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De: Formularios de Google<br>
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Enviado: jueves, 27 de junio 6:14 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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9447529-5</table>
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Ingrese el Primer Nombre y Apellido Paterno del Paciente *</table>
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M=F3nica L=F3pez</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 1314 151617 18192021 2223 : min00 010203 04050607 080910 11121314 151617 18192021 222324 25262728 2930 313233 34353637 383940 41424344 454647 48495051 525354 55565758 59</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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2</table>
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3</table>
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4</table>
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5</table>
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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, sexo femenino, en malas condiciones generales, al momento de la visita a su domicilio se encuentra recostada en su cama. Acompa=F1ada de su esposo y sus hijos. Paciente CLOTE, Glasgow 15, EVA 2/10, normotensa, normocardica, eupneica, afebril, Sat O2 96% FiO2 21%, sin apremio respiratorio. Usuaria no refiere alergias, los medicamentos de uso actual son: Clonazepam comp 0.5 mg en la noche, Pregabalina comp 75 mg 1 comp AM, 2 comp PM, Morfina ampollas 10mg/ml 8 mg c/4 hrs subcut=E1neo &#43; 5 mg SOS subcut=E1neo, Dexametasona ampollas 4 mg, 1 ampolla a las 9 am , 1 ampolla 15 hrs subcut=E1neo, Metoclopramida ampollas 10 mg 2 ampollas c/8hrs subcut=E1neo, Odanex 4 mg sublingual SOS, Dulcolax 2 perlas cada 8 hrs, Omeprazol comp de 20 mg, 2 comp cada 24 hrs VO. Paciente con antecedentes m=F3rbidos de C=E1ncer de endometrio etapa II G3 diagnosticado en noviembre 2013 (recidivado). Antecedentes quir=FArgicos de cirug=EDa bariatrica 2015, Linfadenectomia inguinal izquierda 2018. Otros antecedentes: Tabaquismo (-), OH (-). En cuanto a la alimentaci=F3n el apetito se encuentra disminuido, se alimenta seg=FAn tolerancia ya que refiere sentir asco a algunas comidas, 500 cc de jugos naturales diariamente, al momento de la visita refiere sed. En cuanto a la eliminaci=F3n no presenta episodios de incontinencia urinaria, no presenta disuria, hace 10 dias no presenta deposiciones. Paciente requiere ayuda de familiares para realizar actividades de la vida diaria, tambi=E9n requiere el uso de dispositivos como bast=F3n y silla de ruedas, con antecedentes de 2 ca=EDdas previas, permanece mayor parte del tiempo acostada a causa de dolor ya que al movilizarse el dolor aumenta significativamente. Permanece mayor parte del tiempo acostada, solo se levanta para ir al ba=F1o, cuando siente mucho dolor familiares la ayudan a usar chata.</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 su voluntad, se desplaza con ayuda de familiares adem=E1s de uso de bast=F3n y silla de ruedas, mantiene buenas condiciones higi=E9nicas, en cuanto aseo general de piel y cabello, u=F1as limpias. Se encuentra vigil. Se observa compromiso cut=E1neo inguinal izquierdo, mucosas semisecas. Facie dolorosa. 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: 95/67mmHg, Sat O2: 96% 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 p=E1lidas, 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, secas. =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. Abdomen: Blando, depresible, doloroso a la palpaci=F3n. Presencia de cat=E9ter subcut=E1neo, no presenta signos de alerta. Espalda: Columna vertebral sim=E9trica. Piel sana sin lesiones. Extremidades Superiores: M=F3viles, sim=E9tricas, piel sana sin lesiones, sin presencia de cianosis distal tampoco ungueal, pulso radial y braquial presentes. Presencia de cat=E9ter subcut=E1neo, no presenta signos de alerta. =95 Inferiores: En EEII izquierda se observa aumento de volumen y edema &#43;&#43;&#43;, con f=F3vea (&#43;). Zona genital/anal: Se observa compromiso cut=E1neo inguinal izquierdo. Lifangitis.</table>
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Diagn=F3stico *</table>
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C=E1ncer endometrio</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. =95 Se educa a paciente sobre cambios de posici=F3n, cuidados de puntos de apoyo, hidrataci=F3n y limpieza de la piel. =95 Se educa sobre cuidados de cat=E9ter subcut=E1neo, administraci=F3n de medicamentos por esta v=EDa, signos de infecci=F3n y signos de alerta.</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 13141516 171819 20212223 242526 27 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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Se realiza cambio de cat=E9ter subcut=E1neo. Instalo cat=E9ter subcut=E1neo en brazo izquierdo, limpio piel con alcohol al 70%, instalo branula #22 dejando tap=F3n puesto, todo fijado con ap=F3sito transparente. Procedimiento sin incidentes. Se realiza cambio de cat=E9ter subcut=E1neo. Instalo cat=E9ter subcut=E1neo en zona abdominal, limpio piel con alcohol al 70%, instalo branula #22 dejando tap=F3n puesto, todo fijado con ap=F3sito transparente. Procedimiento sin incidentes. Se deja pasando soluci=F3n glucosalina isot=F3nica seg=FAn indicaci=F3n m=E9dica. Se educa a familia sobre como desconectar sistema de suero. Me comunico con familiares los cuales me comentan que no hubo incidentes relacionados a procedimiento.</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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Crea tu propio formulario de Google</table>
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