A review of the records reveals the member to be an adult female with a birth date of 06/06/1956. The member has a diagnosis of rheumatoid arthritis. The member’s treating provider, Laura Summers, MD recommended the member continue her treatment of Remicade infusions 7 mg/kg every 6 weeks. The carrier has denied coverage of Remicade infusions 7 mg/kg every 6 weeks as not medically necessary.…
I identified the female as Coraima Estrada (TX-ID # 38720716). Estrada stated, "I do have the bag I attempted to call the Stipes stores and was going to return the money back in the morning. " I advised Estrada to retrieve the deposit bag, and departed the residence returning to Stripes with Estrada to speak with Bjorgaard. In the store managers office, Bjorgaard took possession of the deposit bag, and advised that it was still sealed and all money was accounted for. Bjorgaard stated, "I am not going to pursue criminal charges, because the deposit bag is accounted for without any loss of money."…
In section I (General Assessment) I found that the clothing aspect was not mentioned however we might assume that since the sheets were dirty and the patient was soiled on each visit, then this could be rated as having poor hygiene. His nutrition status was somewhat difficult to determine as a weight was not provided due to the patient not being able to get on a scale. However, his blood work was taken on the prior visit and his albumin level was 2.8 on a scale of 3.4-5.4 g/dL and his pre albumin was 18 on a scale of 19-38 mg/dL. Though you may not rely solely on these levels to indicate nutritional status, they do tend to indicate that this patient may be malnourished ("," n.d.) The last known weight of 160 at a height of 6 ft.- 3 in.…
Mrs. VG is a low-income, uninsured, 50 year-old female, with hypertension, controlled Type II diabetes, and recent onset of bilateral lower extremity edema. Until recent onset of edema, Mrs. VG had been able to manage her medical conditions under the care of her primary clinician. Nonetheless, Mrs. VG’s recent edema, prompted further renal evaluation including, laboratories and ultrasonography. Due to the high costs of the exams, Mrs. VG refused services. A week later, she returned to the office with worsening, now generalized edema in spite of taking a high dose angiotensin-converting enzyme inhibitor and a diuretic.…
In the field of medicine medical professionals come across many injuries and diagnose a lot of patients. The body is very complex and has many functions in order to sustain life. The body has organs, bones, and muscles, but it also has compartments which house different parts of the body. One of the things that medical professionals do not see that much of however, is compartment syndrome. When one of these compartments become injured, it causes a great amount of increased pressure inside the compartment and it can cause ischemia of the muscle and loss of a limb.…
Mr. Pena’s primary sources of income are public Assistance Medicare Medicaid and SSI Mr. Pena is currently receiving SSI in the amount of $633.00. Mr. Pena’s current mental diagnosis is Bipolar Disorder, and Anxiety. Mr. Pena reports history of psychiatric hospitalization as an adolescent, but does not recall the date, hospital and treatment provided. Mr. Pena also reports family history of mental illness.…
Please excuse, Nelson Martinez on April 11, 2017 due to a last-minute class study session in regards to help the students prepare for the final exam. I appreciate how vigilant you are, in allowing Mr. Martinez to come in a short notice despite his work responsibilities and duties. Mr. Martinez is an excellent, hard-working individual and is always eager to learn new objectives; I hope Mr. Martinez is diligent at work just how he is in class. I have attached his previous test and…
The short story 'A Message to Garcia' takes place in a time where everything moved slowly when it came to long distance communication across a battlefield and when no mail or telegraph message would suffice, the use of a messenger was it. This story tells the tale of a man who “carry’s a message to garcia”. The mission was just that, carry a message to Garcia. The President at the time needed help and was trying to contact the leader of the Insurgents who was General Garcia. He made several attempts and could not reach him through any mail or even any telegraphs.…
1. Introduction Focusing on the case of Daniel Garcia, this paper examines the limits of a universal individualist legal framework for the rights of undocumented migrant children in Canada. Daniel Garcia was an eighteen-year old when he was apprehended by police in Toronto and deported from Canada in 2011 (CITE). As the analysis will show, this case exemplifies the problems of Canada’s Immigration and Refugee Protection Act (2001) and sheds lights on how the law breaches children’s rights as defined by the UN Convention on the Rights of the Child. It is an exemplary case of how a universal rights framework has serious limitations for undocumented migrants, including children, arguably the most vulnerable undocumented migrants of all.…
Mr. Constantino has been referred by his family physician to a diabetes specialty clinic. He presents with recent weight gain, limited diabetes control and foot pain. He has been trying to exercise and lose weight for the past 5 months, but has been unsuccessful. One of the medicines Mr. Constantino has been taking is glyburide at 2.5mh every morning, but has stopped taking his meds because of dizziness along with sweating and agitation. Another medicine he has been taking is Lipitor at…
Who is Gabriel Garcia? To everybody he is a student from Tempe High that plays many different sports and keeps decent grades. At home he lives with a single mother in a crappy apartment. His only other family are two sisters, Stephanie and Yvette. His father, like many other families, has been absent for many years of his life.…
Anthony great post. What makes a successful department is the diversity within the agency. I believe that this will make a department successful and helping them gain the confidence of the community and the employees within the department. Open and honest are the most important foundations of building a better work place. The departments must first be up front and honest with their employees and this will develop a better moral within the department.…
Lyrical treatments of passion, love, pride, and death have made a tremendous mark on Federico Garcia Lorca’s literary works. Many of Garcia’s poems evoke traditional Andalusian folklore, gypsy music and surrealist ideas reflecting racial prejudice and economic suffering, which have created intense and dramatic creations during his legacy. While a members of the Generation of 27, Lorca was able to explore the many different literary styles after analyzing many works from Luis de Góngora, Juan Ramón Jiménez and many other writers, from previous generations, which also helped poets like Rafael Albertí, Luis Cernuda, and Jorge Guillén began to produce their own literary styles. Although poets like Jorge Guillén, Luis Cernuda, and Rafael Albertí created famous literary works from different styles and creative identities, Federico Garcia Lorca is considered to be one of the most emblematic poets of the 20th century.…
The case presented is that of, Juan Martinez, a 22 year old Mexican-American male, who has been diagnosed with Alcohol Dependence, Narcotic Dependence, Stimulant Use Disorder-Moderate, and Opioids Use Disorder-Moderate. Client was also referred to a mental health professional to be assessed for Post-Traumatic Stress Disorder (PTSD), and was later diagnosed and began treatment by a psychologist. Client, Juan Martinez, has had a history of unsuccessful relationship with friends, and significant others due to his substance abuse, and addictions. The presented client had stable employment and stable income from the United States Army, until he was discharged on a general discharge in December 2015. Client has reported that he was first introduced…
She looks very interested to know more and takes actions to control her blood sugar. On another hand, the family takes a big role to reduce the level of the blood sugar. The most important thing is having a good dietary habit and providing her with the support which can help her to walk. Influencing Factors and Ethical Considerations: As a nursing student, I had a very strong relationship with Ms.S.K.’s…