Bite: A Case Study Of Dr. Storey In London

Hello Mrs. Goldman, this is Krystal from the orthopedic office regarding your office visit with Dr. Mitchell. I see you were interested in finding out more information about your office note. Below I have clarified your medical break down of your clinic note.

The general assessment findings regarding the patient ranked the general assessment as very poor regarding clothing, hygiene, nutrition and/or dehydration, and poor findings regarding skin integrity. The general assessment showed that the patients clothing were not clean; saturated with urine and food stains. In regards to nutrition this ranked very poor as well, considering the patient has lost 10 pounds since her last hospitalization only two weeks ago. This weight loss also could be because of dehydration or nutritional imbalance; further labs will need to be completed to decide if weight loss was regarding nutrition, dehydration or both. Albumin levels will be assessed for nutritional status (Bharadwaj, 2016). Skin integrity ranked a poor on the scale. The diffused red abrasions noted in sacral area could be a stage 1 ulcer. (Advanced Tissue, April 2014). Being unkempt, soiled and dirty is large warning sign of neglect especially for elderly patients (HelpingGuide.org, 2017).

She has a large ulceration of the mucosa at the bite margin on the left. She has some scattered ulcerations on her hard and soft palate. She has difficulty opening her mouth because of pain. Tonsils not enlarged. No visible exudate.

Shortly the incision made off the weight bearing surface of the posterior heel. Guide wire from the 70 cannulated

During the assessment I was keen to make sure that the patient was clear about what the procedure involves and the routine of the day, throughout the assessment I was concerned that while I believe the patient did understand the Procedure, I was concerned as to whether all the possible complications and post procedure instructions were fully understood, I was also concerned as to whether the patient had the ability to communicate any concerns she may have, the patient also has hypertension. The priorities of care with this patient is monitoring her blood pressure throughout her time within the unit, the ability to understand the procedure and capacity to consent, also communication barriers both of which relate to her learning disabilities. I believe that the key priority for this patient is her learning disabilities and communication barriers, as it is vital that the patient is entirely aware of the procedure.

When she was sent for an X-ray it showed that she had some swelling, but not a fracture. Dr. Scott advised her to think about having reconstructive surgery, which she followed through with. Part

The patient has a four unit bridge on her upper anteriors, she has ten missing teeth

Ms. Emo was seen in his offices between the two treatments for unrelated issues and did not mention the lesion or voice any concerns about it at those appointments. He acknowledges he did not biopsy, measure the precise location of the first lesion. And as it had been a year between the initial visit and treatment and her mention of problems again, he could not be certain it was the same lesion or a new growth.

Also, Mrs. Glynn informed the doctor that he was hurting her and he told her that it was because she wanted to save tooth # 32 which it was just a wisdom tooth. T he following day which it was Saturday, September 17 in our facility in the North, another issued took place with another patient her name is Jimenez Saida was schedule for extraction 16, 18 and 19, but on this day Dr. Sadati only performed extraction on tooth # 18 because while he was extracting this tooth Dr. Sadati yelled to the patient “Open your fucking mouth” this patient speaks English and Spanish and she understood. Furiously Mrs. Jimenez got up from the chair and walked to the front area and complaint about how rude and disrespectful how she was treated by the doctor. In this occasion our dental assistant Dwight was assisting the Dr. and he witness this incident. Both of this patient’s have not come back to our office due to the fact that they were not treated with respect, but I am sure that they would be willing to testify these

SC called the Rose. SC asked about her weight status. Rose said she is now gaining weight. Dorothy’s when the wound specialist on April 13, 2017. The wound specialist start her on health shakes with protein twice a day. Rose noted her weight 110. Dorothy weight has increase 10 pounds. Rose also note that Dorothy being going to a wound specialists to promote healing. She noted that her wound has not being healing. That is another reason why wound specialists put her on protein shakes. Dorothy has been to the dentist on last week. There was not cavity and the dentist set appointment for next year Dorothy weight has increase 10 pounds. PROGRESS MADE ON OUTCOME because she gaining weight and she is free from cavity

24 years old female clift lip patient wanted to place implants for congenital missing #7 and 8 teeth.

The patient had a distal open reduction internal fixation on her left and right wrist. She explained to me that she sustained the injury from a fall. According to her, “ both of her wrists broke from that fall”; which I don’t buy. The patient admitted that she has a history of falls, but what I think is that she was getting abused by someone close to her. There’s no logical reason why she should have sustained so many injuries from frequent falls, without a severe medical condition to support them at a young, but what do I know? She has complication on the left side of her head; because of the many falls, she endured in the past. It seems like she falls decreased when her husband passed, not to be cruel or anything. Arthroplasty was also

Dentists often recommend a patient undergo orthognathic surgery to treat an improper bite, also known as a severe malocclusion. This treatment is also often recommended for individuals who suffer from TMJ or TMD. Any time the facial skeleton develops a problem during growth, the individual may find they have problems with daily activities. Their speech may be affected, they may find it difficult to chew, or they may have headaches and joint pain. The surgery can help to rectify these

The general head to toe assessment is very important because it assess the overall physical condition and status of EM. I checked the most common part of the body that are susceptible to infection like the skin because of pressure ulcers. Checking the cardiovascular like pressing nail beds,

* Prior to performing A.’s physical assessment, I gathered information over her diagnosis tonsillectomy, adenoidectomy, and vitiligo and any passed medical problems to be aware of. I then introduced myself to A. and her family and asked her if she wanted her grandparents to stay in the room during her physical assessment. I then explained the process of starting at her head and working downward to her feet by providing privacy throughout the whole assessment. First I started, by observing her appearance and behavior and how well A. communicated with me, A.’s behavior was calm, cooperative and appropriate for her age. I assessed PERRLA in both eyes, her pupils were a 3, equal, round, reactive to light and accommodated. I assessed her mucus membranes which were pink and moist along with assessing her throat by looking at the back of throat and checking for bleeding , whitish area, and odor. I then asked her if she had any frequent swallowing and trickling of blood in her throat. A. stated she did not have any frequent swallowing or blood in her throat just some soreness and discomfort in her throat. A.’s throat had white areas on both sides where the tonsils were removed with no bleeding. I auscultated her heart and lungs, and heard S1S2 and her