Form 2189 - dads state tx-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the resident's name and room number at the top of the form. This information is crucial for identifying the individual receiving palliative care.
  3. In the 'Diagnosis' section, have the attending physician specify any expected outcomes related to the resident's condition. This may include anticipated weight loss, skin breakdown, or dehydration.
  4. For each expected outcome, ensure that appropriate measures are documented to address these issues. Use our platform’s text fields to detail how care will be provided.
  5. In the 'Other' section, provide any additional explanations necessary for understanding the resident's care plan.
  6. Finally, both the requesting resident/family and attending physician should sign and date the form at the bottom to validate it.

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