Community pre assessment screening

Patient Information: - John Doe - 03/15/1945 - MRN: 123456 Reason for Assessment: - Screening for fall risk and mobility issues due to recent hospitalization and decreased strength. Medical History: - Chronic conditions include hypertension and osteoarthritis. Previous falls noted in the last year. Recent hip surgery. Medications: - Lisinopril 10mg daily - Acetaminophen 500mg as needed - No herbal supplements reported. Allergies: - No known allergies. Social History: - Lives alone in a single-story home. Daughter visits weekly. Active in local senior center activities. Fall Risk Assessment: - Recent fall two months ago. Uses a cane for ambulation. Reports occasional dizziness. Mobility Assessment: - Limited ability to perform ADLs independently. Currently receiving physical therapy twice a week. Care Needs: - Requires assistance with bathing and dressing. Home health aide visits three times a week. - Daughter provides caregiver support on weekends. Community-Based Interventions: - Participates in a community exercise program for seniors. Referred to a local fall prevention workshop. Plan: - Continue physical therapy to improve strength and balance. Monitor blood pressure regularly to manage dizziness. - Follow-up appointment scheduled in four weeks to reassess mobility and fall risk.