/2021. Acount number : Q000000050. MR# :Q867000447. Location: Surgical …

EXAMPLES OF EVALUATION OF OUTCOMES OF PATIENTS PLAN OF CARE.

At a certain point (designated intervals)you should evaluate the plan of care for the patient to see if it is working or not working. That is whether the patient has achieved the goals set in the beginning and if the goals were not achieved revise the plan of care to achieve the goals set. Example …

448 CASE SCENARIO MR ABLEGOD NEEW;S/P COMMUNITY ACQUIRED PNEUMONIA.

KINGDOM OF GOD HOSPITAL LOS ANGELES,CA 90000. Interdisciplinary Kadex. Age/Sex: 79years old male. MR#Q990056787. Account #Q00002234. Attending doctor: Tumtum,Worry . Primary diagnosis Pneumonia. Secondary diagnosis dm,htn,hypothyroidism,bph,tremors. Code Status: 02 at 2liter NC ,saturation:93%. Weight:150Ibs. Height:5ft ,7inches . Code Status:Full code. Is patient at risk for fall:Yes. Do you have advanced Directive:NO. Copy of advanced Directive …

447 CASE SCENARIO. MR LUCKY FRED LEFT FOOT INFECTION; SEPSIS.

KINGDOM OF GOD HOSPITAL LOS ANGELES,CALIFORNIA 900000. Interdisciplinary Kadex. Primary diagnosis: Left foot infection;Sepsis,swollen.S/P incision and drainage of of left foot,woundvac placed. Secondary diagnosis: Polysubstance abuse- Meth ,homeless Incarcerated. Age/ Sex 56years old man. Admission Date: 06/22/21. Status: Inpatient admission. MR#Q3300009912. A count #Q000000546. Patient Name:Mr Lucky,Fred. Attending Doctor :Richman,Palaba Location 6th floor: MedicalMedical-Surgical. Isolation …