Aortic Dissection In Marfan Syndrome: A Case Study

Improved Essays
The Insured stated based upon her symptoms of aortic dissection of having, sudden, constant chest pain and upper back pain, sometimes described as a “ripping” or “tearing” in her chest. She said the pain is caused by moving from one place to another coupled with the pain to her right hand and the left hip; she is feeling that these medical conditions are preventing her from living a normal life at home. This, in turn, is preventing her from returning to work, after her conditions began in March 2010, even though no physician has imposed or placed her off from work. She feels that primary barrier preventing her from returning to work is her overall condition of having been diagnosed with AVM Type A Aortic Dissection in Marfan Syndrome. She seems her overall medical condition cognitively has affected her short-term memory where she is unable to focus and remember dates and times. …show more content…
She could only stand or walk for 20 minutes, without having to sit and rest. The Insured stated she cannot drive, due to her stress which she is undergoing and cannot handle the Los Angeles traffic and its congested freeways. She said if she had to drive it would take her about ten minutes to get out of her car. As for the specific parts of the job, she can be able to conduct sales over the phone on an intercom speaker. However, for the activities that she is unable to perform would be walking, standing, bending, stooping, squatting, carrying, lifting, twisting (waist) and reaching above head and the subtle use and manipulation required by his hands and fingers. She is unable to drive herself to work. She cannot operate a vehicle, as it requires the use of her arms to control the steering wheel and use of legs for acceleration and

Related Documents

  • Great Essays

    (2008, September 17). Retrieved October 03, 2017, from http://www.mdmag.com/journals/cardiology-review-online/2006/september2006/september-2006-gustafsson Fremgen, B.F. (2016). Medical law and ethics (5th ed.). Upper Saddle River, New Jersey: Pearson Education, Inc. Heart Failure - Symptoms. (2017).…

    • 1877 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Hsc300 Unit 2 Assignment

    • 626 Words
    • 3 Pages

    Payment was denied because the documentation did not support the medical necessity for the injection procedure. The documentation did not support the trigger points as reasonable and necessary. There was no indication of symptoms or physical findings that would support the medical necessity of the service at the level billed, in accordance with Medicare Guidelines. For the procedure code 20553 to be considered medically necessary and reasonable, an appropriate payable diagnosis needs to be billed as outlined in the Local Coverage Determination (LCD) (L30155).…

    • 626 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    On 8/25/2017, CM did a visual to locate client. The client was located in the "A" dorm. CM asked for the client to come to the Social Services Office. CM completed Bi-Weekly ILP Review. During the Bi-Weekly ILP Review, client Care Coordinator/Catholic Charity/Ms. Joya Joseph joined the session to informed client and CM that the funds she requested for clothing she didn’t get it , but she have a few funds available to take the client out for a coffee.…

    • 402 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    On this date worker visited the home of Mr. Gene Brown, for the purpose of making first victim contact. When worker arrived, Mr. Brown was in bed watching TV. He stated his son is his primary caregiver but he was recently arrested in Adamsville on drug charges. Mr. Brown stated he had been home alone for two days. The home was cluttered but did not present an odor.…

    • 429 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Ssa 300 Week 4

    • 697 Words
    • 3 Pages

    Group I, Category 30 Insufficient Documentation to Show Conformance to Procedural Requirements When A Disability Determination is Based on Unresolved Work Activity That Could Affect the Decision. ISSUE Step 1 of Sequential Evaluation is not satisfied. The record does not reasonably document if, and when substantial gainful activity (SGA) ended.…

    • 697 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Fibromyalgia Case Studies

    • 669 Words
    • 3 Pages

    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.…

    • 669 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    R/S Alfred Kiger Case

    • 175 Words
    • 1 Pages

    R/s Alfred Kiger is a stroke victim, he has difficulty walking, muscle weakness, history of falling, neuropathy, heart failure, and lack of coordination. R/s today Mr. Kiger was release from rehab after receiving therapy for hemiplegia and hemiparesis. R/s Mr. Kiger is unable to take care of himself and needs assistance with daily activities. R/s Mr. Kiger can’t cook for himself and can’t bathe himself. R/s Mr. Kiger can’t walk far.…

    • 175 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    For example, Sandy walker is a mother of a fifteen-year-old daughter named Jessica, she is severely disabled. She is a quadriplegic, nonverbal and is also fed through a gastrostomy tube. In her article “in support of the “Ashley treatment”—A parents view.” She states the many challenges she has faced now that her child has gone through a growth spurt. These challenges include not being able to take her to her favorite places and travel to many different places and participate in many different activities such as going to the beach.…

    • 2084 Words
    • 9 Pages
    Great Essays
  • Decent Essays

    Carolyn is a 36 year old woman who lives with her sister in Springfield Massachusetts. Carolyn’s primary disability includes; Bipolar Disorder, PTSD, Anxiety, and Protein S Deficiency which she has experienced a series of strokes due to this condition. Secondary disability includes: Fibromyalgia, vision problems, Migraines, cluster headaches and difficulty with processing, concentration and organization. Carolyn stated she has a difficult time with reading comprehension and the writing process. Carolyn has an Associates Degree in Nursing.…

    • 131 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Jennifer McNab of Pioneer State Mutual Insurance Company referred this file for medical case management. Instructions were given to meet with Susan Iversen and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 10/24/16 I met Ms. Iversen at her home. She is alert and oriented.…

    • 934 Words
    • 4 Pages
    Great Essays
  • Decent Essays

    Heart disease may be in one’s family history; however, it does not mean you have to accept it as your fate. As occupational therapist student, we focus on the occupation, health and well-being of a person through health promotion, prevention, and education. A certified occupational therapist with formal training in heart disease and stroke will educate the community on the risk factor and prevention of heart disease and stroke. As well as ways to adopt a healthy lifestyle through eating healthy diets and getting health screening annually. The therapist will also design physical activities such as walking, running, etc., as well as leisure activity such as dance, music, massage, gardening, sports, and art to decrease stress level to prevents…

    • 154 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    • Client will explain actions and precautions to take for cardiac disease Short - Term Expected Outcomes: Client will be free of chest pain, hemodynamic parameters will be within normal limits and…

    • 867 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    In Anna’s autopsy report, the results involved a narrowing in her renal and cerebral arteries (stroke caused by FH mutation) and evidence of Statins. Statins is a drug that lowers the cholesterol in the blood and Anna’s pharmaceutics recommended it. In her previous autopsy report, she had signs of Hydroxyurea, which may treat Sickle Cell Anemia. Going back to her heart, she did have scar tissue and clots partially block or occlude the lumen of the vessel, and mild mitral valve prolapse meaning the valves were not closing properly.…

    • 114 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    There were many errors seen in protecting the patient’s privacy. When the doctor goes to Mildred’s house, the caregiver packs Mildred’s bags for her and goes through her stuff. At the hospital while the nurses were changing Mildred, the doctor walked in with the curtain wide open. The nurse yells out that Mildred wet the bed and she needs help changing the sheets. The ward told Mildred’s daughter that her mother could not talk and when her daughter asked what else was wrong with her he said he could not give out information over the phone.…

    • 1122 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Her eye sight is failing, she is not able to drive; she frequently loses her balance and has had many falls in the garden, walking in the street and in her home. She lives with her husband who is frailer than she and her only daughter lives over an hour away by car. In times where she has suffered periods of illness she is not able to quickly seek medical attention, English is not her first language so she is not confident to talk…

    • 838 Words
    • 4 Pages
    Improved Essays