AMS Retention Patient: A Case Study

Your compliance report from Health Professional's Services Program states that on 6/1/17, you had a positive PETH test for ETG and admitted to consuming alcohol on 5/20/17 and 5/23/17. On 6/1/17, you case was staffed with the Texas Board of Nursing to determine continued participation in the program or closure. The Board of Nursing determined that TPAPN should continue to monitor your case. Therefore, your participation in TPAPN will be extended. Your estimated completion is 10/17/18; however, it is subject to change depending on the Oregon State Board of Nursing’s decision to extend your participation in their program.

2 x psychiatric doctors their role was to be directly involved in his treatment and care plan management as well as providing therapeutic counselling in the first few weeks after discharge

The significance of this study is to determine if a preadmission clinic process can be developed and

Dr. Todd Cherner is an Assistant Professor of English Education in the Master of Arts in Teaching (MAT) Program in the Spadoni College of Education at Coastal Carolina University. Dr. Cherner has completed his third academic year at Coastal Carolina University as a pre-tenured faculty and has submitted his documentation for third year review. As the Chair of the Department of Master of Arts in Teaching, Middle Level Education, Special Education and Physical Education in the Spadoni College of Education, I have completed my evaluation of Dr. Cherner’s documentation for retention beyond the third year, in accordance with the University’s 2012-2013 Faculty Manual Promotion and Tenure Guidelines and the Spadoni College of for Education Promotion and Tenure Performance Expectations Elaborations document (adopted 12/9/2011). Also, the definitions of descriptors defined in the Promotion and Tenure Faculty Annual Evaluation Rubrics (cited in 2013-2014 Spadoni College of Education Policies and Procedures Handbook) were used to make the determinations of “outstanding,” “very good,” “good,” and “needs improvement.” The following comments and rating are derived from my review of Dr. Cherner’s documentation for third year review. I have my evaluation of Dr. Cherner’s documentation in the areas of teaching, scholarship, and service.

Ms. Bynum is a self-referral who agreed to participate in the TPAPN monitoring program. On 11/24/16, Ms. Bynum tested positive for alcohol (ETG - 2510 ng/ml, ETS - 77 ng/ml) and renewed her program with TPAPN. On 2/26/16, Ms. Bynum tested positive for alcohol (ETG - 7980 ng/ml, ETS - 1580 ng/ml). On 4/7/16, Dr. John Lehman conducted an assessment on Ms. Bynum and recommended 90-day inpatient treatment program that Ms. Bynum refused. Additionally, Dr. Lehman stated on assessment that Ms. Bynum is not fit to practice and has a high-risk for relapse.

After PVT Hermans’ surgery on 9 November 2015, he had a follow up on 23 November 2015 where he was given 30 days of light duty by Heather K. Pardue, PA-C from the Naval Medical Center in Portsmouth, VA. He was then seen at Kenner Army Health Clinic on 15 January 2016 and received a profile stating he would rehab for 2.5 months. It also stated “He is to continue upper and lower body cardiac conditioning at the gym to enable him to take and pass an APFT on March 2016.” 1LT Ronald Williams swears on the record he informed PVT Hermans that he was no longer being chaptered for APFT due to his profile and surgery.

The tracer was performed as part of a process improvement to assess compliance with The Joint Commission standards (The Joint Commission, 2015). In this process, a random patient chart was chosen and the process followed from admission to discharge including any directly related follow-up or readmission.

However, during this process clients will seek paperwork two weeks prior to their discharge date and complete the given packet. In this packet client will answer questions pertaining to their financial status. Depending on the collected information, our facility will debate whether or not the clients had insubstantial funds, in which we will grant funds for the client to attend any local program of their selection, under the circumstances that the program is less than $300 per month, for only a maximum of three months per year. If an extension of longer than the allotted time is requested, the patient must apply. Consumers of all ages can be provided service in this program. Moreover, in order to qualify for boarding at the facility, the consumer must be over 25 years old, diagnosed with PTSD and have been discharged from a

P: CM will continue to provide emotional support to client while encouraging sobriety.CM will also help client setup an appointment with the Expungement clinic(tickets) at the VA on Temple. Client will provide a printout confirming all upcoming medical appointments at the VA clinic on Temple. Client will continue attending the methadone clinic daily and agreed to attend the PTSD group meeting on 1/27.

Question 1. Did the Post Myocardial Infarction Transitional Care Program and Advanced Practice Provider Transitional Care Clinic result in decrease in 30-day readmission rates compared to traditional post myocardial infarction discharges prior to initiation of this program?

Attending a physician 's assistant (PA) program has been my desire since beginning work in the mental health field. I am a licensed professional counselor intern (LPC-Intern) working towards full licensure as a licensed professional counselor (LPC). I conduct individual and group psychotherapy sessions in a private practice and a mental health hospital. I enjoy doing therapy with clients, however, I want to include another perspective into my treatment, the medical perspective.

Status: Active Objectives/Progress: During last quarter, Pt. maintains his full-time job and he expresses concerns about his current budget. Pt. struggles with compliance with financial obligations associated with OTS as agreed upon admission. Pt.’s financial difficulties related to substance use patterns and addictive behavior were processed. Pt. was encouraged to report any changes in her financial status to this writer as soon as possible. Financial compliance is an area of concern at this time and this writer will monitor pt.'s payment history in order to ensure ongoing compliance and to address any issues that may arise due to his negative

A.C. is a 79-year-old man living in a long-term care facility. He has had multiple medical diagnoses, including congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and stroke. He is bedridden and receiving enteral tube feedings. He has chronic diarrhea thought to be related to his tube feedings. He receives digoxin (Lanoxin) and furosemide (Lasix) to manage his CHF.

Objectives/Progress: As the Pt. has progress in tx, he reported increased financial stability during groups and brief IC sessions. He is currently able to sustain his OTS and personal needs with his full-time job as a real estate appraiser. Also, Pt. has become more financially secure and demonstrate responsible behavior as evidenced by saying no to one's impulses.

In evaluating the outcome and measuring the success of the team, we went back to the objective that was established to determine if these were met within the timeline specified?