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Evaluation

Are you evaluating a patient in the nursing home?

Gender of the patient

Age

years

Does the patient have cancer?

Number of activities of daily living requiring assistance (enter from 0 to 7)

Is the patient short of breath?

Does the patient have a poor appetite?

Has the patient been experiencing weight loss?

Does the patient have chronic heart failure?

Is the patient in renal failure?

Is the patient dehydrated?

Does the patient have Alzheimer's disease?

Select the appropriate answer for each finding

Status

Cognitive performance status

Results

Please fill out required fields.