Medical Case Management: Case Study

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Melissa Blodgett of Insurance Company referred this file for medical case management. Instructions were given to meet with Matilda Messing and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 11/2/16 I met with Ms. Messing and her daughter at St. Joseph Hospital. Ms. Messing is in the rehabilitation unit. She is alert and oriented. She was able to provided history to past medical care and present injuries. Ms. Messing is willing to work with a nurse case manager. MEDICAL FACTORS Ms. Messing was driving alone. A driver did not stop at a stop sign and T-boned her vehicle on the driver side. Per Mr. Messing her car was dragged 250 feet. Ms. Messing was extricated …show more content…

ATTENDING PHYSICIANS Name: Dr. Ross Ramsey (family physician) Address: 4970 Railroad St, Elkton, MI 48731 Phone: 989-375-2214 Last office visit: July 2016 Next office visit: as needed Determination for providers will be made closure to discharge. Ms. Messing is several hours from the rehabilitation center. MEDICATIONS Ms. Messing reported taking the following medications Plavix Synthroid Mirapex Sinemet Aspirin Vitamin D Ms. Messing is taking Flexeril for her injuries. Ms. Messing denied any allergies to medications. DURABLE MEDICAL EQUIPMENT A full list of medical equipment needs will be made closer to discharge. ADL’S Ms. Messing is dependent on assistance for personal care, getting in and out of bed and to sit or stand. MEDICAL/SURGICAL HISTORY Ms. Messing reported she has had open heart surgery, and that she has Parkinson. Ms. Messing said she does not smoke or use alcohol or illegal drugs. EDUCATIONAL HISTORY Ms. Messing graduated from high scholl. She then attended nursing school obtaining a diploma in nursing. She worked as a registered nurse for 52 years before retiring. EMPLOYMENT HISTORY Ms. Messing was a Registered Nurse for 50 years and is

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