Client Note (Gloria)
Gloria
Client ID 052
- Name
- Gloria
- Primary Diagnosis
- RLE AKA
- Insurance
- Medicare
- Referring Physician
- T. Jones, MD
- Age
- 81
- Gender Identity
- Female
- Pronouns
- She/her/hers
- Race/Ethnicity
- White
81yo WF with RLE AKA due to complications from DVT 18yrs ago. Hospitalized in acute care for 8 days. D/c to inpatient rehabilitation x 2wks followed by outpatient PT x 1yr.
Marital status:Married 61 years
Primary language:English
Current level of function:Modified independent for all ADLs/IADLs, including driving with left foot accelerator. Ambulates with RLE prosthetic.
Employment/work/school:College education. Retired office manager for a real estate office. Currently volunteers 3 days a week at the hospital gift shop where she attended inpatient rehabilitation. Her husband also volunteers at the hospital managing a library cart and visiting with patients.
Play/leisure/interests:Enjoys participating in adaptive sports program activities including billiards, bowling, boccia, archery, trap shooting, kayaking, fishing, and golf. Also likes completing jigsaw puzzles and traveling.
Environmental factors:Lives with husband in one-story house with 1 STE, no handrails. Walk-in shower (2” ledge) with shower curtain, tub transfer bench, grab bars, handheld shower hose. Raised toilet seat with grab bars.
Warfarin
Gabapentin