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De: Formularios de Google<br>
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Enviado: lunes, 3 de junio 5:53 p. m.<br>
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Asunto: Registro de Atenci=F3n Domiciliaria Oncovida<br>
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Para: vcornejorozas@live.cl<br>
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Gracias por rellenar</table>
<a href=3D"https://docs.google.com/forms/d/e/1FAIpQLSdEtSr7xXzExpMb4RkiyPWKMwg1WaFIAImkCVv7UFdpPco75w/viewform?usp=3Dmail_form_link">
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Registro de Atenci=F3n Domiciliaria Oncovida</table>
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Esto es lo que nos has enviado:</table>
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Registro de Atenci=F3n Domiciliaria Oncovida</table>
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Este es el sistema de registro de atenciones domiciliarias de Oncovida. Debe ser llenado por el prestador individual, y debe realizarse un registro por cada visita domiciliaria. Si usted no es prestador de Oncovida por favor no llene este formulario. A continuaci=F3n indique su correo electr=F3nico.</table>
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Direcci=F3n de correo electr=F3nico *</table>
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vcornejorozas@live.cl</table>
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Identificaci=F3n del Prestador</table>
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Aqu=ED debe ingresar sus datos personales</table>
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Primer Nombre y Apellido Paterno *</table>
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Valentina Cornejo</table>
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RUT *</table>
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RUT con Gui=F3n y D=EDgito Verificador, sin puntos ( Ej: 5632200-k)</table>
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17972298-4</table>
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Tipo *</table>
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Si asisten m=E1s de 1 prestador simult=E1neamente, cada uno debe hacer un registro independiente</table>
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MEDICO ENFERMERA/OTENS KINESIOLOGA/OPSICOLOGONUTRICIONISTA</table>
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Identificaci=F3n del Paciente</table>
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En esta secci=F3n debe ingresar los datos del paciente visitado</table>
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Datos Personales del Paciente</table>
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Ingrese el Rut del Paciente *</table>
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RUT con Gui=F3n y D=EDgito Verificador, sin puntos ( Ej: 5632200-k)</table>
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4313687-9</table>
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Ingrese el Primer Nombre y Apellido Paterno del Paciente *</table>
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Selfa Antiman</table>
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Previsi=F3n *</table>
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BANMEDICA CAPREDENACOLMENA CONSALUDCRUZ BLANCADIPRECA FONASAFUNDACIONISAPRES DEL COBRENUEVA MASVIDA VIDATRESPARTICULAR</table>
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Ciudad *</table>
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San Felipe</table>
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Comuna *</table>
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Santa Mar=EDa</table>
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Registro de la Atenci=F3n Domiciliaria</table>
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En esta secci=F3n debe ingresar los datos de la atenci=F3n domiciliaria</table>
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Tipo de Atenci=F3n *</table>
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Domicilio Ambulatorio</table>
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Fecha de la Atenci=F3n *</table>
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D=EDa123456 7891011 121314 15161718 192021 22232425 262728 293031 Mesenero febreromarzo abrilmayo juniojulio agostoseptiembre octubrenoviembre diciembre A=F1o1896 18971898 18991900 19011902 19031904 19051906 19071908 19091910 19111912 19131914 19151916 19171918 19191920 19211922 19231924 19251926 19271928 19291930 19311932 19331934 19351936 19371938 19391940 19411942 19431944 19451946 19471948 19491950 19511952 19531954 19551956 19571958 19591960 19611962 19631964 19651966 19671968 19691970 19711972 19731974 19751976 19771978 19791980 19811982 19831984 19851986 19871988 19891990 19911992 19931994 19951996 19971998 19992000 20012002 20032004 20052006 20072008 20092010 20112012 20132014 20152016 20172018 20192020 20212022 20232024 20252026 20272028 20292030 20312032 20332034 20352036 20372038 20392040 20412042 20432044 20452046 20472048 20492050 20512052 20532054 20552056 20572058 20592060 20612062 20632064 20652066 20672068 2069</table>
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Hora de la Atenci=F3n *</table>
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h0001 02030405 060708 09101112 13141516 171819 20212223 : min00 010203 04050607 080910 11121314 151617 18192021 222324 25262728 293031 32333435 363738 39404142 434445 46474849 505152 53545556 575859</table>
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Performance Status ECOG del Paciente *</table>
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0 12 34</table>
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Escala Dolor EVA Actual</table>
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1</table>
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<tbody>
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2</table>
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3</table>
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<tbody>
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4</table>
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<table width=3D"100%" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:#fff">
5</table>
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<tbody>
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</tbody>
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6</table>
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<tbody>
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<table width=3D"100%" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:#fff">
7</table>
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<tbody>
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8</table>
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9</table>
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10</table>
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Escala Dolor EVA M=E1ximo</table>
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<table width=3D"100%" cellpadding=3D"0" cellspacing=3D"0" style=3D"background-color:#fff">
0</table>
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1</table>
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Escala Dolor EVA M=EDnimo</table>
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Anamnesis/Evoluci=F3n *</table>
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Paciente adulto mayor, sexo femenino, en regulares condiciones generales, al momento de la visita a su domicilio se encuentra acompa=F1ada de su hija, la cual la visita todos los d=EDas. Usuaria me comenta que en su domicilio vive ella junto a su nieto de 28 a=F1os. Se observan buenas relaciones familiares y redes de apoyo. Paciente consciente, lucida orientada en tiempo y espacio, Glasgow 15, EVA 3/10, hipertensa, normocardica, eupneica, afebril, Sat O2 99% FiO2 21%, sin apremio respiratorio. Paciente no refiere alergias, los medicamentos de uso actual son: Pregabalina 75 mg VO en la noche, Omeprazol 20mg VO durante el d=EDa, Losartan 50 mg VO al d=EDa. Usuaria con antecedentes m=F3rbidos de HTA, C=E1ncer g=E1strico diagnosticado en agosto 2017, en etapa terminal con met=E1stasis hep=E1tica, quimioterapia suspendida por paciente el 13/02/19 por disminuci=F3n de tolerancia al procedimiento. Antecedentes quir=FArgicos de: Colecistectom=EDa tradicional, Apendicectom=EDa, dos ces=E1reas, histerectom=EDa. Otros antecedentes: Tabaquismo (-), OH (-). En cuanto a la alimentaci=F3n el apetito se encuentra disminuido, mantiene buena tolerancia oral, aunque en ocasiones refiere tener nauseas, v=F3mitos, se alimenta con cuatro comidas durante el d=EDa, 500 cc de agua diariamente. En cuanto a la eliminaci=F3n no presenta episodios de incontinencia urinaria tampoco fecal, no presenta disuria, el color de la orina es cristalino con arom=E1tica d=E9bil, adem=E1s de presentar deposiciones diariamente. Paciente requiere ayuda para realizar actividades de la vida diaria, presento tres episodios de ca=EDdas previas.</table>
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Examen F=EDsico *</table>
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Examen F=EDsico General: Paciente mantiene postura pasiva, que cambia seg==FAn voluntad, se desplaza con ayuda de familiares, mantiene buenas condiciones higi=E9nicas, en cuanto aseo general de piel y cabello, u=F1as limpias. Se encuentra vigil Piel sana sin lesiones. Facie de dolor. Sus signos vitales al momento de la visita son: Frecuencia cardiaca: 80 lpm, frecuencia respiratoria: 19 rpm, temperatura: 36,6 C=BA axilar, presi=F3n arterial: 145/92mmHg, Sat O2: 96% FiO2 21%. (paciente refiere haber fumado por m=E1s de 20 a=F1os, h=E1bito ya suspendido). Examen F=EDsico Segmentario. Cabeza =95 Cr=E1neo: Normocr=E1neo. =95 Pelo: Distribuci=F3n homog=E9nea, buena higiene. =95 Ojos: Sim=E9tricos, conjuntivas rosadas, escleras blancas, sin presencia de secreci=F3n, pupilas reactivas a la luz, isocoria. =95 O=EDdos: Permeables sin presencia de secreciones. =95 Boca: Mucosas sanas, sin lesiones, hidratadas, sin cianosis peribucal. =95 Dientes: Uso de pr=F3tesis dentales removibles, tanto superior como inferior. =95 Nariz: Sim=E9trica, sin presencia de secreciones, sin signos de dificultad respiratoria, mucosas sanas. Cuello: Sin presencia de adenopat==EDas, sim=E9trico, movilidad normal. Tr=E1quea: En posici=F3n anat=F3mica. T=F3rax y Dorso: Sim=E9trico, sin retracciones, sin signos de dificultad respiratoria. Sin lesiones, piel sana. Se observa cat=E9ter con reservorio en zona subclavia derecha. Paciente refiere dolor EVA 9 en zona costal izquierda. Abdomen: Blando, depresible y doloroso a la palpaci=F3n. Espalda: Columna vertebral sim=E9trica. Piel sana, sin lesiones. Extremidades =95 Superiores: M=F3viles, sim=E9tricas, piel sana sin lesiones, sin presencia de cianosis distal tampoco ungueal, pulso radial y braquial presentes. =95 Inferiores: M=F3viles, sim=E9tricas, pulsos pedios y tibial posterior presentes y sim=E9tricos, sin presencia de cianosis distal tampoco ungueal. Zona genital/anal: No se observa.</table>
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Diagn=F3stico *</table>
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C=E1ncer g=E1strico</table>
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Plan de Tratamiento e Indicaciones *</table>
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=95 Se educa a paciente sobre efectos adversos de medicamentos de uso actual, adem=E1s de conocer la importancia sobre conocer los medicamentos indicados juntos sus dosis, y la no automedicaci=F3n. =95 Se educa a paciente sobre riesgo de ca=EDdas, al interior de domicilio se observan peligros (alfombras, objetos tirados en el suelo). =95 Se educa a paciente sobre los alimentos en alto contenido en sodio como: alimentos enlatados, embutidos, precocinados. Comer porciones peque=F1as seg=FAn tolerancia. =95 Se educa a paciente sobre cambios de posici=F3n, cuidados de puntos de apoyo, hidrataci=F3n de la piel.</table>
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Medicamentos Indicados</table>
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Fecha aproximada del Pr=F3ximo Control con usted</table>
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D=EDa1234 56 7891011 121314 15161718 192021 22232425 262728 293031 Mesenero febreromarzo abrilmayo juniojulio agostoseptiembre octubrenoviembre diciembre A=F1o1896 18971898 18991900 19011902 19031904 19051906 19071908 19091910 19111912 19131914 19151916 19171918 19191920 19211922 19231924 19251926 19271928 19291930 19311932 19331934 19351936 19371938 19391940 19411942 19431944 19451946 19471948 19491950 19511952 19531954 19551956 19571958 19591960 19611962 19631964 19651966 19671968 19691970 19711972 19731974 19751976 19771978 19791980 19811982 19831984 19851986 19871988 19891990 19911992 19931994 19951996 19971998 19992000 20012002 20032004 20052006 20072008 20092010 20112012 20132014 20152016 20172018 20192020 20212022 20232024 20252026 20272028 20292030 20312032 20332034 20352036 20372038 20392040 20412042 20432044 20452046 20472048 20492050 20512052 20532054 20552056 20572058 20592060 20612062 20632064 20652066 20672068 2069</table>
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Tratamiento Realizado (si corresponde)</table>
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Derivaci=F3n a otro Prestador Domiciliario</table>
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S=F3lo llene esta secci=F3n si es m=E9dico y solicita la visita de otro prestador del equipo</table>
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ENFERMERA TENS NUTRICIONISTA KINESIOLOGO PSICOLOGO</table>
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