This makes a lot of sense, but the only thing I'm worried about is that all of her airway, breathing, and pain problems are being treated (have been since she was admitted to the long-term care facility) with medications to which appear to solve any of those problems. This is what's making it hard. Her major problems are already being treated, so I wasn't sure if I could access those problems when there isn't a problem with them anymore. The only major problem that I can observe and what the patient tells me is pain in her leg because of swelling, osteoporosis which limits her ability to clean herself a/f BM, dress or feed herself. BUT this is being taken care of. The osteoporosis is something that can't be fixed. She refuses PT, b/c it brings more risk of pain than benefits. She doesn't consume fluids like she should but for some reason she's retaining water in her lower extremities. I'm not sure if she should consume more fluids with And again, I'm left with just edema. (booo).