Rehab Center

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    10-Apr-2018
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Transcript of Rehab Center

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    kristy, nursing,

    susan, social servicesmary activity dept.

    thafer, physical therapyjennifer, dietary

    regular dietusing ensureit is not a dairy product

    they aren't restricting milkproducts if you want ice cream

    serum albuman level measures

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    seratonine in blood. proteinstores are good.

    do you want to be served milkproducts, like ice cream

    is it ok with you if they remove

    the ensure and replace it with ajuice nutritional supplement?you need a supplement of somekind for nutrition. do you wanta juice supplement.

    how do you feel about theservice of the diner and thefood?

    annette is telling the nurse atthe end of the table

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    they'll make citricell routinelyfor once a day and then more, ifyou ask for it when needed

    therapy,

    you have been doing welldue to shoulder and hip injury,it's very difficult.

    the arm has weight restrictions.

    yesterday you walked 10 feetthree times

    they want to get you stronger.you will walk again. when thedoctor allows you to use thearm, you will be able to walk

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    better.

    they'll get you to a level of usinga walker before you go homeoccupational therapy: yourequire alot of help for toileting,dressing, etc. due to arm

    they want to continue withtherapy.there is a limit to therapy withinsurance company. they payfor ten days at rehab center.

    we want draw sheet used at niteto change position

    its just that the draw sheet

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    supports your upper body, too.

    we can bring in our own reclinerif we want to. just to give you amore comfortable place to sitduring the day.

    they will move you to the otherbed when Maria leaves so youcan get out of bed on the rightside, since it's not broken.

    what else did you go to otherthan bingo and mass?they mean the activities theyoffer.

    that was at St. Anthony'sthey have sing along tomorrowand a flutist performs

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    there is birthday party tomorrowafternoon if you would like to

    attend.

    they have great hope for you.you're doing great, theysaidquestions about the

    medication

    you can refuse dairy aide indigestion product if you needto.

    5 500 vicadein every 4 to 6hours as needed

    they will offer one vicaden, andthen if that isn't effective, youcan let them know and they willgive you two.

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    she's telling them about the

    rectal thing they didwithout communicating

    they said they mustcommunicate and they will

    insist that they do.

    the onlly thing that should beseperately given is thyroid andfosomax

    what time do you want to get upin the morningis 6 am okay?

    she's telling them about you'reproblems at night, feeling tiedup, being rolled when it's

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    painful, etc.

    they will check on a mattressthat will be more comfortablefor you

    you are making progess. the

    goal is to go home.the case manager with newwest is very pushy and wantspatients out as soon aspossible.

    with secure horizon they don'tcover much, once you go home.

    the new west pod is verytherapy based and they wantyou out of rehab as soon aspossible

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    insurance will cover a walker or

    wheel chair, but nothing else iscovered in the way ofequipment.

    when they put you on the potty,

    they need to stay in there withyou.

    the insurance requires that youprogress in thereapy, but if youprogress too fast, they willdischarge you.

    beginning on saturday, you willbe billed $108 per day. whenthey deem it's no longernecessary, insurance will

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    210 per day, not includingtherepy, or meds.

    pillows under knees

    are you uncomfortable with thepillows under knees?

    if its too many ppillows, tellthem its uncomfortable. theywill take a pillow away if you tellthem

    you can yell for Keith or Kristi

    and let them know if there is aproblem. you can say"if youwon't listen to me, i need tospeak to the supervisor".

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    all of the staff is certified

    nursing assist. by the statebefore they can work here

    baby aspirintummy shots til 4/11

    it could change, but for now,thats the plan

    tylenol is ok but not good forstrong pain due to fractures.vicaden is better and you won'tget addicted

    OXYCONTIN 6 AM

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    B-FAST ICAP CALCIUMASPIRIN FOLIC ACID

    CITRICELL TUMMY SHOT

    LUNCH ICAP,

    DINNER CALCIUM AND

    OXYCONTIN

    BED TIME THYROID

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    I asked a man after church howto make a cross out of the palm.He did it. you look goo

    when it gets closer to 4:00, you

    can try sitting in chair

    around 9pm yesterday, thenurse came and asked if you

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    wanted something for pain. shewas offering vicadin because

    you had already been given thenew pain medicine at 7:20. yousaid you didn't need vicadin,and kenny looked in notes tosee last time you had been

    given vicadin. it was 4:00. Sothe nurse was not confused onwhat pills you had or needed.she was just offering vicadin,

    just in case you needed it. yousaid maybe later, but you endedup not needing it over night.

    the doctor said you definitelycan take vicaden along with theslow-release new pain pill, ifyou need it.

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    this morning on the pot you

    needed the vicaden on top ofthe slow release pain pill

    ill go now and return for picnic

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    so was last night a better nightfor you?

    that is WHAT THE VICADIN ISFOR

    I M COMFORTABLE

    I THINK HE IS DOING ABOUTAS GOOD AS HE CAN.

    I THINK BECAUSE HIS HEART

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    IS WEAK, YOU NEVER KNOWBUT OTHERWISE HE CAN GET

    AROUND THE HOUSE WITHTHE WALKER AND DRESSHIMSELF.

    YOUR FEET FELT NORMAL

    TEMPATURE, BUT KEEP ONMOVING THEM IS GOOD

    DO YOU THINK THE BURPINGIS CAUSED BYNERVOUSNESS?

    BECAUSE I REMEMBER THATFROM BEFORE THAT WAS

    CAUSED.

    HENRY KEPT GETTINGWEAKER AND WEAKER. THEN

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    HE HAD SORES ON HIS FEETTHAT WOULD NOT GO AWAY.

    WITH DIABETES, THAT COULDLEAD TO AMPUTATION. SO INTESTS FOR HIS WEAKNESS,THEY FOUND HE HAD BLOODCLOTS ON HIS LUNGS. THIS

    WAS A ADDED PROBLEMSINCE HE HAS BEEN ONBLOOD THINNER FOR YEARS.

    YOU KNOW YOLANDA HAS ABROKEN HIP. LASTDECEMBER. HOW WOULD THEPODIATRIST RUIN HER FEET? ICAN SEE THAT THEY MIGHT

    NOT BE ABLE TO FIX THEPROBLEM BUT I DON'T THINKTHEY WOULD CAUSE THEPROBLEM. I CAN SMELL THE

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    MAGIC MARKER. WHATABOUT TRYING TO PUT THE

    TOP OF THE BED UP? DO YOUWANT ME TO PUSH IT?

    WHAT EVER YOU THINK WILLBE BEST I PUSHED THE

    BUTTON AND THE RED LIGHTIS ON IT IS A VERY NICE DAYOUTSIDE SO FAR. THIS RADIODJ SAID 15 INCHES OF SNOWCOMING BY TOMORROWMORNING BUT THEN HE SAIDAPRIL FOOLS. I BELIEVED IT.IT IS OKAY TO BURP. YOUNEED YOUR STRENGHT TO

    GET BACK YOUR MOBILITY.WE SAW THE MOVIEGROUNDHOG DAY A COUPLEOF WEEKS AGO. ON DVD.

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    ANNETTE HAD TOLD USABOUT IT. THAT ICE TOOK

    FOREVER TO GO AWAY.IT WAS ON TOP.DO YOU FEEL LIKE YOUWANT/NEED VICADIN?BUT IT IS DESIGNED FOR 12

    HOURS.MY SUGGESTION IS TO WAITON THE VICADIN FOR NOW-IF

    YOU THINK YOU CAN.THE AID HELPING YOU TO THEBATHROOM WAS TELLING

    YOU WERE DOING GREAT.YOUR GETTING THERE-NODOUBT ABOUT IT.

    sHE SAID IT WOULD BE BESTTO TAKE IT NOW SINCE THEYLAST 4 TO 6 HOURS.

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    SHE THINKS YOU SHOULDWAIT UNTIL 3 SINCE THEY

    LAST 4 TO 6. IT IS 2:15 NOW.JUDY SAID YOU DO TAKETWO.DAD. HE CALLED MARIANMCCLUSKEY. SHE HAS HAD

    TROUBLE WITH A STROKEAND HER HIP. SHE SAID TOSEND YOU HER BEST WISHES.HE ALSO TRIED YOLANDA BUTI TOLD HIM SHE IS STILL INARIZONA. IF YOU WANT TOREST AWHILE I CAN READ THENEWSPAPER.

    IT IS 2:30

    x RAYS THEY TOOK ARENEGATIVE. SO THAT IS GOOD.

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    I THINK THE DARN PELVIC

    BONE IS HIGHLY SENSITIVE.YOU ARE HEALING, IT TAKES

    TIME.

    I DON'T THINK SO.

    I THINK IF WE CANUNDERSTAND THAT THEBROKEN BONES CAUSE THEPAIN, THEN THATUNDERSTANDING MIGHTMAKE IT EASIER TO TAKE.KNOWING THAT PAIN IS ASYMPTOM OF HEALING.

    iT IS 3:10. DO YOU WANT TOTAKE YOUR TWO VICADINNOW?

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    DO YOU WANT ME TO MOVE

    THE TOP HALF OF YOUR BEDUP MORE?

    THAT DID GO DOWN GOOD. IHAVE BEEN READING THE

    PAPER. JUST A LITTLE ONOCCASION. I DON'T THINK

    YOU HAVE BEEN IN ONEPOSITION THAT LONG. ISOMETIMES HAVE A FEAR OFIT ALSO. SWALLOWING PILLS.HELEN HAS HAD TROUBLEWITH HER ESPHOGOUS

    TEN TIMES. THERE IS A VERYQUIET MOTOR SOUND. DOYOU WANT THEM FOR THEPICNIC-YOUR HEARING AIDS?

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    SHE BROUGHT YOU FRESH

    ICE WATER.

    SHE HAD A KNEEREPLACEMENT AND HAS ANAWFUL LOT OF PAIN.

    NO, HE HAD ARTHOSCOPICSURGERY. FOOTBALLPLAYERS PLAY AFTER 2WEEKS. THIS IS WHEN YOURKNEE IS TOTALLY SHOT ANDIT IS A LAST RECOURSE. bUTDOUG MOE, AN EX NUGGETPLAYER AND COACH SAID HEHAD BOTH KNEES REPLACE

    AND EVEN THOUGH IT WASAWFUL, IT WAS THE BESTTHING HE EVER DID. SHEALSO HAS THE OXYGEN.

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