At today's visit, she is found sitting in her wheelchair at Tiffany hall SNF. She is pleasantly confused. The facility staff reports that she was recently treated with ABT for new onset UTI. The staff reports that she continues to be follow by Vohra wound specialist for a chronic venous stasis ulcer that she has on her RLE. She has had this wound for a duration of 102 days. Her wound is dress by facility staff with xeroform dressing. She reports
a fair appetite, weight is stable. She has chronic edema in BLE for which she refused to elevate her legs and at times refused to sleep in her bed at night. Due to the abundance of time she spends sitting and her incontinence, she is at increased risk for pressure ulcers. She is wheelchair dependent but is able to propel herself with her feet. Based on conversation with the patient’s family, they want supportive care only.