TruHealth AWV/ New
{formtext: name=Name} is {formtext: name=age} years old and {formmenu: default=Female; Male; Nonbinary}, {formmenu: default=Full Code; DNR; DNI; Comfort Measures Only; DNH; multiple=yes}, living at {formmenu: default=Sunshine Terrace Foundation; The Terrace at Mt. Ogden; South Ogden Post-Acute; Mt. Olympus Rehab; Cascades at Riverwalk; Mission at Meadow Peak Rehab; Copper Ridge Health Care; Mission at West Jordan Care Center; Sandy Health and Rehab; Cascades at Orchard Park; Mission at Alpine Rehab; Mission at Community Rehab; Parkdale Health and Rehab} facility. Advanced care directives in patients' medical records. Current status of {formmenu: default=low-risk frailty; intermediate-risk frailty; high-risk frailty}. Chronic medical conditions include {formtext: name=chronic}. PMH includes {formtext: name=past conditions}. ADLs assessed. Member {formmenu: is independent, ambulatory; default=requires limited assistance with ADLs, and is ambulatory; requires limited assistance with ADLs, and is w/c bound; requires extensive assistance with ADLs, and is w/c bound; is dependent with ADLs, and bedbound}. {formmenu: default=; They can transfer independently, and self-propel the w/c.; The require limited assistance with transfers, and can self-propel the w/c.; They are dependent with transfers, and can self-propel the w/c.; They are dependent with transfers, and are unable to self-propel the w/c.; multiple=yes}{formmenu: default=No functional impairment to extremities; Limited UE ROM\ ; Limited LE ROM; Functional weakness to BUE; Functional weakness to BLE; Left-sided weakness; Right-sided weakness; multiple=yes}. {formmenu: default=Fully verbal with clear speech; Verbal with simple words and sentences; Verbal with unclear speech that is slurred, fragmented, or word salad; Non-verbal; uses gestures and facial expressions to communicate basic needs.; default=intact comprehension; mild to moderate comprehension difficulties; significant lack of comprehension\ ; almost complete lack of comprehension; default=able to communicate needs effectively.\ ; able to communicate simple needs.\ ; requires occasional prompting to communicate needs.; unable to communicate needs.\ ; multiple=yes}
Seen today for Annual Wellness Visit, {formmenu: initial; default=subsequent} visit. Resident found in {formtext: name=location}. Reports {formtext: name=pain scale}/ 10 pain. No resident or staff concerns at this time.
PHQ-9 score: {formtext: name=quantity}; {formmenu: 0-4: Minimal depression; default=5-9: Mild depression; 10-14: Moderate depression; 15-19: Moderately severe depression; 20-27: Severe depression; unable to answer; none on record; name=PHQ scoring}.
BIMS: {formtext: default=number}/ 15; {formmenu: default=13–15: Intact cognition; 8–12: Moderately impaired cognition; 0–7: Severely impaired cognition; Nonsensical responses, or chose not to answer; unable to complete test due to condition or incoherent responses}.
Social needs screening: Has adequate transportation. Has access to nutritious foods. Is not at risk of homelessness. Feel safe where they live.
Past surgical hx: {formtext}