My interviewee is a fifty-three-year-old, white female named Kat Smith. Kat is the mother of two daughters and has been married to her husband for twenty-five years. She is a stay at home mom and lives a comfortable middle class lifestyle. Kat was diagnosed with at age forty-nine with uterine fibroids that resulted in a total hysterectomy. Previously Kat had lived in extreme pain for over fifteen years, she expected that something was wrong, however, the doctors that were treating Kat did not order an ultrasound and attributed her pain to her menstrual cycle.
Patricia Douglass is a 28-year-old, gravida I, para 0 at 34 weeks gestation. She is carrying a set of twins. At her most recent office visit with Dr. Sanders, Patricia had an elevated blood pressure of 158/86. She was brought to the hospital by ambulance. Upon arrival Patricia is immediately assessed and states that she has failed to comply with her prescribed blood pressure medication, Labetalol 200mg BID.
DOI: 4/24/2015. Patient is a 40-year-old female ophthalmic assistant who sustained a work-related injury to her low back and bilateral forearms from catching a falling cart. Per ONI entry, she was diagnosed with scoliosis, work aggravated. She is status post right shoulder arthroscopic acromioplasty and distal claviculectomy on 5/13/16. Urine drug screen obtained on 10/06/16 showed positive for tramadol.
CC Follow up ER visit for back pain. S The patient is a 59-year-old female who tells me in early June she was moving a rolling coffee table at home. She states she felt a twinge in her back and had pain that radiated down into her left leg. She does tell me she had similar symptoms years ago when she was working at a different job. She was diagnosed at that time with a herniated disk and did have steroid injections and was out of work for six months.
Evidence-Based Teaching Patient Selection The patient chosen for this evidence-based (EBP) teaching exercise C.S., a fifteen year-old Hispanic male who was recently diagnosed with type one diabetes two weeks ago. He presented to the clinic with his mother for follow up and blood sugar management. His mother explains that there are several people in their family with diabetes; however, he is the first to be diagnosed at such a young age. He verbalizes questions regarding diabetes and blood sugar management and his mother expresses fears and worries about her son’s future. During the visit, his vital signs were 118/65, 68, 14, 97.8, and 97% on room air.
Due to her diabetes, her pancreas stopped producing insulin. Which was not acknowledged at her first trip to Taylorville Memorial Hospital. During the following weeks, my mother worked diligently to regain some of the deficits she lost from her stroke. I will not list her actual deficits, but she did suffer major losses. She was released from the hospital mid-September.
The Official Disability Guidelines for Fractured ribs are 28 to 45 days, for a fractured clavicle is 38 to 53 days, for a pneumothorax is 27 to 55 days, for a cervical fusion is 76 to 140 days, low back pain with radiculopathy is 16 to 31 days, for TMJ is 10 to 24 days and for vertigo is 14 to 87 days. PLAN/ RECOMMENDATIONS 1. Contact Ms. Tocco every 2 to 4 weeks. Obtain an update on current medical status. 2.
Related case A A 75 year-old homeless man was diagnosed with diabetes. He felt a pain in the left foot two days prior and was admitted to an emergency center. His left foot became necrotic and amputation was necessary. He was informed about the amputation need. However, he seemed blunted, even though the doctor said he will lose his left foot.
My classmates immediately told me that she was a real witch and no matter how hard I would work, I should not expect to get anything higher than “C”. Nevertheless, I tried my best and just in two months, I was on a way to a stable “B”. Right after the New Year vacation Dr. W. decided to give us a test. Coincidentally, on the same day, my father was going to have a complicated surgery. My mother and I took him to the hospital and waited there for 10 hours.
I had to miss most of the month of September going to specialists or the hospital. The first time I went to the stomach specialist, the doctor told me to go on a limiting diet for IBS called the FODMAP diet. The FODMAP diet was very difficult and I was not getting any better within a week of my last doctor visit. Eventually my mom decided to take me to the Emergency Room. After doing a CT scan the doctors noticed something was wrong and they issued a colonoscopy.