Case: Lupita Diggins- Poor Attendance and failure to follow proper call-off procedure. 2. Corrective Action Recommended: Termination 3. Summary of Rationale for Recommendation: The Guia Progresiva establishes under violation #55 that not complying with instructions given by a supervisor; under violation #46 that excessive absences without prior authorization of the supervisor and under violation #48, to not communicate with a supervisor in regards to attendance within the first half hour of
EMS with suicidal and homicidal ideations.Patient reports conflict a roommate and his nurse as the contributing factors to his distress. The patient reports depressive symptoms as: feelings of isolation, hopelessness, worthlessness, anhedonia, fatigue, irritability, and tearfulness. Patient reports history of bipolar. Patient reports one hospitalization and no attempted harm to self. The patient denies current symptoms of psychosis, however reports experiencing auditory hallucination a month ago.
not helping him with his hallucinations. Mr. Scott reports cocaine use yesterday to nurse staff. At the time of the assessment Mr. Scott is found pacing the floor of his room, However he is calm and cooperative. Mr. Scott reports he was released from a mental health facility in Chatham county. Mr. Scott mention previous hospitalization at Coastal Plains and Holly Hill. He reports a history of Bipolar, PTSD, and manic depression. Mr. Scott reports currently having suicidal thoughts of overdosing on
In working in the Home Health Industry for Kaiser Permanente we are on the front line of controlling Re-hospitalizations. Re-hospitalizations can be costly to providers due to the Medicare regulations put forth along with the cost of hospitalization. This has become a Quality Improvement project that has grown to involve more departments to improve hospitalization rates. It’s crucial to have all departments involved because this action item is affected by multiple departments. Plan: First look at
out the garbage “once a week.” Client reports, “cleaning takes a while because he needs to stop and think about what I am doing.” Client reported that he avoids shopping by himself and when he does shop he will only get the necessities. Client states “shopping is stressful” because the “stress increases the voices in my head.” Client reports he “gets to a point”, while shopping, that the “voices get overwhelming” and he has to
born and raised until the age of twelve in the Caribbean Islands. Neveah has a history of physical and sexual abuse. She reports physical abuse by her maternal grandmother, who she was raised by. Neveah states that at times she felt she was going to “die” and the abuse frequently left “welts.” Neveah reports that she was “raped” twice by two individuals. Neveah did not report these incidents because the laws in her native country are “corrupt.” Furthermore, she shared that “rape” was very common
year. At the time of the assessment Mr. Arroyo is laying in been calm and cooperative. He presents with rambling speech and bizarre behavior. When asking Mr. Arroyo what brings him in tonight he has a difficult time expressing his thoughts, however reports earlier today hearing and seeing unknown people in his room. He expresses having poor impulse control. The sister was present in the room at this time an inform QP he broke a door in the home and does not remember his actions. Mr.
ideation and a attempted overdose on cocaine the day before. The patient reports increase depression and recently losing her job, house, and car. The patient denies homicidal ideations and symptoms of psychosis. During the time of the assessment the patient was awakened by the clinician. The patient appeared drowsy, however reports that she understand who I was and is okay with going through with the assessment. The patient reports that recently she has been overwhelmed with losing her job, house, and
A review of her medical records indicates that she as admitted to the MMHS on 12/9/16 for unresponsive hypoglycemic episode. During this hospitalization she was treated for right basilar pneumonia and treated with antibiotic for her UTI and infection in the blister wounds that she has on her leg. Her blisters are a result of her history of bullous pemphigus. She was also admitted to Tradition medical center in January for exacerbation of her CHF. She suffer from poorly controlled DM type 2, which
overpass. Patient reports depressive symptoms including: sadness, insomnia, loss in usual pleasures, poor appetite, poor concentration, tearfulness, guilt, fatigue, and irritability. The patient reports non-compliance with medication as well as taking medication not prescribe to him. During the time of the assessment the patient was awake and alert. The patient reports that he has been continuously trying to cope with the separation from his twin sons and daughter. Patient reports it is difficult