At todays visit
At todays visit
. MEDICAL UPDATE: Client continues to report arthritis in her left leg and hand, high blood pressure, stomach hernia and hip replacement surgery. Client continues to report she needs surgery and she can wait to be housed so she can schedule both surgeries stomach and hip replacement.…
She has dysphagia and is currently on a mechanical soft diet. She has total right sided hemiparesis from a past CVA. She also has an indwelling Foley catheter…
The applicant’s complaints at the time of the report dated January 20, 2009 was “moderate neck pain, mild to moderate mid-back pain, moderate to severe low back pain, and moderate to severe right shoulder…
The claimant has a past medical history significant for a fibromyalgia, cardiomyopathy, migraines, osteoarthritis, endometriosis, recurrent MRSA, and severe exhaustion. A progress note from Henry Echiverri, MD, dated 06/07/2017, indicated that the claimant presented with a possible diagnosis of multiple sclerosis. She stated that bumping into walls had been on for years, but had worsened the past few months. She felt that her vision was off and the pupils just dilate without a cause.…
Acupuncture needling was performed on this visit, as well as gentle stretches performed after the treatment. IW will continue acupuncture and PT. Based on the medical report dated 12/29/16, the patient complains of active lumbar pain, rated 6-7/10 with active and worse right leg radiculopathy, rated 6-8/10. Right leg is noted to have weakness, with history of buckling.…
1. Describe the primary issues presented in the case study. The case study of the doctor in the sleep study clinic represents issues with health disparities, race, poverty/socioeconomic class, ethnicity and culture. The doctor clearly puts his own needs first as well as remains at the job due to its proximity to family and friends.…
Limited ability to perform a general task like standing or lifting. Has had multiple past and current workers comp claims due to current limitations. Paula Mayo – Current supervisor. Suspended for theft. Has been terminated for theft and rehired a few years later.…
On 03/02/2017, the claimant presented with neck and thoracic spine pain rated at 7/10. She presented with some improvement. The plan of care included continued therapy to further increase the range of motion and spinal mobility. The Physical Therapy Note dated 03/06/2017, stated that the claimant felt sick after her last physical therapy session.…
The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
• Dr. Burke looked at the InterQual discharge criteria. InterQual recommends 48 hours. Therefore, the key is that whether the criteria meet the InterQual criteria or not. However, we don’t know the cost implication for moving patients to inpatient status or lower level of care. •…
The institution of slavery has been around since the pilgrims came to America. The southern economy of the United States has always been centered around large-scale farming with slavery on plantations growing cotton and tobacco. The northern and southern regions of the United States have very different economies. The north revolved around manufacturing and industry, while having some agriculture on a small-scale. The South had been bullied by the North for too long; last straw came in November 1860 when Abraham Lincoln won the Presidential Election.…
Dr. Williams’s actions and behaviors presented a multitude of negative aspects that had a damaging effects on the way he delivered care to his patients and their families. Consequently, this also had harmful effects on the healthcare of his patients. Dr. Williams can be viewed as being cultural incompetent and because of his actions he is beginning to jeopardize his patients’ treatment. Initially, Dr. Williams makes a fundamental mistake of not addressing the underlying cause of why he is experiencing communication difficulties with his patients.…
He complains of on and off lower back pain, on and off right knee pain with some improvement and right ankle pain and occasional swelling upon prolonged standing and walking. Patient has difficulty with bending, prolonged standing and walking. On examination of the lumbar spine, flexion and extension is restricted by 10/10 degrees.…
I’m reaching out in regards to Christy and I’s current job title (Office Specialist II). I’m wondering what are the necessary steps to take in order to acquire reclassification. As the agency changes its structure due to the occupancy of the Marijuana Program subsequently, so, has “Dispatches” job responsibilities; we’ve respectfully out grown our title and are just looking for direction relating to reclassification.…
Alcohol should be avoided at all cost to prevent complications Cigarette smoking is very dangerous and can cause irreversible damage. The patients should be concerned about their weight since increased weight leads to easy fatigue. If patients can adhere to these changes, then life would run smoothly. The patient should be advised to change to the current diet. Some cultures are heard to change like some people believe animal fat is the best, but you should explain to the patient the effect of taking saturated fat and what it would cost them.…