¢ow 1oy suonsanb Aue axey nok oq ‘Buow
41 ui uoneynsuod auenyafsd e ey o) S1 3 “uopEpUBILIOBY
way) Y001 ay pue ‘Guippnd us way) pasayo am 0s ‘siid Siy aYE) LUPINOM
9} "9l oy aINSUB ) Ye1s W0y UOIEIPEI awSUBIXB painbai pue Aepo)
S{eaw siy0 %05 1N0ge a1 a4 ‘painssaid 1 yosads i “SuoneIISE)
Je12e) apua sey pue ‘saimsab wie/puey pajeadas sey ‘peay siy SaYEYs
‘sa2ed A|feuoiseaso ap ‘ppiom ay) Bunea] uo SN2y dyads € apnjoul
1eys Aepol Aep |le suoisnjap Buvey Ajaioe uaaq sey aj JuauIssassy
PooypIYD Apiea sy adurs asnqe fenxas pue fearskud o) anp Apoisna aney
186u0| ou siuased siy se exerased Arewud sy 1 JBISIS J3PIO SIH 5L J0
abe au) 1e ewaiydoziys yum pasouBerp sem o ‘9a) wiy apew Aay) Moy
10 asnedaq obe syeam May & suoneaipaw siy Bunyel ynb ay ‘um ses ay
woym aisis siy sed pue ‘ewaiydoziyds Jo A0isiy € sey s ‘punobyoeg
Bunjuy [euoisnjap sey pue
Buneurdnjey Ajawioe us3q Sey aH ey Iy O ZOE € Sey H AjuElnjonul 0064
Aepiaisah peupe Sem oy ajew pio-1eak-pE € S| USSUEFWi uopenlS 6104
S310N % LNINSSISSY ONISHNN
,
10119 NeurolCognitive - Alert active. Unable to assess orientation. Speech is
1900 clear and easily understood. Appears pressured
Respiratory: Breathing regular, even, unlabored. No evidence of
respiratory distress
Skin: Scratch marks noted to bilateral arms. The client regularly
scratches his amms and rubs them
Psychosocial: Visual hallucinations per client statements of seeing giant
beetles all over the floor. The client frequently giggles to himself. Having
persecutory delusions: “They put a chipin my arm, I'm trying to get it out
1 need to get to the celestial city. | cantgo with the chip. The chip has to
0
gl otwer
1019 1500 Medical History.
« Schizophrenia
- PTSD
Depression
« Anxiety
Sleep termors
1019 1500 Home Medication List
« Chiorpromazine 200 mg by mouth daily
« Clazapine 100 mg by mouth twice daily
« Risperidone 4 mg by mouth daily
- Benztropine 4 mg by mouth daily
41 ui uoneynsuod auenyafsd e ey o) S1 3 “uopEpUBILIOBY
way) Y001 ay pue ‘Guippnd us way) pasayo am 0s ‘siid Siy aYE) LUPINOM
9} "9l oy aINSUB ) Ye1s W0y UOIEIPEI awSUBIXB painbai pue Aepo)
S{eaw siy0 %05 1N0ge a1 a4 ‘painssaid 1 yosads i “SuoneIISE)
Je12e) apua sey pue ‘saimsab wie/puey pajeadas sey ‘peay siy SaYEYs
‘sa2ed A|feuoiseaso ap ‘ppiom ay) Bunea] uo SN2y dyads € apnjoul
1eys Aepol Aep |le suoisnjap Buvey Ajaioe uaaq sey aj JuauIssassy
PooypIYD Apiea sy adurs asnqe fenxas pue fearskud o) anp Apoisna aney
186u0| ou siuased siy se exerased Arewud sy 1 JBISIS J3PIO SIH 5L J0
abe au) 1e ewaiydoziys yum pasouBerp sem o ‘9a) wiy apew Aay) Moy
10 asnedaq obe syeam May & suoneaipaw siy Bunyel ynb ay ‘um ses ay
woym aisis siy sed pue ‘ewaiydoziyds Jo A0isiy € sey s ‘punobyoeg
Bunjuy [euoisnjap sey pue
Buneurdnjey Ajawioe us3q Sey aH ey Iy O ZOE € Sey H AjuElnjonul 0064
Aepiaisah peupe Sem oy ajew pio-1eak-pE € S| USSUEFWi uopenlS 6104
S310N % LNINSSISSY ONISHNN
,
10119 NeurolCognitive - Alert active. Unable to assess orientation. Speech is
1900 clear and easily understood. Appears pressured
Respiratory: Breathing regular, even, unlabored. No evidence of
respiratory distress
Skin: Scratch marks noted to bilateral arms. The client regularly
scratches his amms and rubs them
Psychosocial: Visual hallucinations per client statements of seeing giant
beetles all over the floor. The client frequently giggles to himself. Having
persecutory delusions: “They put a chipin my arm, I'm trying to get it out
1 need to get to the celestial city. | cantgo with the chip. The chip has to
0
gl otwer
1019 1500 Medical History.
« Schizophrenia
- PTSD
Depression
« Anxiety
Sleep termors
1019 1500 Home Medication List
« Chiorpromazine 200 mg by mouth daily
« Clazapine 100 mg by mouth twice daily
« Risperidone 4 mg by mouth daily
- Benztropine 4 mg by mouth daily
