Dcw Observation

:57 AM I TC Ms. Bettie Brown about her progress since leaving Delmar Garden of Chesterfield Mo. Ms.Bettie explained she was discharged because of her weight and her not being able to walk. Bettie stated her neice and sister was taking care of her before she left for Delmar Garden. Bettie explained her brother in law has cancer her neice has a new job.I asked Bettie can she afford to have an home care agency that will provide assistance since she need it right away.Bettie stated she could not pay out of pocket right now because of other obligations. Bettie commented it would depends on her doctor to write up an order to have this supportive care. Bettie stated she has Blue Cross and Blue Shield. Bettie stated she needs a bed, and a walker that

Post Traumatic Stress Disorder is very serious issue when it comes to war veterans. However it is abused by many people in an attempt to fraud the government for personal gain.

“Medical malpractice claims and lawsuits deal with Improper, unskilled, or negligent treatment of a patient by a physician, dentist, nurse, pharmacist, or other health care professional. Negligence is the predominant theory of liability concerning allegations of medical malpractice, making this type of litigation part of Tort Law. Since the 1970s, medical malpractice has been a controversial social issue. Physicians have complained about the large number of malpractice suits and have urged legal reforms to curb large damage awards, whereas tort attorneys have argued that negligence suits are an effective way of compensating victims of negligence and of policing the medical profession. A person who alleges negligent medical malpractice must

Case Report: Posterior Hip Dislocation with Ipsilateral Femoral Head and Shaft Fracture - Using a Temporary External Fixator as a Method for Closed Reduction

On 10/26/16 CM went to unit #222 due a complaint that water was coming from that unit causing some damages to the ceiling in unit #122, situation that has been happing before and was fixed by the maintenance personal. CM ask Ms. Footman was happen she say that anything was fine in her unit, however based on CM observation , the bathroom tub was wet , signs that someone recently took a shower but the floor was dry. Ms. Footman denied having any flood in the unit at that moment.

On 7/9/15 worker made an unannounced visit to the residence of Ms. Bernice Connell, for the purpose of making first victim contact. Ms. Kayley McKinnon, granddaughter-in-law of Ms. Connell greeted worker at the door and showed worker to Ms. Connell 's room. The room was cluttered but did not present with an odor. Ms. Connell was lying in bed watching TV, she was appropriately dressed with good personal hygiene.

P alleges false arrest for 3 different incident. First incident (2/2/2007) – P allege that he was inside his friend, Mel Herman’s apartment when MOS entered the apartment and arrested everyone. P alleges that MOS threaten to have a German Shepherd bite P, pushed and stepped on P. P alleges that P was strip searched at the apartment. MOS Sgt. Urena stated that MOS were executing at search warrant which was obtained by Det. Nancy Vasquez based confidential informant buys at the location. MOS Sgt. Urena stated that he observed P inside the apartment coking crack on a stove. MOS Sgt. Urena stated the narcotics and marijuana was recovered from the location. It is unclear what role, if any, Defendant MOS Jose Peinan played in this incident. Criminal charges were, later, dismissed.

When inside the store the caregiver and her boyfriend approached the resident appearing upset and curious as to ask why the resident wasn 't still in the truck. The RP disclosed that the resident was fearful due to the tone of voice the caregiver used when asking why the resident left the vehicle. The resident disclosed that she and another resident had traveled to multiple placed with the caregiver, her boyfriend, and daughter (name not provided). The RP stated the boyfriend had not received a background clearance; however he was transporting the residents in his vehicle. The caregiver disclosed the boyfriend had transported her and the resident on at least 3 other occasions and therefore the residents should not be nervous in his presence. The counselor decided to wait at the home until the licensee Janice Bryant arrival. The counselor informed Janice that the resident needed to be seen by a physician due to her continued

G. addressed the Board first and provided them with a chronological file of the incidences that occurred. He stated he felt the outpatient program website was very misleading. R.G. believed he was attending a nationally recognized program with licensed professionals, and individualized treatment. He reported feeling the staff was rude, under qualified, and unprofessional. R.G. stated he was not given a proper evaluation upon entry of the program. He claimed he was only asked to complete a few questionnaires with no further evaluation. When he was given his treatment plan, R.G. felt it did not address his needs and goals. When he started EMDR, he did not feel comfortable with the individual providing this service and requested to see either Dr. Earle or another clinician. The individual administering the EMDR refused and stated he had goals that needed to be met and there were no alternatives. R.G. was very upset by this and later went to the emergency room (ER) in crisis. He returned from the ER that day and requested to speak with Dr. Earle who did not meet with him until much later. He reported he was told he would have access to staff 24/7 at the sober living home, but no one was there on the weekends. R.G. stated he was in a state of crisis and no one was there to help him, even when he reached out for

Mrs. Jones is a 67 year old female who presented to the ED via LEO under IVC through DayMark Recovery Services. Per documentation Mrs. Jones has been non compliant with medications and has been experiencing symptoms of psychosis. At the time of the assessment Mrs. Jones appears calm and cooperative. She does present with tangential speech and vaguely answers questions. She recently was discharged from Novant health 1/3/17 and followed up with DayMark 1/11/17 with new changes in medications. Per documentation she has not been taking medications, answering the phone when called, not eating, and bathing. Mrs. Jones has a history of non compliance. Mrs. Jones reports denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports

The pt Wicker, Richard wanted to attend unit 8415 for 1 tx. I called the unit on 7/31-8/2 to ask for a chair time. I was told that they are reviewing records. I called the unit today and spoke with Tina, she told me that they do not have any availibility. I wanted to know if there are any clinics in your area that can accommodate this pt. for 1 TX.

After reviewing, the board came to the conclusion that the hygienist was in violation of the Practice Act. I feel the board made an accurate judgment call in this situation. Not only did they give the hygienist leeway in the past, but also now they did as well. They also gave them two extension, yet the hygienist still didn't comply. The hygienist was given plenty of time to complete the remaining CEU's needed for reinstatement. They board brought up a couple good points. The first one was about the Yankee courses. One of the board staff members contacted Yankee, who stated that there was at no point when all the courses were all full. The second point was brought up about Arizona offering CEU's for hygiene, which the hygienist could have attended in between their travels for family reasons. From all the evidence gathered, the board made a good judgment call. I understand there are things that come up in our live that can effect other parts and sometimes people are busy and forget; however, this hygienist was given multiple extensions yet still didn't

Current subjective complaints (from claimant) and objective observations: Mr. Anderson continues to walk using 2 canes, his legs shake when he is walking; he has frequent tremors of his legs while sitting. Since having the permanent spinal cord implant done on 6/19/17 He reports that his pain has increased from the incision and to the right rib area. He is not able to sleep or get comfortable. He reports standing for more than 5 minutes is difficult. Said he was told to increase his Dilaudid and Percocet for 3 day by Dr. Shah but due to the level of pain he has he just continued with the increase dosage until the appointment with Dr. Rampersaud on 6/29/17.

Mrs. V. is a 90 year old female who presented to the Emergency Department of Jewish General Hospital on October 5th, 2015 with a chief compliant of head injury. Patient had a mechanical fall at home after trying to get in bed; she missed the edge of the bed and fell. Patient’s son found her on ground with bleeding from head and laceration of the scalp and he called the ambulance. Patient did not lose consciousness, denied any headache, neck pain, limb pain or weakness. CT head was done, showing no head injury. The current plan for Mrs. V. is to admit her under geriatrics as off service, assess her mental status, suggest a skin care consult for the non-healing foot ulcer, physiotherapy and occupational therapy consult and assess for risk of falls.

History of Present Illness: 59 y/o Filipino female with Type II Diabetes diagnosed in 1998. She noticed slight swelling of her right lower extremity about one month ago after prolonged standing. Swelling is intermittent with slight discomfort which is relived by elevating her legs using 2 pillows.