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Psych Eval Discharge Summary Living Will / Medical Treatment
Plan
Physician's
Orders Progress
Notes Nursing Staff Notes
Nursing Admission Assessment
Medication Administration Record Phone Intake
COLORS: RED - PAIN ORANGE - AGITATION GREEN - TERMINAL
| 12/29/95
MD |
Psychiatric evaluation done and dictated. Diagnosis: Anxiety disorder not otherwise specified, major depressive disorder with psychotic features. Plan; medical evaluation, benzodiazepines vs. antidepressants, possible Risperdol. Morphine sulfate for discomfort. Robert Weitzel, M.D. | |
| 12/30/95
MD |
Patient died this morning at 0855. She had erratic breathing and irregular pulse. EKG on admit showed sinus tachycardia with arrthymia. Assessment - probable myocardial infarction, recommend autopsy. Plan - will release to family. Robert Weitzel, M.D. | |
Psych Eval Discharge Summary Living Will / Medical Treatment
Plan
Physician's
Orders Progress
Notes Nursing Staff Notes
Nursing Admission Assessment