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De: Formularios de Google<br>
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Enviado: mi=E9rcoles, 10 de julio 10:04 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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5411344-7</table>
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Ingrese el Primer Nombre y Apellido Paterno del Paciente *</table>
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Lia Aguilar</table>
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Previsi=F3n *</table>
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BANMEDICA CAPREDENACOLMENA CONSALUD CRUZ BLANCADIPRECAFONASA FUNDACIONISAPRES DEL COBRE NUEVA MASVIDAVIDATRES PARTICULAR</table>
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Ciudad *</table>
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Los andes</table>
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Comuna *</table>
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Los andes</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=EDa1234 56789 101112 13141516 171819 20212223 242526 27282930 31 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 131415 16 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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4</table>
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5</table>
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<tbody>
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6</table>
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7</table>
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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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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 buenas condiciones generales, al momento de la visita a su domicilio, se encuentra sola en su domicilio. 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: Digenil una c=E1psula al d==EDa, Lanzoprazol 30 mg al d=EDa VO, Alprazolam 0,5 mg antes de dormir VO, Clonazepam 2 mg antes de dormir VO, Zolpidem 12,5 mg antes de dormir VO, Tildiem 45 mg una vez al d=EDa VO, Losartan 50 mg una vez al d=EDa VO, Pregabalina 37,5 mg una vez al d=EDa, Transtec 35 mcg/h medio parche cada 4 d=EDas. Paciente con antecedentes m=F3rbidos de HTA, C=E1ncer pulmonar diagnosticado en Julio del 2006, ese mismo a=F1o fue sometida a una Lobectom=EDa en pulm=F3n derecho, el a=F1o 2012 nuevamente se le realizo una Lobectom=EDa en pulm=F3n derecho, el a=F1o 2017 fue sometida a una Laparotom=EDa por tumor en mesenterio. Paciente siempre rechazo tratamiento de quimioterapia y radioterapia. Otros antecedentes: Tabaquismo (-), OH (-). En cuanto a la alimentaci=F3n el apetito se mantiene conservado, se alimenta cada 3 horas durante el d=EDa, evita consumir masas por molestias gastrointestinales, r=E9gimen hiposodico, 500 cc de agua diariamente, consume aproximadamente 1000 cc de agua de hierbas. En cuanto a la eliminaci=F3n no presenta alteraciones, sin incontinencia, no presenta disuria, el color de la orina es cristalino con arom=E1tica d=E9bil, adem=E1s de presentar deposiciones diariamente. Paciente autovalente, capaz de realizar actividades de la vida diaria sin ayuda.</table>
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Examen F=EDsico *</table>
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Examen F=EDsico General: Paciente mantiene postura erecta, activa que cambia a voluntad, se desplaza sin requerir ayuda, mantiene buenas condiciones higi=E9nicas, en cuanto aseo general de piel y cabello, u=F1as limpias. Se encuentra vigil. Su piel se mantiene indemne, sana, humectada, turgencia normal, sin lesiones, no presenta cianosis. Presenta Facie relajada. Su estado nutricional es sobrepeso, peso: 64 kg, Talla: 1.54 mt, IMC: 27 y sus signos vitales al momento de la visita son: Frecuencia cardiaca: 83 lpm, frecuencia respiratoria: 17 rpm, temperatura: 36,3 C=BA axilar, presi=F3n arterial: 145/90mmHg, Sat O2: 99% FiO2 21%. 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. Hipoacusia en o=EDdo derecho, uso de aud=EDfono. =95 Boca: Mucosas sanas, sin lesiones, hidratadas, sin cianosis peribucal. =95 Dientes: Sin uso de pr=F3tesis. =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. Refiere fuerte dolor en escapula derecha. Abdomen: Blando, depresible e indoloro. De aspecto distendido. Espalda: Piel indemne, columna vertebral sim=E9trica. Extremidades =95 Superiores: M=F3viles, sim=E9tricas e indemnes, piel sana sin lesiones, sin presencia de cianosis distal tampoco ungueal, pulso radial y braquial presentes =95 Inferiores: M=F3viles, sim=E9tricas e indemnes, pulsos pedios y tibial posterior presentes y sim=E9tricos, sin presencia de cianosis distal tampoco ungueal. Se observan varices en ambas EEII.</table>
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Diagn=F3stico *</table>
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Cancer pulmonar</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, escalera). =95 Se educa a paciente a no sobre exigirse en actividades durante el d=EDa. =95 Se educa a paciente sobre los alimentos en alto contenido en sodio como: alimentos enlatados, embutidos, precocinados.</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 56789 101112 13 141516 17181920 212223 24252627 282930 31 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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