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Needs attention98 critical alerts

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Pinned call

Call & clinical review

Carmen Delgado Sanz

+15555010101 Patient record

Assessment available Decompensated heart failure Started 12 Sep · 11:14

High riskClinical summary

The patient reports feeling better overall with an occasional mild cough that is improving. However, there is a history of significant weight gain and missed diuretic doses, which raises concern. Continued monitoring is advised due to the previous high-risk classification.

Saved results appear after each stage completes. Safety review runs only when required. AI findings support clinical review; they do not replace it.

Question planner11:14:18
Result recorded
5 question(s) planned
These questions focus on monitoring Carmen's weight, medication adherence, and any worsening symptoms, which are critical for managing her heart failure. The follow-up points address unresolved issues from previous calls, ensuring comprehensive care.
Red flags screened
Rapid weight gain or loss, Increased shortness of breath, Severe swelling in the legs or abdomen
- Hello Carmen, how are you feeling today?
- Have you noticed any weight gain since we last spoke?
- Are you taking your diuretic medication as prescribed?
- Is your cough still present, or has it gotten worse?
- Are you experiencing any new symptoms like shortness of breath or swelling in your legs?
Trend analyst11:14:20
Result recorded
Worsening
The patient experienced a significant weight gain of 25 kilograms and missed a diuretic dose between calls 1 and 3, indicating a clear deterioration in her condition. Although she reported feeling better in the most recent call, the previous worsening symptoms and missed medication raise ongoing concerns.
Trajectory
Worsening
Gradual deterioration
Detected
- significant weight gain
- missed diuretic doses
Clinical analyst11:14:21
Result recorded
Risk High, worsening True
The patient reports feeling better overall with an occasional mild cough that is improving. However, there is a history of significant weight gain and missed diuretic doses, which raises concern. Continued monitoring is advised due to the previous high-risk classification.
Safety reviewer11:14:23
Result recorded
Challenge upheld: no override
The patient's report of a cough, even if improving, alongside a history of significant weight gain and missed diuretic doses indicates a potential deterioration in heart failure management that warrants a higher risk classification.
Clinical handover11:14:25
Result recorded
Schedule a telephone review within 24 hours to further assess the patient's condition and ensure adherence to the medication regimen.
The patient reports feeling better overall with an occasional mild cough that is improving. However, the history of weight gain and missed diuretic doses remains concerning, maintaining the high-risk classification.
Situation
Carmen Delgado Sanz is being flagged due to a high-risk classification and reported worsening symptoms during the follow-up call.
Background
The patient was discharged 15 days ago with decompensated heart failure and has a history of significant weight gain and missed diuretic doses. Previous follow-up indicated a high-risk status.
Assessment
The patient reports feeling better overall with an occasional mild cough that is improving. However, the history of weight gain and missed diuretic doses remains concerning, maintaining the high-risk classification.
Recommendation
Schedule a telephone review within 24 hours to further assess the patient's condition and ensure adherence to the medication regimen.
Follow-up scheduler11:14:26
Result recorded
Next call in 1 day(s)
The patient is at high risk with worsening symptoms, necessitating a follow-up call in 1 day to closely monitor her condition and ensure timely intervention.