Anthony Carroll Case Study Assignment

History of Present Illness: Ms. Manock is a very pleasant 60-year-old woman with a history of severe COPD. She was previously seen by Elvira Aguila, MD. Her last office visit was in February 2015. Since that time, she states that over the last few weeks, she feels her dyspnea has worsened which is a result of increased humidity, which is normal for her. She has had a stable cough over the last six months, which is intermittently productive of sputum. She is using her supplemental oxygen at 2 L/minute with exertion and with sleep. She also notes postnasal drip, which is related to seasonal allergies.

Quinn Adams ’99 our Director of Development together with the Enrollment Management Committee, the PTO Board, and the Financial Committee is leading the Adams Elementary School campaign. It supports the School’s development priorities about which Quinn is most passionate, including the expansion of our building to accommodate our educational ministry, the addition of a formal Science program to supplement our new textbooks, and increased tuition assistance. We request support, thank all for your continued generosity, and want you to know that all commitments made toward these priorities will help Adams Catholic Elementary School continue it’s committed to developing life-long learners to meet today’s challenges and become tomorrow’s

Notes: the data suggest that the pre-females had a higher survival rate at a younger age as the post 1900 stayed constant. But has the pre1900 female survivorship declined the post 1950s increased.

Such patients endure a long list of sleep issues including insomnia, alpha wave intrusions, obstructive sleep apnea (OSA), narcolepsy, and restless leg syndrome.

I see the respite authorization for 40 hours of respite service for 9.1.2017 thru 9.2017. I am not going to acknowledge that one because it is short 10 hours for the respite benefit year. Michael is approved for 600 hours. He received 550 hours for 10.1.2016 thru 8.31.2017 he is owed 50 hours for 9.1.2017 thru 9.30.2017.

He denied recent changes in weight or appetite. He reported having a sinus infection approximately 6 weeks ago (congestion, sore throat, sinus inflammation). No fever, chills, malaise, chest pain, dyspnea, abdominal pain, diarrhea, constipation, urinary symptoms, joint pain, or back pain. Neurological complaints as per CC and HPI.

Thank you very much for referring Neil along for further investigation of likely obstructive sleep apnoea. As you are aware, his wife who I work with at Warringal has been noticing witnessed apnoeas for many years now and has talked Neil into coming along today. Neil in himself sleeps reasonably well and is currently going to bed at around 10.00pm. He will awake between 2.00am and 4.00am and be awake for a short amount of time but will then fall back to sleep until about 7.30am or 8.00am. He wakes reasonably refreshed but of note does have some drowsiness in the afternoon. He will occasionally have an afternoon nap and quite regularly falls asleep on the couch at night. He has been retired for the last 18 months, but prior to that, he

of sleep apnea are obstructive sleep apnea (OSA), central sleep apnea (CSA), and complex sleep

SES met with Matthew Moore at CM offices in Silver Spring, MD to coordinate CM vocational programs and services. SES asked Matthew had he returned to his job with the United Parcel Service since his recent hospitalization. Matthew replied that he would return to work with a physician’s note this coming Sunday. SES asked Matthew if he still wished to disclose to his employer his disability status to allow SES to facilitate a discussion on the need to decrease the amount of days on his current work schedule. Matthew stated he wanted to return to work and make an assessment of his workload first before asking SES to step in and speak with his management. SES asked Matthew his thoughts on his current position of employment. Matthew stated

My recommendations for Lucio would be to go back to the doctor and follow up with his sleep apnea on a more regular basis. Explain to the doctor how he feels currently using the continuous positive airway pressure and the mask and not to hold back any information. I would have him write down everything he would want to discuss or ask the doctor before his appointment. I would also remind him to tell the doctor he does still feel tired while he is awake, still falls asleep when sitting still for long periods, still has occasional migraines, and still snores through the night even with the full face mask on. Due to his current symptoms I would suggest another sleep study to possibly try a machine with a varying pressure like Adaptive Servo-Ventilation

Since the dawn of time humans, for some reason or another has had difficulty with sleep. The cause could vary from the rock pillow was too hard to a pea under the mattress. We have now come to learn that a disorder called sleep apnea could be the reason. According to the National Institutes of Health approximately 12 million United States citizens were afflicted by this disorder (Singer). The Greek word Apnea means without breath and sleep apnea is an involuntary cessation of breathing that occurs while a person is asleep (American Sleep Apnea Association). There are three different types of sleep apnea, when the back of the throat closes called Obstructive Sleep Apnea (OSA), for Central Sleep Apnea the brain “forgets” to signal muscles to

Obstructive sleep apnea has found its way back into the headlines as it carries serious threats to health and impacts the daily lives of those affected.

There are three types of sleep disorder which are insomnia, hypersomnolence, and somnambulism. First, insomnia is case that a person cannot sleep. It has many of reasons which related to physiological one such as ache, and it is also related to psychological such as pressure and isolation. Second, hypersomnolence is an exaggeration sleep manner. Moreover, the term narcolepsy is an expected sleep due to hereditary case and imbalance in brain. Third, somnambulism is a situation that person walking during sleep due to concern and pressure. Sufferers during their sleep doing unaware action, for example, search of missing thing. In addition, the term apnoea is through sleep the breathing short stop. This case is due to acid in blood or heart illness.

poor mucus clearance from air- way causing sputum accumulation. Chronic accumulation of sputum causes multiplication of micro- organisms in it resulting in infections of bronchioles and formation of purulent sputum. This has resulted in features of chronic coughing with

Summarize the key facts and events of the case including the critical issues leading to the departure of Stephanie Whitney.