C09983310 / invoice 10000

Reason: Health check Subjective: HL weakness has deteriorated current meds: gabapentin 300mg bid, paracetomol 250mg bid Faecal incontinence every day Urinary ok Appetite good No v/d Behaviour/Temperament: anxiousObjective:HR/PR: 80Temp: n/eMM: pink and moist Pulse: nadResp: panting heavily Hydration: adequate GIT: tense abdomen U/G: nadEars/Skin: numerous dermal massesEyes: nuclear sclerosis M/S: ambulating is markedly difficult for Stan now, especially in the HQs Dental: gd 2-3Assessment: QOL a concern, I have recommended euthanasia within the next month Has not responded well to beransa or NSAIDs previosuly Treatment: 1ml zydax sc Plan: O to arrange home euth Follow Up Call: Not Required.    Vital Signs    Weight: 35.7;