Review of the medical record indicates a medical history of Afib, RA, anemia, HTN, Gerd, kidney disease, arthritis, chronic pain syndrome, heart failure and muscle weakness
At today 's visit he is found lying in bed at Palm Garden SNF, where he is a long-term resident. He is awake, alert and oriented. He reports chronic pain that he contributes to his RA, arthritis and osteoporosis. He states that the pain is in his knees and shoulders. The pain is 5/10 in severity. It is a dull deep nagging pain that is chronic. It does not radiate. It limits his mobility; he is unable to lift up his arms due to his shoulder pain and is unable to ambulate due to his knee pain. He states that when he attempts to stand his knees gives out. His pain regimen is
At today 's visit he is found lying in bed at Palm Garden SNF, where he is a long-term resident. He is awake, alert and oriented. He reports chronic pain that he contributes to his RA, arthritis and osteoporosis. He states that the pain is in his knees and shoulders. The pain is 5/10 in severity. It is a dull deep nagging pain that is chronic. It does not radiate. It limits his mobility; he is unable to lift up his arms due to his shoulder pain and is unable to ambulate due to his knee pain. He states that when he attempts to stand his knees gives out. His pain regimen is