1.0824 Case Study Health And Social Care

Social Services: On 12/08/2016, client Lissy Figueroa met with assigned Case Manager Ms. Gilgen for Intake Assessment and Initial Independent Living Plan (ILP). Client is 21 years Hispanic female. Client has a 3 year old son named Maxwell. Case Manager asked client how and why she became homeless. Client stated that she was

On this date, APS supervisor talked with worker at Amedisys HH in Mobile Co. Amedisys called to report Mr. Parker was left alone in his caregivers apartment since Saturday and she does not plan to return for two weeks. According to Amedisys Mr. Parker is receiving speech therapy, physical therapy, and nursing services. The apartment is two levels and his bedroom is upstairs. Yesterday they believe he took the wrong medication and overmedicated himself and the home was smoky where he tried to cook food. He is also isolated in a dangerous area with no phone service. According to HH, they have called Ms. Nash, the caregiver, three times and she has not returned any calls. APS supervisor referred Amedisys to Mobile Co.

Patient B.C. is a 62 year-old heterosexual, Caucasian female. Patient is single, never married, and has no children. Per patients chart she is spiritual but reports no specific religion she identifies with. The patient is homeless, states that she is a long term resident of Union Station and is unemployed. The patient is a poor historian and there is no family medical history on chart. There is no family involved in her care. Patient is currently under conservatorship per the court due to her family in Houston not wanting to take part in her care.

Client Contact: The Housing Specialist conducted a HV (Home Visit) with Ms. Welsher in her home. Ms. Welsher wasn’t in good spirits due to being frustrated with the new Housing Specialist entering her home from the north entrance of the apartment complex instead of the south entrance of the apartment complex. She stated that she believed that the writer was bringing synthetic oxygen into her residence that was going to cause her to become ill. The Case manger expressed to the client that her frustration was understood and respected her wishes to end the HV. The Ms. Welsher was informed about the Home Visit form that needs to be signed by her at the end of the visited for PSH (Permanent Supportive Housing). Her house was clean and well-organized. All utilities were on and functioning. There were no needed home repairs and no record of

The reporting party (RP) disclosed former resident Rebecca Nicolich DOB: 11/9/54 lived at the facility from 7/1/16 to 8/11/16. During the resident's stay she developed a Urinary Tract Infection (UTI). According to the RP the resident was consistently wet. There were occasions when the resident didn't receive her medications. According to the RP she would prepare the resident's medications weekly and place them in a plastic pill organizer to be dispensed by the facility. Upon retrieving the pill organizer to prepare the following week medications; medications were observed in the pill dispenser. The RP revealed the resident suffered from a frontal lobe injury and required observation every 15 minutes. Subsequently the resident was to be supervised

CM received a phone call from Ms. Moore (caregiver) regarding Dre’quan (youth) psychiatric evaluation from the Special Needs Center. CM was informed that youth did not have a psychiatric evaluation completed; caregiver was supposed to follow-up with a psychiatrist to conduct a psychiatric evaluation for youth after the Pediatric Neurodevelopmental evaluation. Caregiver reported youth was missing and she was unable to follow-up with a psychiatric evaluation. CM stated that CM will follow-up with a psychiatrist to conduct a psychiatric evaluation for youth. Caregiver reported she will be present for youth’s court hearing today.

Mrs. CM and her family started to be under Dr J’s GP service after she moved to Ireland, about 15 years ago. She claims that she is very happy with the GP especially with the helpful staff and caring doctor and has established a good long term relationship with them. On average, she visits the GP eight to ten times in a year. In terms of GP point of view, Mrs. CM is an active patient that is seen frequently in the GP.

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The reporting party (RP) stated he responded to an emergency call at the facility at approximately 1:00PM on 10/18/16. Upon arrival the RP was met with non-English speaking caregivers. Consequently due to the caregivers' inability to understand English and the RP inability to speak Korean the caregivers were unable to provide assistance to the RP. The RP stated the caregivers were unable to provide a medical history or medical records. Subsequently the caregivers were unable to direct the RP to the resident As Yum DOB: 1/15/52 (Male). After a while the RP was able to locate the resident and transport him to Hollywood Presbyterian Hospital. According to the RP the medical staff was upset with the condition of the resident. The RP didn't have

D-The patient was placed HOLD to address her no show for the cocaine and yesterday AWOL. According to the patient, she was bit by a spider and did not seek medical attention immediately as she self reported about taking care of the bite on her own on Monday. This writer addressed with the patient about the problematic issue of her AWOLs and not being compliant with attending group. Please note, this writer reminded the patient about her discharge being overturned and the patient must meet her clinical recommendations. Failure to do will lead to another intent discharge. In addition, the patient did not validate her prozac; however, the patient searched in her purse and had the Rx Scripts, but forgot to give it to Nursing. The patient complained about her med cab services; however, the patient is responsible for making such arrangement.

The agency in which this clinician is working is a resource center. The resource center connects individuals with resources throughout the community such as food banks, shelters, rental assistance and energy assistance. The program is grant funded and also offers many other services such as counseling, parenting classes, and bullying education. This client is self referred and came in to get some information and talk to someone about some current stressors in her life.

Mrs R is known by oncology at CLSC NDG Cavendish. However, her file was closed in 2013 because she refused to have home support services: the patient states to be very independent in her activities of daily living (ADLs) and instrumental activities of daily living (IADLs). She only comes to the CLSC for her regular treatments and calls the Senior Citizen Council to benefit from volunteer transport. Mrs. lives alone in an apartment on the 4th floor and uses the elevator. She uses a cane as a mobility aid at home. Grocery shopping is ordered by phone call, but she prefers to order Chinese food instead (high sodium content). The client says to be often on the couch watching TV or on her computer. She rarely goes outside and has no interest in physical activity. Mrs R’s husband passed away several years ago. Beside her daughter’s family who lives in Ontario, the client refuses any contact with her family due to several hostile disagreements. Mrs R maintains regular contact with her daughter (A) and her granddaughter (S) through Facebook. She also has a very good therapeutic relationship with her oncologist from the CLSC. Over time, she developed strong relationships with some of her followers on her blog and on

Patient lives with mom and dad. She states her relationship with mom is “regular” but she does not “get along” with dad. Patient indicates in January 2017 there was a physical altercation between her and her dad in which she was removed from the home and her dad was arrested. As a result she lived with her grandmother for six months. She indicates, after she moved back with mom and dad her relationship with dad has exasperated. She states mom often takes dad’s slide when her and her dad gets into an argument. The patient’s mother reports she believes patient still feels guilty and anger about the physical altercation between her and her dad. Also, mom states, dad is having a difficult time finding employment because he is on probation as

Further, the patient reports that they speak to her and tell her not to touch certain thing in the bathroom. the patient reports that she hears people walking around the home. The patient appears confused during assessment to the last time she spoken with her "ex-friend" who lives in the home with her. The patient was asked if TACT could contact this friend and she agreed. The "ex-friend" was contact who was found to be a male she has been living with for a while. He reports that the patient recently has been having many troubles. The patient male friend reports he has been taking care of the patient while she is home and making sure she takes her medications. The patient male friend denies having conflict with the patient, unless he reminds her that the people and babies she has been seeing around the home are not there. The patient friend reports that for the past week the patient has been talking to her mother and sister, she does not go outside like she use to, and has been cleaning things repeatedly.

The patient mother was spoken to before the assessment occurred. The patient mother reports that they have just moved to the area 2-3 months ago and she just got the patient insurance card 2 days ago. She reports that the patient was diagnosed with Bi-polar, ADHD; and PTSD due to a past event of sexually abuse. Patient mother reports 5 year old brother was at home and sleep. When asked did her younger son need medical assistance, she reply ,no, he is home probably sleep. The patient mother reports patient