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MHP met with the member today. The member report that he walk from Oasis to TWC and was tried and wanted some money to buy him something to eat and drink. MHP told the member she did not have any money to give him. The member states that he needed a referral for clothing. MHP wrote a referral for clothing for the member. The member states that he need a ride back to Oasis shelter but did not want to arrive to the shelter until 5:30 or 6:00 pm. He want to hang out with his friend. MHP told the member that he need to see the doctor to get his injection. The member states he does not want to get his injection today and ask if MHP can pick him up from the shelter in the morning to come and see the doctor for his injection? MHP told the
Reporting party (RP) is a medical assistant for Dr. Seema Sangwan's office who is the PCP for resident Steven Staub (age 62, DOB: 09/06/54). Resident is a paraplegic and dysphagia. Resident arrived with unknown caregiver to the doctors appointment. Dr. Sangwan spoke with the resident privately and resident disclosed that the caregiver was in love with him and wanted him to move in with her. Caregiver wants resident to discontinue home help services and she would provide the services at a lower cost and pay her out of pocket. When resident declined, the caregiver. The caregiver threatened to break up with resident. Resident is still debating if he is going to move in with caregiver.
The reporting party (RP) stated on 4/22/16 she arrived at the facility to visit her mother, resident Maria Reeves DOB: 3/17/25. The RP observed the resident in bed and when the RP approached the bed to sit, the resident winced in pain. The RP disclosed when she sat on the resident's bed she yelled out in pain. The RP revealed the resident was unable to sit up in bed due to pain. The RP stated when the first medication technician entered the resident's room she was informed the resident was experiencing pain to her left hip. The RP stated the medication technician (Resha) made no effort to exam the resident for possible signs of injury. When the second medication technician (Tiffany) entered the room to inform the RP dinner would be served shortly,
The reporting party (RP) was informed by foster child Kahryn current foster mother Shaquita at (909) 714-7859 that he had a scratch on his nose, scratches on his face and a “knot on his face. Shaquita was informed that the child had fallen. The RP had a visit with Kahryn on 5/28/16 and observed some was wrong with him. The RP stated someone named Roy (last name unknown) what to take Kahryn to the hospital during the visit (Roy's relationship to Kahryn unknown). According to the RP, Roy contacted the CFS Social Worker Tamzida Shams the same day and informed the current foster mother he had received permission to take the child to the hospital. Shaquita stated she didn't know anything about that and explained to Roy that she would need to contact her FFA Social Worker Anna (last name unknown).
I placed a call to Thomas, who was frantic, but extremely grateful that his wife was safe. After a period of conversation, Thomas related that his suffers from a psychosis metal condition. Thomas related that he checked himself out of the hospital and was unaware Margaret had taken her day’s medication. Thomas requested that I take Margaret to the local hospital for medical evaluation due to her detreating mental status. I then transported Margaret to Jefferson Hospital Crisis Center where I remained until evaluated by medical staff. Thomas was then notified of the hospital and his Margaret’s status. Thomas was very grateful and related that he was responding immediately this morning. No further police action
Behavior Modification Worker, BMOD, arrived to Client, Quinton Garrett’s, school to observe and improve client’s behavior. The day began with a call from client’s school nurse with some concerns and issues she’s had with client. Upon arrival BMOD met with the school nurse to discuss her concerns. The nurse then states that for the past few Fridays client says that he has taken his medicine before he arrives to school. The nurse could not reach Mom by telephone for confirmation. BMOD informs nurse that client is a habitual liar and to question everything especially when medicine is concerned, but would confirm the validity of client’s compliance with Mom. The school nurse also says client has a bad habit of hiding when she is interacting with
The patient is a female in her early twenties who came in the hospital due to sickle cell crisis. She was in grave pain especially in the joints. Her hemoglobin level was low so the Physician ordered 2 bags of packed red blood cells and pain meds Q4hrs. The patient explained many times that the dose the physician ordered was not sufficient and that she needed more help. The nurse promised to contact the physician and to inform her of the response. The fact is she never did and was called urgently hours after to calm her patient who was crying in agony and wanted to go home to be in pain. She screamed out that no one cared. Some nurses were even callus enough to say if she wanted to leave then hand her the relevant document and allow her to go.
CM normally meets with the client every Wednesday for scheduled meetings. CM inquires the reason client was no show on 7/20/2016, Client replies “she has a doctor appointment.” On 7/21/2016, CM met with the client to complete Bi-Weekly ILP Review. In the meeting
The patient is a 42 year old male who presented to the ED voluntarily, per ED report stating that he wants to harm himself and that he is better off dead. He also reports e should party, kill himself and wants to do this now. The patient was recently seen and discharge on 2/28/18 and went to jail after discharge. 2/28/18 the patient arrived to the ED after an altercation occurred at the homeless Shelter where he he was staying. He reported that he wanted to kill a female friend and stated that if RH didn't cooperate with him that he would walk out in front of a car.
On this date worker visited Princeton East, for the purpose of case planning with Ms. Lynn Hyche. When worker arrived, Ms. Hyche was very upset. She was shaking all over and repeated, "She made me so damn mad." After Ms. Hyche settled down, she stated a bath nurse had recently left her room and during the bath, she was very rude to her. However, she was rude with kindness. She stated the nurse keep telling her how pretty she was and how she was so funny. Ms. Hyche stated she had spoken to another hospital employee and they stated the problem would be looked at. However, Ms. Hyche doesn't believe anything will be done about it. Therefore, she wanted the DHR worker to talk to the hospital staff about the incident.
E.K. was a 62-year-old male admitted through the emergency room after losing consciousness in his automobile. His blood glucose was 612, breathing was shallow and rapid, oxygen saturation was 54, the patient was unresponsive to verbal or physical stimuli, and his alcohol level was 1.3, his primary doctor was a staff physician and was consulted about his care. The physician shared the patients past medical history of diabetes, hypertension, anxiety, and depression with the attending. E. K.’s glucose was stabilized, he was intubated and admitted to the intensive care unit. The family was notified, and his wife and 23-year old son arrived. Speaking with the nurse and primary care doctor,r who assumed the role of
When I arrived SB was in bed asleep. I woke SB up to give SB her medicine, SB received her 7 AM, 9 AM medication and eye drops. Around 10:10 Sheila informed me she was dizzy and needed to use the rest room. SB attempted to get up and to use her walker. SB made it to the hallway and was not able to walk anymore because her walker's back wheel was not working. I assisted SB to the bathroom. When leaving I had to catch SB a few times. I called the emergency line because Sheila was saying she was dizzy and her walker was not properly working. At 11:52 AM I was assisting SB out from the bathroom and I went back into the bathroom to clean up after her. While I was in the bathroom, I asked SB a few times if she was fine and needed any help. I heard
My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to protect her safety and dignity, whilst also trying to ascertain what was going on. During the unresponsive episodes we returned the patient to the stretcher where she spontaneously recovered and refused hospital treatment. I completed my patient report form to reflect the patient's decision and highlighted my concerns. The patient’s intoxicated husband then carried his wife back into the house.
Given $500,000, I would choose to invest in a Subway franchise. Apart from being a personal fan of Subway, the franchise offers attractive benefits and support for franchisees, with surprisingly low startup costs for the largest restaurant chain in the world. Considering that Subway has been franchising since 1974, it naturally has a well-established system of support for franchisees. There are over 21,000 Subway franchisees already who took the leap and made an investment, because they realized the potential for growth. These franchises have largely been successful, due to the fact that the food and service offered by Subway locations internationally are both first-class. In fact, the average failure rate of Subway franchises is only about
I was assigned to patient B.P. She was admitted on September 6th from RMC. Her admitting diagnoses are acute embolism and thrombosis of unspecified deep veins of lower extremities; Unspecified Dementia without behavioral disturbance; Major Depressive Disorder, Single episode; Intervertebral Disc Degeneration, Lumbar region; Essential hypertension; Vitamin Deficiency, Dorsalgia, and pain. She had two patches covering wounds on forearms bilaterally. There was an order in her chart for occupational therapy and physical therapy, but interacting with her throughout the day, I wonder how often she accomplishes it. They also have behavioral monitoring and side effect evaluation of the psychotropic medications she is taking. B.P seemed very confused through the whole day. In the morning I went in and introduced myself and asked her some questions to evaluate her mental status and she immediately brought up her headache. I asked her if she knew where she was and she was unable to answer that along with what the date was. Clarissa then helped me change her depends and she was able to
Counselor met with Pt. his monthly individual session. Counselor started the session greeting him and asking him about his recovery progress. Pt. is progressing well in his tx plan and marinating his sobriety since entering the program. Pt. explained that he has never received an administrative taper for financial noncompliance since his admission. Counselor and Pt. discussed the requirements to move to Phase 6 of tx program. Counselor explained that he is currently in phase 4 and he can’t skip phase 5. Pt. informed this writer that it will beneficial for him to increase his take home privileges because he can accept a job with demanding hours. Pt. reported having a positive friend helping to obtain a full-time job as a shelving installer