Preview
FILED: WESTCHESTER COUNTY CLERK 02/01/2023 06:21 PM INDEX NO. 64205/2020
NYSCEF DOC. NO. 137 RECEIVED NYSCEF: 02/01/2023
Exhibit C
FILED: WESTCHESTER COUNTY CLERK 02/01/2023 06:21 PM INDEX NO. 64205/2020
NYSCEF DOC. NO. 137 RECEIVED NYSCEF: 02/01/2023
n Si Rehab
natu an Diet
8
shearand
Tomato Procardia, friction problem
with
Levaquin,
Lasix, nutrition,
and
potential
Cyproheptadine, inadequate probably
Colchicine, mobility,
limited
Ceffriaxone, slightly chairfast,
Allopurinol, moist, occasionany
perception,
sensory
pending
on limited Slightly
2.3 ALB ulcer
TCHON for risk
pressure
12, drainage
no
85 GLUCOSE High of Score
bed in while
Scale Braden intact, blister,
HGBAIC pillowswith Heels PRN skin
24 HCT Bilateral Off-load every Hemorrhagic 4
/ shift A&D Flat
7.3 HGB ANEMIA
TO DUE
2.8.18 LABS TRANSFUSiON
PRN and 2hrs every
BLOOD MULTIPLE Positioning
and Turn
PLACEMENT;
SUPPLEMENT FILTER
DVT,
M, MATTRESS
IVC GlB REDUCING
Cyanocobalamin HYPOTHYROIDIS Growth) (Moderate
ANEMIA, PRESSURE
Sulfate,
Zinc alternating E.COLI 2.18.18:
Vitamins-Minerals, SYNDROME, odor
LOWAIRLOSS cultur undW slough,
VitC, Acid, + with
Multiple JOHNSON'S bed
Elixir.
Folic Sulfate STEVEN wound granulating 2.26.18
E, CDIFF, BELRs
Ferrous Vitamin ABSCESS; *
cushi ROHO abscess drained IV
VITAMINS: wheelphair, self-
TN, recliner after possible stage
D C OUT
area,
DETIA, ye ass lumber now o
pm
of s eagnos
PRN BID moist to superiorly able
s chan dressing /
to prior to wet Dakins opening Pinpoint Unstage
with Debridement
- ns 30n1
1hr administer
WoundS/P pain
3.6.18 ' ' fo shift evening
- INSUFFICIENCY
and dhy every mouth
LBS 150.0 3.7.18
by GiPhe
WG A2
ACUTE PMHX MD woundby SE
WEIGHT: DIAGNOSIS: Pain
Management
L
OTHERS FACTORS
RISK PAIN TREATMENT DESCRIPTION STAGE
3.6.18 DATE: 2050-B ROOM#: (17789) ROSE
DOCUMENTATION
AND EVALUATION
ULCER
FILED: WESTCHESTER COUNTY CLERK 02/01/2023 06:21 PM INDEX NO. 64205/2020
NYSCEF DOC. NO. 137 RECEIVED NYSCEF: 02/01/2023
t Sig Rehab
Signatu Dietitian
8
¡
LESION
OR
OSSEOUS
FRACTUREACUTE
shearand AN OF EVIDENCE
Procardia, friction problem NO IS cellulitis
Tomato with
Lasix,
Levaquin, nutrition, SCLEROSIS. dramage,
and
potential THERE no
Cyprobeptadine, .
probablyinadequate
WITH NARROWED
Colchicine, mobility, no epithelization 1.5
iimited ARE JOINTS
CeftilaXOne, slightly chairfast, SACROILIAC 100%
moist, SUBMITTED. QD/PRNDPD
Allopurinal, occasionally THE
perception,
sensory ARE COCCYX
on limited slightly AND THE
SACRUM
OF RADIOGRAPHS cellulitis
2.8 ALB ulcer 2.26.18:
xray Sacral drainage,
no
HO T pressfor s epithelization,
QD/PRNDPD no
HGBAIC Scale Braden pillows Heels 100%
with
HCT Bilateral Off-load
HGB TO
ANEMIA DUE
4.11.18 LABS TRANSFUSION
PRN and 2hrs every 72hrs tissue
BLOOD MULTIPLE Positioning
and Turn
PLACEMENT; every Allevyn
epithelial 100% x0
SUPPLEMENT FILTER
DVT,
M, MATTRESS
IVC GlB REDUCING -
6.14.18 weeks
Cyanocobalamin HYPOTHYROIDIS PRESSURE
Sulfate, ANEMIA, daily,
Zinc alternating 4 return
Vitamins-Minerals, SYNDROME,
legs
LOWAIRLOSS both dressing
VitC, Acid,
Multiple JOHNSON'S
Elixir. Silvadene
Rec:
Folic Sulfate STEVEN
E, CDIFF,
Ferrous Vitamin ABSCESS; cushion'
HO R 8 7 5 2.26.18
R
VITAMINS: D E wheelphair,
recliner Vascular infection stage
GO MD 4
A, 72n, a2s33 bone,
DE of s/s no no now o
granulation,
therapy 100% able
ry d Seco changes dressing
to prior vac Wound Unstage
with Debridement 30mms administer
-1hr
5.7.18 WoundS/P painfor shift evening
INSUFFICIENCY,
- and da§ every mouth 5.22.18 5.17.18
MD
LBS 132.0
tby
MD by
wound SE vascular
by Seen
NAX
ACUTE !""ano°Pheen
WEIGHT: DIAGNOSIS: Pain
Managernent
OTHERS FACTORSRISK PAIN TREATMENT DESCRIPTl.ONSTAGE
5.22.18 DATE: 4041-B ROOM#: (17789) ROSE
DOCUMENTATION
AND EVALUATION
ULCER
Preview
FILED: WESTCHESTER COUNTY CLERK 02/01/2023 06:21 PM INDEX NO. 64205/2020 NYSCEF DOC. NO. 137 RECEIVED NYSCEF: 02/01/2023 Exhibit C FILED: WESTCHESTER COUNTY CLERK 02/01/2023 06:21 PM INDEX NO. 64205/2020 NYSCEF DOC. NO. 137 RECEIVED NYSCEF: 02/01/2023 n Si Rehab natu an Diet 8 shearand Tomato Procardia, friction problem with Levaquin, Lasix, nutrition, and potential Cyproheptadine, inadequate probably Colchicine, mobility, limited Ceffriaxone, slightly chairfast, Allopurinol, moist, occasionany perception, sensory pending on limited Slightly 2.3 ALB ulcer TCHON for risk pressure 12, drainage no 85 GLUCOSE High of Score bed in while Scale Braden intact, blister, HGBAIC pillowswith Heels PRN skin 24 HCT Bilateral Off-load every Hemorrhagic 4 / shift A&D Flat 7.3 HGB ANEMIA TO DUE 2.8.18 LABS TRANSFUSiON PRN and 2hrs every BLOOD MULTIPLE Positioning and Turn PLACEMENT; SUPPLEMENT FILTER DVT, M, MATTRESS IVC GlB REDUCING Cyanocobalamin HYPOTHYROIDIS Growth) (Moderate ANEMIA, PRESSURE Sulfate, Zinc alternating E.COLI 2.18.18: Vitamins-Minerals, SYNDROME, odor LOWAIRLOSS cultur undW slough, VitC, Acid, + with Multiple JOHNSON'S bed Elixir. Folic Sulfate STEVEN wound granulating 2.26.18 E, CDIFF, BELRs Ferrous Vitamin ABSCESS; * cushi ROHO abscess drained IV VITAMINS: wheelphair, self- TN, recliner after possible stage D C OUT area, DETIA, ye ass lumber now o pm of s eagnos PRN BID moist to superiorly able s chan dressing / to prior to wet Dakins opening Pinpoint Unstage with Debridement - ns 30n1 1hr administer WoundS/P pain 3.6.18 ' ' fo shift evening - INSUFFICIENCY and dhy every mouth LBS 150.0 3.7.18 by GiPhe WG A2 ACUTE PMHX MD woundby SE WEIGHT: DIAGNOSIS: Pain Management L OTHERS FACTORS RISK PAIN TREATMENT DESCRIPTION STAGE 3.6.18 DATE: 2050-B ROOM#: (17789) ROSE DOCUMENTATION AND EVALUATION ULCER FILED: WESTCHESTER COUNTY CLERK 02/01/2023 06:21 PM INDEX NO. 64205/2020 NYSCEF DOC. NO. 137 RECEIVED NYSCEF: 02/01/2023 t Sig Rehab Signatu Dietitian 8 ¡ LESION OR OSSEOUS FRACTUREACUTE shearand AN OF EVIDENCE Procardia, friction problem NO IS cellulitis Tomato with Lasix, Levaquin, nutrition, SCLEROSIS. dramage, and potential THERE no Cyprobeptadine, . probablyinadequate WITH NARROWED Colchicine, mobility, no epithelization 1.5 iimited ARE JOINTS CeftilaXOne, slightly chairfast, SACROILIAC 100% moist, SUBMITTED. QD/PRNDPD Allopurinal, occasionally THE perception, sensory ARE COCCYX on limited slightly AND THE SACRUM OF RADIOGRAPHS cellulitis 2.8 ALB ulcer 2.26.18: xray Sacral drainage, no HO T pressfor s epithelization, QD/PRNDPD no HGBAIC Scale Braden pillows Heels 100% with HCT Bilateral Off-load HGB TO ANEMIA DUE 4.11.18 LABS TRANSFUSION PRN and 2hrs every 72hrs tissue BLOOD MULTIPLE Positioning and Turn PLACEMENT; every Allevyn epithelial 100% x0 SUPPLEMENT FILTER DVT, M, MATTRESS IVC GlB REDUCING - 6.14.18 weeks Cyanocobalamin HYPOTHYROIDIS PRESSURE Sulfate, ANEMIA, daily, Zinc alternating 4 return Vitamins-Minerals, SYNDROME, legs LOWAIRLOSS both dressing VitC, Acid, Multiple JOHNSON'S Elixir. Silvadene Rec: Folic Sulfate STEVEN E, CDIFF, Ferrous Vitamin ABSCESS; cushion' HO R 8 7 5 2.26.18 R VITAMINS: D E wheelphair, recliner Vascular infection stage GO MD 4 A, 72n, a2s33 bone, DE of s/s no no now o granulation, therapy 100% able ry d Seco changes dressing to prior vac Wound Unstage with Debridement 30mms administer -1hr 5.7.18 WoundS/P painfor shift evening INSUFFICIENCY, - and da§ every mouth 5.22.18 5.17.18 MD LBS 132.0 tby MD by wound SE vascular by Seen NAX ACUTE !""ano°Pheen WEIGHT: DIAGNOSIS: Pain Managernent OTHERS FACTORSRISK PAIN TREATMENT DESCRIPTl.ONSTAGE 5.22.18 DATE: 4041-B ROOM#: (17789) ROSE DOCUMENTATION AND EVALUATION ULCER