Sylvia Wright DNR

Visit Summary

12/20/2016 seen by: Julianne Whelan & Dr. Gwen Jones

Summary Assessment
This 76-year-old woman has dyspnea due to COPD. She understands her diagnosis and prognosis. She and her daughter made it quite clear that they do not want to suffer and would like to be cared for at home. They would like no heroic or extraordinary measures used to keep her alive.

Plan

1. COPD – increased prednisone to 10 mg/day
2. Contact local hospice provider to evaluate patient for enrollment.
3. MOLST completed. DNR and DNH orders.

Condition Summary

Major Concern - Heart Failure

Primary Diagnosis - COPD

Problem List - COPD

History of Present Illness - COPD

Clinical Details

Vitals

Assessments?

Medication Details

• Trazodone 50mg PO BID
• Bisacodyl 10mg PO BID
• Levomepromazine 25mg PO BID
• Metoclopramide 10mg PO BID
• Prednisolone 5mg PO BID