The main medical issues, in this case, are right arm and leg weakness along with speech and word-finding difficulties. The submitted documentation revealed that the claimant underwent a tomography scan on 03/15/2015 which revealed a basal ganglia bleed and a severe accelerated hypertension. She was admitted under Neurocritical Care Service. She was extubated on 03/24/2015 and was discharged on 03/27/2015. During a chart review, the claimant had difficulty expressing herself due to severe receptive and expressive aphasia. However, it was noted that all oral motor structures and functions appeared to be within normal limits. Other conservative measures such as medications, neurology consultation, Botox injections, cane utilization, and laboratory testing were provided. A Long-Term Disability Claim dated 07/25/2017, stated that the claimant was unable to work at a compensable employment for a minimum of 25 hours per week. …show more content…
The claimant met 6/6 expressive language goals and 7/7 motor speech goals. However, the residual deficits were noted as the claimant still had some palpitations, a slightly slurred speech, a shuffling gait, right-sided weakness (leg > arm), a flexion contracture in the right upper extremity, muscle spasms, and an elevated cholesterol level. A recent diagnostic study with an official result that would further show improvement in her cardiac condition was not submitted for review. Although EKG revealed no acute changes, the actual report was not delineated. Also, the claimant only met 3/8 cognitive and communication
* speech problems, such as not being able to pronounce long words properly and "jumbling" up phrases – for example, saying "helicopter" instead of "helicopter", or "beddy tear" instead of "teddy bear"
• Physical ability - patient may have had a stoke and able to form words and speak normally and may have lost the ability to find the correct words or say the word due to facial muscles failing. Having other illnesses such as dementia and parkinsons, having to repeat the information
The nurse's assessment findings include right sided weakness, slurred speech, and dysphagia. The nurse identifies that Mrs. Rusk is at high risk for several problems.
A petition filed by Stanislaus County requesting a review of Deputy Dennis Wallace’s disability discrimination case was declined. Deputy Wallace was seeking $468,000 after the county placed him on unpaid leave for two years post-injury. Wallace claims that the county placed him on leave due to an inaccurate assessment of his ability to perform his duties as bailiff (even with reasonable accommodation provided). In a 2012 trial the case ended with a hung jury. The deputy lost the discrimination case after a jury heard it in 2013, but the state appeals court overturned the jury verdict in February.
1. What You Should Include in a Newark Disability Application 2. What You Should Know About the New Jersey Disability Application 3. Find out What Laws Apply to the Essex County Disability Application 4. How the Essex County Disability Law Firm Will Help You 5.
W.C.’s speech difficulties were first observed at the hospital following a left hemisphere stroke by her neurologist. The client has not received previous treatment for these symptoms. The client has no history of speech and language treatment or problems. W.C. exhibits no hearing loss or vision difficulties.
An attending physician statement completed by Dr. Peter Chweyah (Internal Medicine), dated 06/16/2016, indicated that the claimant presented with complaints of lower extremity weakness, neuropathy, weight loss, acute renal failure, and gout, as well as anemia. Objective findings showed an extreme weakness of the legs and pain in the feet. He also had diabetes mellitus type 2, chronic kidney disease, and hypertension. It was noted that the claimant was totally disabled from 05/30/2017 through 06/15/2017 and 05/23/2017 - 05/26/2017 secondary to gout.
A behavioral health physician statement completed by Victorino De Jesus, MD (Internal Medicine), dated 05/10/2017, indicated that the claimant was incapacitated for a single continuous period of time due to her medical condition, including any time for treatment and recovery from 05/09/2017 - 07/09/2017. The claimant had impaired concentration and train of thought that affect work performance. She also had osteoarthritis of the bilateral elbow, hands, fingers, and feet.
-Contacted Desert Springs facility and follow-up on the patient. Spoke to medtech Muriel and stated that another caregiver has been going to patient’s room and no complaint or concern was raised from the patient. Instructed Muriel to see the patient and she stated that patient is the same and “normal” sitting up in her recliner’s chair. Speech is clear and no facial droop per Muriel. Per Muriel, patient did complaint about a week ago with right foot
A review of her medical records indicates that she has not had any significant health events, such as falls or hospitalization since her last visit. She suffers from chronic stable hypothyroid, chronic DM which is mange with medication and chronic neuropathy.
Claimant reports history of multiple medical complaints. Since the age of 60 she reports struggling with urinary incontinence, which impacts her functioning at work. She reports feeling ashamed and guilty that she is unable to control her urination and has the need to periodically utilize the restroom or go to her car taking time away from her responsibilities. In the past few years claimant has severe intensification of physical symptoms, including back pain, right shoulder and hand weakness, blood pressure, headaches, sleep difficulty, and depression-related fluctuating appetite, fatigue and sluggishness. She reports experiencing heart palpitations present (racing heart), dizziness, and fear of actual fainting, a feeling of choking and not being able to breathe, chest pains, nausea or intestinal pains, shortness of breath, tremors in the hands, hot flashes and tunnel vision. The claimant reports that she sleeps very minimally; averaging 3-4 hours of sleep per night on an interrupted basis due to physical and emotional pain. She reports that she has very poor mobility due to pain and depression-related poor motivation.
When a patient is released to work all benefits have been paid, and the case is closed.
XX participated in five previous neuropsychological assessments at NIH. Since her last evaluation in March 2017, her mother reported that XX experienced significant declines in her speech and motor abilities. XX requires a walker or aid from a caregiver to ambulate. Due to her motor instability, she experienced two recent falls (off a bed and in the bathroom) resulting in a black eye and stitches in her chin. Her mother reported that XX ’s speech has become increasingly difficult
Malfunctioning Motor Skills – Incapable of body movement. Mutism. Body clenched in a stiff position. No awareness of environment.
My interviewee was a 70-year-old female who was re-admitted to CCC in March 7th, this year. Her primary diagnosis was status post CVA with left hemiplegia. Other past medical history includes major depressive disorder, hypertension, hypothyroidism, COPD, anxiety, GERD,