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Original Question

rewrite this RN conducted a routine recertification visit to assess the patient’s current condition, monitor for changes, and determine continued eligibility for hospice care. Upon arrival, the patient was observed to be alert, with general appearance noted as comfortable and somewhat time. Mental status remains stable with patient completely disoriented and unable to follow directions since the previous recertification period as reported by the PCG. The patient’s functional status reflects progressive decline. The patient was able to ambulate previously but now remains in her wheelchair or recliner majority of the time, is able to take 5-6 steps, total assistance dependent on caregivers for activities of daily living including. Significant changes since the last recertification include weight loss with MAC decreased from 23.5 to 22.5cm, decreased oral intake-patient eats about 30-40% of her meals, and increased sleep. Vital signs today were stable. Skin was warm, dry, and intact, with no new areas of breakdown noted. RN assessed pain levels using PAINAD scale with current pain level reported and assessed as 0/10. Caregiver involvement remains active, with ongoing support provided by the interdisciplinary hospice team .Caregiver concerns discussed and addressed. The patient`s current condition remains consistent with terminal decline, and continued eligibility for hospice care under the terminal prognosis of Alzheimer`s disease with early onset (G30.0) is supported base

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