Cache Level 3: A Case Study

SC placed call to Pa’s CG and friend Teresa Lim and for monitoring phone call because none of the numbers on file for Pa was in working order. She reported that the Pa is doing well and is taking a break from radiation and chemo. She Provided the SC with Pa’s new phone numbers. SC asked about Pa’s service and Teresa reported that the Pa is receiving her PAS service specified in her care plan. Teresa reported that the Pa is happy with her current service and do wish to make any changes right now. The Pa is satisfied with her services and feels they are meeting her needs. No falls, hospitalizations, changes in health status or medications were reported. The SC end call with Teresa and place call to Pa via language line interpreter Michelle. The

I: CM guided client through ISP goals. CM inquired about updates related to the client’s housing goals. CM used open ended questions to inquired about the client most recent drug use. CM reminded client that starting Monday the 2nd he would have to meet with CCM for weekly case management going forward. CM continued to assess for PTSD symptoms, substance abuse, and medication compliance.

D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for

The client is already aware of his condition and wants to get better for his wife Nikki. He hates his illness and wants to control it but refuses to continue taking his medication. Pat states that the medication makes him feel foggy.

During this stage of life, babies will begin to interact with adults that surround them by getting easily distracted by looking at their faces or listening to the sound of their voices. Babies will begin vocalising by cooing at people that they recognise and are familiar to them . A baby will recognise the sound of a parent or carer and will respond when they hear their voice, many mistake this for a baby responding to their name but this is unlikely at this stage.

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

D-This writer met with the patient as he was placed on HOLD to address the status of the IOP. The patient provided this writer a paper that was provided to him with listing of IOP for him to explore. The paper shows scribbles of the patient taking down notes about his attempts of who he called. The patient reports Connecticut Addiction Recovery will call him back within 24-48 hours. The patient was able to schedule an appointment with New Direction for May 20th at 7pm; patient spoke with Dan. This writer commends the patient for all of his efforts; however, the patient needs to schedule something earlier than May 20th. This writer asked the patient about ICRC-Coventry House. According to the patient, he called the contact number and showed proof. The patient reports that ICRC gave him two different number and told him to do a walk-in at 8:30am. This writer shared with the patient about a recent conversation this writer had with ICRC. This writer told the patient

D-Met with the patient to address a fax from DCF request of the patient records. The patient immediately said, " Don't send this shit. I cannot stand that worker.....I was in court the other day and I am tired of this and this worker always in my business." The writer explained to the patient that should he continue to refuse to sign an ROI, it may hurt his reunification with his son as the patient detailed to this writer about how DCF got involved in his life ( According to the patient, he was intoxicated when visiting his son and a case was called against him and the child's mother). The patient made it clear to the writer that he has no desires to signed an ROI for DCF and for the clinic to ignore DCF request.

CCIB Intake received a call from resident Eugene Kunz DOB 2/8/24 in room #6. Mr. Kunz call to state he wanted to remove his daughter Joyce as his Power of Attorney (POA) and pay his $3000 rent each month. According to the caller he has residing in the facility for approximately 3 1/2 years and wanted to return to his home, however due to his slight dementia he was having difficulty with his memory and therefore could not return to his home. Conversely the caller described how his daughter would have him examined by physician who would give him 3 words at the beginning of his examination and at the end would ask him the 3 words. Unfortunately the caller could never recall the 3 words and thus was unable to return to his home. Recently the caller

On 1/27/17 I met Mr. Revis at the office of Dr. Geffard PMR. Mr. Revis sister Marie also attended the appointment. The Rainbow Rehab case manager was not at the appointment. I was able to provide Dr. Geffard with a prior medication list. Mr. Revis wants to decrease his medications. Mr. Revis can increase his anxiety regarding a subject fast. Dr. Gefferd is able to redirect Mr. Revis. His focus is being off all of his medications. Dr. Geffard explained that medications will never be completely gone but he will make an effort to decrease and remove what he can. Mr. Revis was very upset about an incident that occurred in his group home. Another resident became angry and hit him in the eye. He doesn’t feel there is anything being done regarding

Just before being discharged to the Rehabilitation of the Pacific, I once again asked the patient and his wife about completing the POLST and AHCD. I talked to both of them about the form and explained the each category in detail once again. I recommended that they should name an alternate agent, but for one reason or another, the both refused to complete both forms and elected not to name an agent. The wife felt that the husband was getting better and completing the form was unnecessary. Just before ending the conversation, I also mentioned to both of them that these two forms are not just for the sick, they are for the people who could state their wishes now so that their love ones would know your wishes prior to becoming ill. They continued

On 12/28/16 Mr. Rizzotti has express that his cell phone has not been working for several weeks. He came to the staff office and Wellness Coach Teresa Cain provided him the number and resources to recover a new cell phone. Mr. Rizzotti called his cell phone company to express that he phone was no longer working. In completion of that phone call Mr. Rizzotti stated that they will be providing him with a new phone in the upcoming weeks. Wellness Coach then asked Mr. Rizzotti about his medical appointments and he stated that he will rescheduled them when he get a chance. In understanding that Mr. Rizzotti COPD appears to be worst as the days goes on Wellness Coach offered to get medical help and Mr. Rizzotti denied that resource. Mr. Rizzotti

The pt. informed the writer two days before attending his group appointment at SelfRefind he attend his psychologist at RVBH. The psychologist placed him on a new medication Seroquel. He took the medication before group, during group he was falling asleep. He stated they could not wake him up during group. After group he fell down and had to crawl to his vehicle. After his group he attended his psychologist office and inform him or her he was no longer going to take Seroquel. While speaking to him on the phone, he spoke very fast, hard time focusing on the writer’s questions. The writer had to redirect him back to the question.

SC asked William is his health being moniitor William said yes. He noted the nurse checkes his medication and make sure he goes to the doctor. Willaim noted he has not be sick PROGRESS MADE ON OUTCOME because willaim has his health montoir. Supervised Living

Action: MHS reported Liam medical condition is stable. MHS explained Liam has a cold and not feeling well for the past few days. Liam was less alert and active today. MHP obverse Liam walking without assistance. MHS placed Liam in the highchair to eat breakfast. MHS serve Liam cheese girts with apple juice. Liam is eating more with his mouth close. When Liam is not eating Liam’s tongue sits on the top of his bottom lip. Liam was turning around in the highchair trying to get out. MHS explained Liam knowns how to get out of the highchair. MHS provided paperwork of therapy