A review of her medical record indicates a history of polyarthritis with associated pain to hips, knees and back that is affecting her functional ability and causing decreased mobility. She also suffers from co-morbidities of anemia-chronic, COPD-chronic, oxygen dependent, HTN-stable, sleep apnea-chronic, NIDDM-stable, and unsteady gait.
HISOTRY OF PRESENT ILLNESS: This 40-year-old Latin female presents with complaints of low back and right leg pain she said that she hurt her back in a motor vehicle accident three years ago and she has had a history of intermittent low back pain since that time. Last December she started a job where she had to lift boxes that weighed approximately 40 pounds. Around the first of January this year she began to complain of back pain that
I talked to his wife on the phone and asked her if she knows what happened to Juan because when his Foreman found him Juan was unconscious and told me that when she spoke to Juan told her that he was going up the stairs and began to feel dizzy he lost his balance and hit the head with block wall. My question is that the specific injury qualifies as work
Musculoskeletal System (joint pain; stiffness; swelling, heat, redness in joints; limitation of movement; muscle pain or cramping; deformity of bone or joint; accidents or trauma to bones; back pain; difficulty with activity of daily living, medications):Denies pain or stiffness in joints. Denies swelling, heat, or redness in her joints. Denies deformity of bones or joints. States no self or family history of arthritis. Complains of “achy fatigue” in lower legs at the end of the day. Uses a walker for increased stability. States she is “afraid of falling” so uses a walker at all times. States she fell in her kitchen late one night and bumped her head on the laundry room door. States she did not feel dizzy, just tripped over a kitchen chair with her walker. Called 911 for assistance but refused to go to the hospital for evaluation. Denies fractures or traumas to bones. States she has mild back pain when standing for prolonged periods of time. States she uses a shower chair to avoid fatigue in shower. States she bathes, grooms and dresses herself without assistance. Grandson assists with
It is vital for support of the mental health professionals that I work with, as well as myself in private practice, to pay close attention to development of any of the conditions and that at the agency I work for, there is information, training, and encouragement of self-care. For purposes of this examination, trauma related stress is divided into these four main conditions. To understand the extent and intensity of symptomology that psychologists are exposed to while providing services to trauma survivors, it is important to appreciate the types of severe symptoms that can occur because of major trauma.
I have never have had a serious injury in my life. It was on the day of my grandma’s funeral and the day of my last wrestling meet. I really wanted to wrestle at the meet. My family told me I shouldn’t go either, but I wrestled anyway. After this day when I injured my collarbone in wrestling, I realized that injuries don’t heal overnight. I had to stay dedicated to do exercises to rebuild the muscles in my shoulder.
During his team’s January 10 win over the Edmonton Oilers, San Jose Sharks' defenseman Dylan DeMelo suffered a broken wrist. DeMelo underwent surgery to repair his broken wrist and is expected to be unable to return to play for eight weeks.
Introduction: The prevalence of marijuana abuse and dependence has been increasing among adults and adolescents trauma patients in the United States. Several studies have demonstrated effects of marijuana on the outcomes of diseases. The aim of this study was to assess the relationship between the presence of a positive toxicology screen for marijuana and mortality in trauma patients.
In today’s society, healthcare is constantly evolving and the pressure to provide high quality cost effective healthcare is in our face. In fact, several organizations and physicians are being measured in terms of their outcomes they provide to their patients, as well as, the reduction of acute care hospital admissions. A former employer sought to overcome this challenge by instituting a series of training programs. The following essay will describe the programs strengths and weaknesses as it related to changing behavior, in addition to, suggestion for improvement.
The patient I will be discussing is Mark, a 42 year old man who has worked for a construction company for the past 20 years. Mark is married and has three children ages 3, 4, and 8. Following an incident at home in which Mark fell 15 feet off a roof, he has had persistent chronic lower back pain. Two surgeries over the past 12
HISTORY OF PRESENT ILLNESS: Ms. Branson is here today for followup evaluation of her left tibial shaft fracture for which she underwent operative stabilization with intramedullary nailing and small medial plate, three weeks ago. She also sustained a grade 3 AC joint separation on the left at the time of injury. She has been attending physical therapy and has shown excellent progress with her range of motion in the shoulder. She remains nonweightbearing on the left lower extremity, as instructed, and is tolerating this well. She has not required any pain medication, other than over the counter anti-inflammatories for the last one to two weeks and feels good with her progress.