Mr. Smith is a 58 year old African American male who is a married stock broker with five children. Three of his children are in college while the other two live at home. His normal workday consists of working 10 hour days with an hour drive time to and from his office. This means Mr. Smith has little time to dedicate to exercising. Mr. Smith often experiences headaches, fatigue, malaise, dizziness, vision changes, nausea, and dyspnea.…
At today’s visit, she is awake, alert and oriented. She reports chronic, dull, constant, sharp left hip pain. She rates her pain as 7/10. She states that the pain affects her mobility and makes it difficult to ambulate. She takes Percocet…
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.…
5. If this is a program that was implemented before, please tell us a success story so we can understand the impact of the program. We previously helped a client by stabilizing her housing and financial status by developing a spending plan to gradually pay down personal loans that she had taken out prior to entering into MMP.…
The resident skin upper and lower limbs are pink, warm, and dry with a soft texture. Her skin turgor is less than 2 seconds with no wounds or lesions noted. There are pressure ulcers located on left and right buttocks. Resident scored a 13 which means she is at high risk for pressure ulcers on the Braden scale. The resident’s hair is straight, gray, fine with no appearance of balding.…
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.…
A review of her medical record indicates she suffers from late effect CVA with muscle weakness that occurred earlier this year. At which time she revoke hospice and was admitted to the hospital and treated for her CVA with rehab stay upon her discharge from the hospital. She suffers from chronic back pain/post herpetic back pain resulting for history of shingles. She suffers from co-morbidities of CKD-Chronic, Afib-stable and osteoarthritis that is chronic.. She also has a history of functional decline, weight loss, HF, TIA and Urinary incontinence.…
The reporting party (RP) stated her two daughters, ages 3 months and 2 years began attending the family day care on 1/9/17. The RP stated she was on a variable schedule and would pick up her daughters at various times of the day. On one occasion (exact date unknown) she arrived at approximately 6PM to find the children still sleeping and a little boy wake approximately 5-6 years of age who was placed( trapped/caged) behind a play pen and a wall. Subsequently the RP learned the child was being punished for not taking a nap, however it was 6PM at the time.…
When confronted about admitting being suicidal and taking medication to this clinician, patient stated "I just thought I might get to go to back to Highpoint if I said that, they have some good information up there." The patient presents with minimal eye contact during the assessment and story has change a few time. The patient reports he does not have a place to go. Patient reports having a history of suicide ideation, the last one being in 2015, where he was placed at HPR, when he reports cutting himself and a history of bipolar. The patient currently has multiple laceration on both arms.…
Hi Jason, I will find out I know this was in issue in our PT department. They found that there was a long wait time with Assyrian they stated they were on hold several times for over 20-25mins. They then spoke to the patient who also was able to speak Arabic. As soon as they found out they switched over to an Arabic interpreter.…
Patietn reports anxiety and depression. refused the SSRI, stating that they don't work for her, and she needs seraquel. Patient reports increased in anxiety, since she's been at the Lovelady Center. Patient denies chest pain,SOB, N/V/ D, or fever.…
Why are you interested in becoming a SHPEP ambassador? Before being part of SHPEP Dental Program, I did not have much knowledge on the field of Dentistry. Although I knew that Dentistry was the field that suited me the most, attaining clinical first-hand experience was something that I was missing. Being part of SHPEP allowed me to not only gain the clinical experience I needed to reaffirm my decision of becoming a Dentist, but also enabled me to gain great connection with faculty members and current dental students who gave me the tools I needed to succeed as a pre-dental student.…
atient is a 34 year old woman complaining of joint pain, 7 on a pain scale of 1-10, as well as feelings of anxiety. She states her joint pain began a little over a month ago at first in her knees. Then she began to notice the pain increasing, and soon spreading to her wrists and fingers. She believed her job as an accountant and the constant typing required for the job exacerbated her joint pain in her fingers and wrists. She describes the pain as a “burning” sensation.…
Problem Statement and Research Question The underutilization and lack of knowledge of state prescription drug monitoring program (PDMP) of providers in the emergency department (ED) setting is contributing to opioid related misuse, addictions and overdoses. The prescribing of opioid medications has evolved into an epidemic with the number of opioid prescriptions quadrupling in the last 14 years in the US leading to increased addiction, overdose and misuse (Greenwood-Ericksen et al., 2016). The ED is the most commonly used location to seek care for pain and these providers account for 25% of all opioids prescribed contributing to overdose, addiction and misuse (Allen, Jewers & McDonald, 2014). PDMPs allow providers to track the disbursement…
Ms. Iversen is dependent on some dressing, bathing, hair washing, meal preparation, house cleaning. She is non weight bearing to the right leg. MEDICAL/SURGICAL HISTORY Ms. Iversen said she has ha history of cervical pain. She has a congenital fusion of the cervical spine. Ms. Iversen denied any smoking, alcohol use or drug use.…