Patient of Dr.
Pittman
Dx:
Notify Dr.
of admission and at D/C
Dietary
Regular
Mechanical soft
Fork-mashed
Pureed
NPO
Thin liquids
Honey-thick liquids
Nectar-thick liquids
No conc. sweets:
No
Yes
Observe pt's first meal and assess for swallowing problems
May have water between meals only
Dietician may instruct pt and/or family
Assist with all meals
Diabetic clinician to see patient
Swallow Strategies:
Tube Feeding order if appropriate:
IV order if appropriate:
Up in wheelchair as tolerated
Turn q2h and advance as tolerated
Day and/or evening pass as desired
May go to beauty shop as desired
Occupational Therapy to evaluate and treat as needed
Physical Therapy to evaluate and treat as needed
Speech therapy to evaluate and treat swallow
Speech therapy to evaluate and treat swallow, VFSS/FEES as needed
Speech therapy to evaluate and treat speech/cognition
Notify psychological services for BNE
Notify psychological services for psychological consultation/therapy
Reason for BNE:
Cognitive impairment due to vascular disease
Cognitive impairment due to brain tumor
Cognitive impairment due to dementia
Cognitive impairment and/or depression
Cognitive impairment - head injury
Cognitive impairment, encephalopathy
Reason for psychological services:
Depression
Grief/loss issues
May use Texas (condom) catheter
Intermittent caths PRN and chart results to Doctors' Progress Notes
Bowel program of choice
Skin care of choice PRN
Check acute care chart (transfer packet from outside facilities) for additional orders
Tylenol 650mg po q3-4h PRN pain or temperature > 101
Dalmane 15mg po qhs PRN sleep
Ambien 5mg qhs prn sleep
Please carefully read the orders after clicking
to make sure they are correct