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Ask NourishNet

Scope · this resident · Cedar Ridge Care Center

Ask anything about this resident. A language model reasons over their computed facts: weights, trend, drugs, alerts and what the record does not contain. It never sees their name.

Ask NourishNet

Fixed questions are answered by the rules engine. Anything else is reasoned by a language model over de-identified computed facts. No name, room or date of birth leaves the building, and every figure is checked.

DK

Kowalski, Doris

88 yCedar (skilled)134-Aresident 2 years

Weight: 117.7 lb6 days ago
BMI: 21.4low for age
Of ideal: 106%IBW 110.7 lb
Since admission: −7%−7% from peak

Overview3 to decide
Notes14
History3 never answered

Critical

Loss−6.2% / 30 days5% in 30 days

Waiting 6 days

Weights from PointClickCare.

Your decision

Flagged (done)NourishNet rules · 13 Oct
Waiting for the dietitian's decisionWaiting 6 days
Closes (not yet)

Step 2 of 3: Waiting for the dietitian's decision · Waiting 6 days

Outlook

The direction changed recently. On the last three weeks' trend, they already meet the 5% in 30 days threshold.

History of this alert · 1 event

13 Oct 10:35 ETNourishNet rules · Loss · 5% in 30 days

Also open

HydrationHydration risk: 4 factors
WatchYour move
1. Flagged (done)NourishNet rules · 13 Oct
2. Waiting for the dietitian's decisionWaiting 6 days
3. Closes (not yet)
Step 2 of 3: Waiting for the dietitian's decision · Waiting 6 days
Your decision
History of this alert · 1 event
1. 13 Oct 10:35 ETNourishNet rules · Hydration · Hydration risk: 4 factors
ReadmissionReadmission risk: 7 points from 3 factors
WatchYour move
1. Flagged (done)NourishNet rules · 13 Oct
2. Waiting for the dietitian's decisionWaiting 6 days
3. Closes (not yet)
Step 2 of 3: Waiting for the dietitian's decision · Waiting 6 days
Your decision
History of this alert · 1 event
1. 13 Oct 10:35 ETNourishNet rules · Readmission · Readmission risk: 7 points from 3 factors

Why the weight may be moving

Furosemide (diuretic) started 6 Oct, 7 days before this loss was flagged.

Diagnoses: Heart failure, unspecified · fluid-retaining
Chronic kidney disease, stage 3 unspecified; End stage renal disease; Dependence on renal dialysis · renal
In place now: No supplement or tube feed ordered.
Drugs: furosemide 40 MG Oral Tablet [Lasix] · diuretic, since 6 Oct
Labs, 90 days: Creatinine 5.1 mg/dLhigh · 5 Oct
BUN 59.3 mg/dLhigh · 5 Oct
Potassium 4.4 mEq/L · 3 Oct
Albumin 3.5 g/dL · 29 Sep

Notes

Each type on its own schedule.

Write or open notes

Tube feed
Doesn't apply
Wound
Doesn't apply
HD (dialysis)
Last assessed 8 Oct · next due 7 Nov
Weight change
Last assessed 2 Oct · next due 20 Oct (a new alert, order or diagnosis since)
Admission
Not tracked yet
Quarterly
Never assessed · next due 17 Nov
Annual
Never assessed · next due 11 Aug

Vital signs

Heart rate82 beats/min10 Oct
Oxygen saturation94 %10 Oct
Temperature97.6 °F9 Oct
Blood pressure168/93 mmHghigh9 Oct
Respiratory rate20 breaths/min9 Oct

Why the attention score is 1461 of 52 higher

Alert never answered+60
Critical alert waiting on you+25
Losing faster than 4% a month+25
Alert waiting on you+20
2 nutrition-risk diagnoses+8
BMI low for their age+8
Total146

MNA: none on record. PointClickCare shares MDS items, not facility assessments like the MNA.

Eating: none on record in PointClickCare’s MDS.

BIMS: none on record in PointClickCare’s MDS.

Scored with the default settings. How the score is set