Nursing Case Study On Jeffrey Gobbi

Amazing Essays
CC
Mr. Gobbi is a 42-year-old male here today with complaints of left shoulder pain as well as to follow up on his coccyx pain.

HPI
The patient first complained of coccyx pain back in the spring of 2014. He was being active with his kids and fell right onto his coccyx while using a pillowcase to slide down the stairs. He was given an order for an x-ray at that time. Follow up a couple months later, he reported that his pain was better. He chose not to the x-ray. He tells me he is still on and off is having issues with pain in the coccyx. He a few weeks ago was in a golf cart and someone pressed quickly on the gas for the golf cart as he was standing up, causing him to fall back directly onto his tailbone and that seems to have exacerbated the pain and made it worse again. It
…show more content…
A/P
Jeffrey Gobbi is a 42-year-old male here today for followup and discussion of left shoulder pain.

Left shoulder pain. The patient had this now ongoing a year and it seems to be getting worse. At this point, we are going to start with an x-ray with potential need for an MRI. Consideration for orthopedics and physical therapy. I will review results of the x-ray with him when they are available. He knows to contact me if he does not hear from me in a timely manner.

Coccydynia. Previously had done well status post an injury now re-injured and it is bothering him again. He is requesting an x-ray order and I gave him an order for that as well. He can continue with using a pillow to sit on or a donut. He could also use Advil as needed.

Type 2 diabetes. He will keep his follow up with Dr. Meattey. So far he seems to be tolerating his new medication. He will update Dr. Meattey if he has any concerns or questions.

Hypogonadism. Currently doing well with his injectable testosterone. Also uses Cialis, if needed. So far that seems to be going well for him and again will keep his follow up with Dr.

Related Documents

  • Decent Essays

    He received a day pass on occasion of 4th July to visit his family. However, when the staff were transferring him back from the ambulance he fell from his wheelchair. As reported by the patient this incident regressed the patient’s condition, i.e., the weakness increased on the left side. Since then, the patient is coming for physical therapy. In the past, the patient had an episode of heart attack on March 31 2004 for which he was operated and stents were placed in his heart.…

    • 793 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    is a homeless paraplegic with double above the knee amputations (due to a motor vehicle accident in 2013) with an opiate addiction suffering from severe malnutrition, extreme depression, and failure to thrive. He has been on the med surge floor since being admitted. I previously cared for M.P. on another floor for a different set of stage IV pressure ulcers, which eventually healed and he was discharged…

    • 958 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Ap Pelvis Critique

    • 564 Words
    • 3 Pages

    For my written critique, I chose to talk about an AP pelvis and surgical lateral hip image that I performed on my ER days’ rotation. My patient complained of entire right hip pain. The patient stated that he had heard a loud popping sound when he stood up earlier that day. He had not walked since. The patient suffers from frequent hip dislocations and was positive that he had dislocated it once again.…

    • 564 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    These suggestions may include bypass surgery or installing a pacemaker or other device. Your doctor will thoroughly explain the procedure he is planning and tell you why he feels it is your best option. Listen carefully as he explains and ask whatever questions you have. Your doctor will be happy to answer them for you. Armed with this knowledge about heart disease you can now do what you must to try and avoid it.…

    • 1022 Words
    • 5 Pages
    Decent Essays
  • Decent Essays

    Essay On Caregiver

    • 1195 Words
    • 5 Pages

    Your caregiver will discuss your test results with you, the meanings of the tests, and the recommended steps to begin treatment. The caregiver will also indicate whether you need to be examined by specialists as you go through the steps of diagnosis and while a treatment plan is being developed. HOME CARE INSTRUCTIONS • Test preparation. Carefully follow instructions when preparing for certain tests. This may involve medicines that clean out the intestines before colonoscopy, fasting before certain blood tests, or drinking special “contrast” fluids that are necessary for CT scan and MRI images.…

    • 1195 Words
    • 5 Pages
    Decent Essays
  • Decent Essays

    Chronic Pain In Sufferers

    • 2028 Words
    • 9 Pages

    Even the government health care policy makers are aware of the situation; however; they have created a program called "cognitive-behavioral therapy (CBT)." This program helps patients to control their pain. CBT has different types of physical activities to reduce chronic discomfort. Doctors are attempting to provide the best treatment possible to their patients. Patients with Chronic pain should spend some quality of time to reach their goal.…

    • 2028 Words
    • 9 Pages
    Decent Essays
  • Decent Essays

    Empirical Referent Concept

    • 1116 Words
    • 4 Pages

    According to Ryan, a left hip replacement was done six months ago and ended with some complications. Post-surgery, Ryan developed infection on the surgical site which resulted another surgical intervention. His rehabilitation therapy was unsuccessful due to severe pain on the left leg. During this period he lost his wife and worsened his current situation. Ryan’s family arranged a home health aide to complete his activities of daily living.…

    • 1116 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Mcsweeney Case Studies

    • 376 Words
    • 2 Pages

    DOI: 06/22/2014. The patient is a 37-year-old male laborer who sustained injury while pushing a pallet jack off a truck and took a step over the truck to the ground doing the splits. The patient is subsequently diagnosed with status post left tibia puncture fracture repair with instrumentation, left knee, left ankle, lumbar sprain/strain. Based on the progress report by Dr. McSweeney dated 01/07/16, the patient had a left ankle scope on 12/17/15 and has just started PT. He reports left ankle pain rated as 3-4/10 and feels stiff.…

    • 376 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Narrative About Love

    • 781 Words
    • 4 Pages

    He said, "Hey don 't tell my mom Mimi", "I love you sister”, “My head hurts”. The concussion caused him to repeat himself and not remember what he had previously said. After about two hours they moved him out of the emergency room to a different room that was a lot smaller, but friends and family could visit…

    • 781 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    His self-esteem took a severe nosedive. While he was on the Fluconazole his other medicine for his P.T.S.D., they reduced to one-third the strength. They said that Fluconazole caused serious problems with that medicine. That’s all he needed. To watch for developing side effects and track his medications they did blood tests every two weeks.…

    • 899 Words
    • 4 Pages
    Decent Essays