I attended two physician appointments on 2/2/18 Neurosurgery and 2/20/2018 Neurology with Mr. Noveloso, his sister and his son Bernard. Parking fees were also paid for each clinic appointment of $2.00 for each appointment. Mr. Noveloso’s sister had come from Germany when the accident occurred and had been assisting them. She had prepared meals and her brother was able to reheat them. I inquired about what she had noticed as she was a nurse. She replied that she had noticed her brother’s memory deficit was the biggest thing at the moment. He was able to dress himself and needed reminders on medications as the home care nurse was filling the medication tray. His gait had improved with PT. I inquired if OT had Mr. Noveloso perform any cooking …show more content…
He was concerned as there were times when he came home from work and inquired about his father’s day, his father had difficulty recalling. There were times when they are in church and individuals come up to them he has to tell his father who it is as he has difficulty recalling them. Mr. Noveloso has not experienced any further seizure since the accident. Mrs. Fromes replied that the EEG revealed spikes which indicate that Mr. Noveloso is at risk for seizures and the slow waves which can be the result of structural changes in the mass or lesion. The left temporal area which is behind his ear is certain the area of seizures. Mrs. Fromes informed Mr. Noveloso that it was wise to continue the medication Keppra. Keppra has low side effects, so the physician prescribe this medication as it is beneficial. Mr. Noveloso’s medication had previously been increased when he was in the hospital to 3000mg/day (2 tablets 750 mg (1500mg) by mouth twice a day. Mr. Noveloso inquired about why he had a seizure in November. It was explained that maybe the previous dose of Keppra was inadequate and he had not reached the blood level but now the dose has been increased. Mr. Noveloso also thought the medication would affect his Gout and Mrs. Fromes replied that the medication has nothing to do with the feet or Gout. It was confirmed he was started on Gout medication with the past hospitalization. Mr. Noveloso inquired …show more content…
Fromes asked Mr. Noveloso to recall the day of the week, the location he was at and the month and year. Mr. Noveloso responded appropriately. As she was completing her examination it was noted that Mr. Noveloso appears to be weaker on his right side. His leg shook and had slower movement when she had her hand on his knee asking that he pull his leg towards his head. Mr. Noveloso informed her that his finger had spasmed one day after he worked on the computer. When his son inquired when this occurred Mr. Noveloso replied yesterday when I was at Charlie’s house. In fact, Mr. Noveloso was not at Charlie's the day before but resided at Bernard’s home. It was a week ago when he was at his other son’s house. Mr. Noveloso had no further spasm. His headaches were relieved by Tylenol. Mr. Noveloso also informed her that he had dizziness and inquired about hearing aids as he thought it would do something with him having seizures, so he was not wearing them. Mrs. Fromes replied that the seizures wouldn’t be caused by them and if he wore them, it would help him hear, focus on what is being said and help him with testing. Sleep deprivation was discussed and he was advised that he needed to have adequate sleep as this could promote
As you are aware Barry Staley residing at McLees, ICF CCNS-Services for people with Developmental Disability 112-16, 200 Street, St. Albans, NY 11412, has been transferred to Silver Crest Nursing Home, a Long Term Rehabilitation Nursing Facility. As of 10/24/14 Barry is now residing at the Silver Crest Nursing Long Term Facility located at 144-45 87th Avenue Jamaica, New York 11435. Prior to this move Barry was admitted from (name Hospital) from (date) to (date) receiving treatment for (condition). During hospital stay a discharge meeting was held. Subsequently he was moved to a nursing home.
Metoprolol tartrate is a beta-blocker that lowers blood pressure by inhibiting the hormone renin in the blood, thus lowering blood pressure. According to research treating hypertension in the African American race is difficult, therefore, a combination of medication is used. In the case of Mr. Larsen, he is treated with metoprolol, in addition with spironolactone, a diuretic commonly used with an antihypertensive to alter blood pressure. Alteration in blood pressure for a prolong time can decrease cardiac output causing damaged to the
These differences in diagnoses was an essential part in Lia’s case. Lia’s doctors tried all kind of medicines and they changed it repeatedly without having any success. Over the time, Lia’s seizures got worse and her parents refused to administer the medicines. As a result of the continuous seizures and doctors’ failures to cure Lia, she entered in vegetative
Phillip Perez was incensed when he walked in the small apartment. He made his presence known by slamming the door open with an immense strength fueled by drunken rage. He has received some upsetting news that is the cause of this inappropriate entrance on this late night. His girlfriend, Melanie Krizek is flirting with another man according to a friend he was with at the club earlier. His unreasonable response to this rumor is to loudly enter the small apartment and wake the two ladies occupying the home.
At lunchtime Jose approach he wanted to challenge her to a racketball game since she seems to play the approached her and starts a small conversation. “‘Hi,’” José said, sitting across the table from her. ‘How do you like our school?’ Estela swallowed, cleared her throat, drank from her milk carton until
California Supreme Court Clarifies Long Term Care Act’s Application to Release of Confidential Information The California Supreme Court has clarified the application of the Long-Term Care Act’s disclosure requirements in consideration of Welfare and Institutions Code section 5328’s general prohibition against the release of information contained in the course of providing treatment to mentally ill and developmentally disabled individuals. In State Dept. of Public Health v. Superior Court (2015) 60 Cal.4th 940, the Supreme Court considered the issue of whether the disclosure requirements of the Long-Term Care Act (LTCA) or Welfare and Institutions Code section 5328 applied where a public records request was made for health records. The case involved the Center for Investigative Reporting, a news organization investigating the treatment of mentally ill and developmentally disabled in state owned health care facilities, which issued a public records request to the Department of Public Health (DPH) for copies of all citations issued to the facilities it was investigating.
I like to think that this is how it started between my father and Sylvia” (130). A consequence of the distance between the parents, is the way the father decides to cope with the situation and cheat on his wife with a young neighbour called Sylvia. As their situation worsens, it seems like Julia’s father even ran off with Sylvia. Julia says “I think she knew that he was more than late. Something had changed, and she knew it” (246).
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Cisneros bring up conflict within herself, because instead of going to her father home on Sunday for dinner, she would rather stay home and write. “I feel like a bad daughter ignoring my father, but I feel worse when I don’t write. Either way, I never feel completely happy.” Cisneros is clearly explaining, that she could not please herself, if she were to give up writing. Cisneros also explain, that her and her father’s conflict does not get in the way of their relationship as father and daughter.
Telling Mike that he had a concussion for sure from the falling, and that his heart rate went down so his blood pressure went up, so he fainted. Mike said that he had this problem when he was younger. The doctor said he was fine to go, but he must rest and stay away from screens like his phone. Resting for weeks, he steadily recovered from the injuries that he suffered from. After he fully recovered, he is supposed to take these pills to keep his blood pressure down. Konnor’s family seemed normal again, and Mr. Merritt hasn’t had a problem
Bright orange light came piercing through the windows, the loud sound of the rooster awoke Omar at six in the morning like everyday. He goes out and does his morning duties, feeds the chickens, cows, and gives horses fresh water and hay. Omars mother went out earlier this morning to bring his father and him menudo from around the corner. “Mijo ven a comer! Te traje menudo de la esquina.”
I hurried to take a shower and do my daily morning routine. I was sweaty and still very sleepy. It was Wednesday, but I couldn’t go to work. I called my secretary to call in sick, “Hello? Richard? Where have you been?”
Next I brought my resident her breakfast she ate eggs, French toast, sausage, along with a glass of orange juice. While she was at breakfast we took the time to make her bed, clean her room, and take out trash. My resident ate breakfast I want to help Amber and her patient it was my first time being in that room I noticed that she had a lot of family pictures
Intermittently, he remembered the cold-war that transpired in the class as the daylight gradually ushered the night in. exactly when the dark has completely taken over the day, about 9 pm at home, Olando stepped out of the room through a passage door that leads to the back of the building, where all the mothers and young girls are presently cooking in a public semi-detached structure constructed with bamboo and raffia palm fronds. Olando walked passed them towards the bathroom where he wanted to unzip his trousers, he was very pressed and if not quick enough, may urinate no his body, as he fix his arms to the zip, he remembered again the presence of Dr. Julie, the headmistress in the class, as he consequently look straight into the dark in front scanning the area for security