Mr. H... medical history included: Alzheimer’s, senile dementia, hypertension, clinical depression, status post radical prostatectomy June 1996 secondary to prostate cancer, failure to thrive, gastro-entero reflux disease, and a history of skin cancer. 
          (The prescribed medications at the time of the incident were as follows)

: Aricept 10mg by mouth every night

Lipitor 10mg by mouth daily

 Lasix 10mg by mouth daily

 Potassium Chloride 750 mEq by mouth daily

 Zoloft 10mg by mouth daily, Prilosec 20mg by mouth daily

Ativan 0.5mg by mouth every eight hours as needed for anxiety or agitation Tylenol (500mg=2tablets)1gm by mouth every eight hours by mouth as needed for pain or fever.
 Mr. H....’s social history included: widower, three children, seven grandchildren, thirty-five year career in sales with the World Wide Import/Export Company of Khonkean garment.  Mr. H.... lived alone for ten years in the Ban nong nok  area until he was no longer able to care for himself.  At which time, his oldest son, R..... H..... Jr., moved Mr. H.....to Carol’s Crossing  with his family. 

1 July, 2009 09 .43:  Resident showered after breakfast with minimal assistance from staff.  Weekly skin assessment done.  Skin warm, dry and intact with poor turgor.  Mucous membranes moist and pink.  Quarter sized red area noted on left ischial tubersosity.  Site blanches upon palpation.  Moisture barrier applied to site and buttocks.  Will continue to monitor.  Medications taken at breakfast without difficulty.  At this time the resident has left the unit for the prayer services held in the outside.  The resident left ambulating with a stable gait and stand by assist of staff.  –Wipawadee potisopa , RN