Room#
|
Resident
Name
|
Nutrition
Needs
|
Bowel/
Bladder
|
Transfer / Mobility
|
SAFETY
*Fall Devices
*Smoking
*Elopement
|
Cognition/ Behavior
|
Sensory
Devices/
Dentures
|
Skin Care/
Pressure Ulcer
|
Comments/
Special Instructions
|
10
|
|
NAS
Set-up
|
Before
Meals and 3pm/3am
Med
briefs
|
2
assist stand pivot GB w/c
|
Fall
risk
Bed
low
2
mats
Green
gripper pad in wheelchair
|
Alert
and confused
|
Glasses
R
hearing aide
|
T+P
splint to left hand at HS
|
Ask
about fishing in Canada
Has
35 Grandchildren
|
12
|
|
NAS
Set up
|
lg brief
|
Rt arm sling
R arm hemi walker
|
Fall risk Bed lowest position
|
Alert, confused at times
|
Glasses Hears best in R ear
|
Keri oil in wash basin/see
RCR
|
Allow
ample time to respond/aphasia;
|
13
|
|
NAS/CATNCS Unit set up
|
Med briefs
|
2 Mech lift broda
|
Fall risk chair and bed
alarm bed low
|
Alert confused Behavioral
|
Dentures
upper
|
Zincon shampoo
|
When
combative reapproach later for ADLS. Floor mate on Lside bed.
|
14
|
|
NCS, NAS unit
Ground honey thick
|
XX LG. briefs
|
2stand up lift w/c
|
Bed low position
|
Alert
|
Reading glasses
denture
|
Lotion to dry skin see RCR
|
Dressed
, shaved, ready to go out on Sundays
|
15
|
|
NAS CAT
|
Med briefs pull-ups
|
Indep in Rm with RW w/c
|
|
Alert
Oriented
|
Glasses partial denture
|
T+P elevate legs
|
O2
at 4-5L continuous
Provide
rest periods for SOB
|
16
|
|
Reg. CAT
No caffeine
|
Large brief
|
2Mech.lift
broda
|
Fall risk
Bed low
1 mat
|
Alert
Oriented
|
Glasses
Dentures
|
T+P lotion to dry skin
See RCR
|
|
17D
|
|
Reg. CAT
|
Med.
brief
|
2 Assist with GB w/c
|
Fall risk
Bed low
2 mats
|
Alert
Confused
|
Dentures
|
T+P
See RCR
|
Do
not leave unattended in bathroom
|
17W
|
|
Low fat &
Cholesterol
2Gm NA
|
insert
|
Self with
Rolling walker
|
|
Alert
Oriented
Confused
|
Glasses
|
Good peri care
|
|
18
|
|
NCS, NAS
RDR with
set up, assist
|
X-large
brief
|
1 Assist
RW & GB w/c
|
Bed low chair alarm
|
Alert
Oriented
Confused
Behavior
|
Glasses
Dentures
|
|
Electric razor only. When combative leave alone
and report to charge nurse. Reproach
later
|
19D
|
|
Reg. CAT
|
Pull-ups
Med.
|
2 Assist GB w/c
|
Bed low
Floor mat
Chair alarm
|
Alert
Confused
|
Glasses
|
Lotion to legs and feet
See RCR
|
Not
leave unattended
In
bathroom. See RCR
|
19W
|
|
NAS CAT
|
Pull-ups
Large
|
2 Assist with RW & GB
w/c
|
Bed low
|
Alert
Oriented
|
Glasses
|
Skin barrier as needed
|
R
arm Hx of rotator cuff injury
|
20
|
|
NCS, NAS
CAT
|
Pull-ups day
Large brief night
|
1 Assist with RW & gait
belt w/c
|
Bed low
|
Alert
Confused at times
|
Glasses
|
|
Lay
down in bed 20 min. every morning after breakfast to relieve pressure on
buttocks
|
21
|
|
Regular
|
Med.
Brief
|
1 Assist GB w/c
|
Bed low
|
Alert
Oriented
|
Glasses
|
Lotion to dry skin see RCR
|
Hx
of seizures may report to staff of
signs of seizures See RCR
|
31
|
|
NCS, NAS,CAT Rose room
|
Large briefs
|
2 Mech. Lift w/c
|
Fall risk, chair and bed
alarm Bed low position, floor mat
|
Alert
Disoriented behavioral
Wander Risk
|
Glasses
|
Lotion to dry skin
|
At
risk for elopement
|
32
|
|
Regular CAT Nectar thick
|
Med brief foley cath,
|
2 mech. lift
|
Hx of falls, bed in lowest
position
|
Alert, conf
|
|
TP schedule, lotion to dry
skin
|
|