Meadow Creek Health & Rehabilitation · Room 214-B

Doris M. Burke

Left hip fracture, post-op day 12 · Type 2 diabetes · CHF

Medicare benefit days

18 of 21 used

Medications

What the doctor ordered, what was actually given, what was refused or held — and why each medicine matters.

Allergies

Penicillin · Shellfish — flagged on every order screen.

Apixaban (Eliquis) 5 mg

Twice daily — 09:00, 21:00

Given today

What it's for

Blood thinner. Prevents clots in the legs and lungs after hip surgery.

Why it matters

After a hip fracture the risk of a dangerous clot is high for about 5 weeks. Missing doses raises that risk.

Today's record

09:00 given by K. Alvarez, RN · 21:00 given by M. Doyle, LVN

Dr. P. Okafor, MD — ordered 8/3/2026

Metformin 500 mg

Twice daily with meals

Given today

What it's for

Lowers blood sugar in type 2 diabetes.

Why it matters

Keeps glucose steady so the surgical wound heals and infection risk stays low.

Today's record

08:00 and 17:45 given with food. No GI upset reported.

Dr. P. Okafor, MD

Furosemide (Lasix) 20 mg

Daily — 09:00

Given today

What it's for

Water pill for congestive heart failure.

Why it matters

Removes extra fluid so the lungs stay clear and breathing is easier.

Today's record

Daily weight and swelling checks charted.

Dr. P. Okafor, MD

Oxycodone 5 mg

Every 6 hours as needed for pain

Refused today

What it's for

Short-acting pain relief.

Why it matters

Used before therapy sessions so she can participate. Given only when pain is 4/10 or higher.

Today's record

14:00 dose refused — 'I don't want to feel foggy for my daughter's call.' Pain reassessed at 3/10. RN notified, non-drug comfort measures used.

Dr. P. Okafor, MD

Vitamin D3 1000 IU + Calcium

Daily — 08:00

Given today

What it's for

Bone strength.

Why it matters

Supports healing of the hip fracture and helps prevent the next one.

Today's record

Taken with breakfast.

Dr. P. Okafor, MD

Senna-S

Nightly

Held today

What it's for

Stool softener / laxative.

Why it matters

Pain medication and reduced movement cause constipation; this prevents it.

Today's record

Held — resident had a bowel movement at 13:00. Per standing order.

Dr. P. Okafor, MD

How refusals are handled

A resident always has the right to refuse a medication. When that happens the nurse documents the refusal and the reason, reassesses the symptom, notifies the physician when required, and offers the dose again. Refusals are never charted as "given," and the family sees them here the same day.