Jean Russell of Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with Flavia Tocco and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING I met Ms. Tocco at the St. John’s physical therapy department. Ms. Tocco was open to providing me information on her current and prior medical history.
Part A: Sugar study Diabetes is a condition where sugar is not processed properly in the body. If the diabetic does not take care of their condition, complications may arise which could have a significant impact of the quality of the life of the diabetic, which could reduce their life expectancy. Although there is no cure for diabetes, the diabetic can still maintain a healthy life by effectively managing their food consumption. There are three types of diabetes, type one, type two and gestational diabetes. All three types are very complex and are serious conditions that needs to be taken care of.
Upon arriving to the unit this morning, I quickly realized today was going to be a chaotic day with the current patient census, and all of the new admissions. I was able to assist the night charge nurse with today’s assignments, while she helped with the code, and the day began. I informed my team that today was going to be a long day, and encouraged them to use each other and myself for help. I recommended they taking a few minutes to coordinate their work after receiving report. At 0745, when Jane informs me that the patient in 408 has fallen, I am quick to get into the room and do an assessment again.
Circumstance: Ayden will maintain contact with medical team monthly. Ms. Smalls (MHP) and Mrs. Wigfall (MHS) discuss Ayden’s recent medical appointments and therapy. Action: MHS report Ayden will start physical therapy at an outside clinic. MHP and MHS discuss Ayden receiving all therapy at the same clinic to reduce several therapy appointments during the week. MHP and MHS review reports given since last week.
It was a warm summer afternoon of August, 1999, at a friend’s house when I was introduced to rheumatoid arthritis. It was a casual and startling encounter. His aunt greeted me at the door to take me to the guest room. She seemed to be in her mid-40’s, had a round face with thin reddish skin, painful looking hand deformities and a slow, limping gait; most strikingly, an aura of pain was visible all around her. I asked my friend, concernedly, why she looked so different.
Per the appeal letter dated 12/09/16 by Dr. Deckey, the IW has an isthmic spondylolisthesis with foraminal stenosis and radiculopathy. MD argues that this patient does not warrant a psychosocial evaluation. He is a 52-year-old gentleman. He has lost weight, and he has gone through conservative treatment. A psychosocial evaluation is really an evaluation for patients who have degenerative lumbar disk disease and require surgery for degenerative disk disease.
Issues She has Type II diabetes. Due to her compromised immune system, it is more likely that her injuries will take her longer to heal. Daily stressors and financial responsibilities may cause health concerns to take second priority. As a result, health issues
This happened only five years before the antibiotic that could have treated him and prevented his death came to be. In illustrating this story, she describes the event as one that “scarred his family with a grief they never recovered from.” (188) Through this story, as a reader, it is almost impossible not to imagine yourself in her shoes. That, along with the use of these very emotionally provoking words, she captures the audience from the beginning with this pathetic appeal that carries on throughout the essay. She goes on to appeal to logics as well.
Several years ago my grandma had very serious health issues. Each of these examples showcase the fact that it is important for everybody to experience obstacles in their life. In the novel “Cut” the main character, Callie deals with self harm. Callie has a younger brother who suffers from asthma and feels responsible when he has his first asthma attack.
Now she realizes that this is a huge scar that she can wear with confidence. When she was little, she wanted to change the world. Now diagnosed with Diabetes, Fernihough still believes the same; it's just become a clearer image and has learned how much she can give to the world. Her favorite part about Diabetes is all the lives she has been able to touch. When living in Arizona her mom was a preschool teacher and one of the students was diagnosed with Diabetes.
She points out facts about her own insurance where she has “a condition- say high blood pressure or diabetes- serious enough to be entered into your medical record.” (par. 7) where she lost her job and her health insurance. She tried to get new insurance “but no one want[ed] [her] because [she] now [has] a ‘pre-existing condition,’” (par. 7).
During the presentation, I learned that occupational therapist in acute care are responsible for the patient's release, of when they are ready, where they will go, and what tools that patient has to take when going home. That the occupational therapist decides these things sometimes in a matter of twenty minutes. I still wonder about the process of splinting and how if an occupational therapist can have so many clients in a day, when do they have time to splint? How long does it take to give the patient their splint? Also, are there already people working to make new toiletry items?
The patients already felt better when they left the clinic. If the patients did not feel any relief, she would refer the patients to physical therapy with extended amount of time. These are useful skills as a primary care provider to help patient during the initial visit. Patients tend to come back to the primary care providers who have the skills, compared to the ones who do
A reevaluation of the client functional status to determine if the goals are met is necessary (Centers for Medicare & Medicaid Services (U.S.), 2014). The occupational therapist should provide the client with any recommendations and a home care plan in order to increase occupational performance. Making any necessary arrangements the client may need to increase their independence at home (Centers for Medicare & Medicaid Services (U.S.), 2014). Caregiver information on task breakdown, energy conservation, back protection, organization, communication strategies and safety measures may be implemented for her husband who also incurred an injury.