Age: 98.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, Moaning, Oxygen saturation decreased, Respiratory tract congestion, Road traffic accident
Clinical narrative: Hospice Nurse' Note on 9/21/2021:  "This nurse received a phone call from a very close friend of hers reporting that her husband?s uncle Has Covid and took a very bad turn this afternoon. Patient does not want to go to the hospital and does not want to be on any machines. He is a 98 year-old. He is a bachelor and has been living alone since his sister died that he used to live with. He has been alert and oriented and able to live alone with someone just checking in on him. Several months ago his nephew who is his caretaker moved him to a home right down the street from them so it would be closer and making caring for him easier. He was able to walk with a walker. He does not drive anymore since he had an accident a months ago. He has no children and his siblings are dead. He has been able to go to church and he would go on Friday night to play cards with a few other couples in the town down the road. He started having some Covid symptoms on Sunday, 9/12. He was a little congested and said he just did not feel good. Thursday he could not get off the couch and was so weak. He had them call the priest and he did visit and gave pt his last rites. Pt?s Nephew?s daughter did a Home Covid test on pt Thursday, 9/16 and he tested positive for Covid. Patient has been vaccinated. He did go Saturday and have the antibody infusion and he was gradually regaining his strength and almost back to his former activity they said. He took a shower on Saturday and was able to get it out by himself. He also was able to sit up on the couch and watch the ball game on Sunday. Yesterday morning he was doing pretty good and able to sit up and go to the bathroom and then about 3 o?clock this afternoon they went to check on him and could not arouse him. His oxygen level was down to 75% and his heart rate was 35. Before that his oxygen level had only gotten down to 94% at its lowest. Patient told them he did not want to go to the hospital . When they called this nurse they were just beside theirself and did not know what to do. Patient was anxious and moaning and confused. They could not get him settled. ?Hen? is a patient of Dr. It was so late in the day but they were afraid that something might happen to him during the night and they would not know what to do and they would not be able to have any medication and that patient would have to be taken to the hospital and that is not what he wanted. This nurse called RN at the care center and She did get a hold of Dr. He was still in the office and so was Dr. Dr. called back and said that pt could admitted him under the diagnosis of Covid, hypoxia, and hypertension. She wold also cover pt."  Hospice Nurse' Note on 9/22/2021 @ 06:50 CDT: "Pt?s great niece called and reported that pt?s O2 sat were down to 72% and his HR was 131. At 5:30 this am his O2 sat was in the 80s and was staying up in the 80s all night until now. They have been struggling to keep the O2 nc on pt during the night. He was alert enough to tell them that he did not want the O2 on. The morphine has helped pt but it does not last long. He keeps asking for his nephew. He says hat he wants up to the bathroom and then says no. When he does sleep he makes noises and he is very anxious and jabbering. He is drinking small sips of water. This nurse will visit soon."  Pt expired later on that day.  Nurse's note @14:06 CDT:  "Post mortem care provided. Controlled medications disposed of per protocol. Company contacted and patient ruled out due to age. Provisional Report completed and signed by pt?s nephew and great niece. Request put in the system and to contact nephew to set up date and time. Body released to Funeral Home. Emotional support provided throughout visit. Informed family of bereavement services."