Case Study Of Mike Pike's Life

He is total care with his ADLS, he is able to verbalized his needs but unable to perform them. He reports that he had a colostomy placed in 2011 and urostomy placed in 2014. His father provides hygiene care and changes for both his colostomy and urostomy bag. He has bilateral arm/hand contractures and he has gotten weaker. He is getting OT and PT from kindred home health. He uses a hospital bed with air mattress and his father changes his position every 3 hours. He reports pain in his legs and back that is constant, dull and aching. His pain is worse with movement and dressing change. His current pain level is 8/10 on a pain scale. His pain regimen consists of fentanyl 75 mcg patch every 72 hours and oxycodone 5 mg p.o every 6 hours as needed for breakthrough pain. He has been taking 2 prn doses daily because he did not want to run out of medication. He states that 2 prn dose is not effective in relieving his breakthrough pain. He previously was getting his medication from his PCP but since his condition has deteriorated his parent who are elderly is not able to get him to the

Past Medical history includes : Essential Hypertension, Cardiac pacemaker, Coronary Artery Disease, Dyspnea, Sensiosenural hearing loss, Restless legs, headache, acute hypothyroidism due to radiation, Mandible Cancer, Pseudophakia of both eyes, Posterior vitreous detachment, malnutrition, Generalized weakness, Smoker of 2 packs of cigarettes per day for 30 years.

He was diagnosed with liver disease a few years ago. He had a history of positive hepatitis C virus antibody. His hepatitis C virus PCR was checked on two different occasions and has been negative. He was evaluated by hepatology, Christopher Albers, MD at Tampa General Hospital for his liver disease. He had a liver biopsy done showing evidence of liver cirrhosis. Per patient's report, he was told that he is not a candidate for a liver transplant at his point. No evidence of abnormal liver function tests in the records and his coagulations were in normal range. He has chronic thrombocytopenia that has been attributed to alcohol use and liver disease. No history of hematemesis. He reports that he had endoscopy as part of the work up at Tampa General Hospital but he does not recall the results. His last colonoscopy was done this year at Tampa General Hospital. No reported malignancy, per patient's report. He also has imaging for his abdomen and pelvis but we do not have the results at this time.

From the symptoms that I've noticed Radio display, I believe that he might have Huntington's disease. Huntington's disease is a genetic disorder that causes a variety of mental and physical in capabilities for death the one earlier. The mental portion of Huntington's disease causes the diagnosed do you have a slow

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

Cano, the patient is status post right carnal tunnel release. She has been on physical therapy for the last three weeks. She states she is doing much, much better. Her left hand will be operated on 5/03/16. She complains of severe insomnia. This has been chronic with headaches and chronic depression. She states she is hearing voices, hearing auditory hallucinations with paranoia. This started after the oral steroids. She is psychotic and severely depressed. There is a past history of post-traumatic stress disorder (PTSD), generalized anxiety, and chronic depression. Previous antidepressants included Celexa, BuSpar and Xanax. She states she has been clean. There is no evidence of any type of drugs in her. She brought what she had and had thrown those out and had detoxed a few months

In the last three weeks my client G was experiencing tingling in his hands, decreased fine motor control in his hands and increased weakness in his back and legs. This all led to decreased mobility and he was not in a wheel chair with limited ambulation (transferring to and from his bed or toilet and walking with PT two times day). This was a drastic change to his ability to care for himself and move about freely. This was impacting his emotionally and physically. Gas expressed embarrassment of having someone to help his to use the toilet and bath him. Due to his decreased mobility and spinal damage, he was losing strength, possibly at risk embolism and

This is 35 year old WM. Patient was seen at UAB ED for UTI and kidney stone on 3/30/2016. Patient was discharged with roboxin and ibuprofen. Patient has a history of Hep C, was told about 12 years ago, and was retested at UAB and HVC was positive. Patient is a current resident at the Villige. Patient has a history of substance abuse, denies current use, last use about 10 days ago. Patient is a current tobacco user, denies use of alcohol or illicit drugs. Patient reports some depressive moods, denies thoughts of suicide or

With medications, he is able to attend baseball games (grandkids), attend church weekly and walk the dogs. Without needed medications, he is bed bound and unable to perform functions.

SW was paged at son Dean's request by Pt's nurse April Tucker, RN. Pt was in be and Pt's granddaughter and son Dean were present in the room. Pt appeared brighter today and reported she was feeling o.k. Pt reported Dr. Reda, Neurologist came in yesterday and ordered more tests. Pt. Reported she is still going to get better, and no one can tell her different. Pt reported she is not going to begin her medications again because she took the medications Dr. Reda ordered and she became weaker and is now in the hospital. I asked Pt. If she felt it was a coincidence that her physical decline occured when she began taking the medication, and Pt. Reported "I was not coincidence, it made me not be able to walk."

The medication, donepezil, was chosen to reduce the client’s behavioral symptoms and slow the progression of neurodegeneration. The client returned to the clinic in four weeks accompanied by his son. The client’s son reports no improvement in the

This patient has a regular pattern of this disease and does not want to take medication because he has adapted to this lifestyle of highs and lows. Over time the patient cannot resist any help and will make a change to better their lives.

It was September 2014; our family received some depressing news. My uncle was in his mid- seventies and he has been on many of different medications for the past twenty years. He has had some minor issues before but nothing to this extent. He was experiencing stomach pains and wasn’t feeling right. Little did we know that this time he would be spending more than a couple days in the hospital.

Therapy needs to be dialed in and positives need to be given to his medication so he will start to get better and have less episodes.

Patient is a 45 yo male; 5’7”, 221 lbs who entered the emergency room at 6:30 am on 9/7/14 with severe chest pain (onset at 6:00 am) radiating to his arm, L arm numbness and nausea and vomiting. Past medical history reported by wife includes peptic ulcer, tobacco use (1-2ppd for 27 years), elevated blood pressure (controlled by lopressor). Wife did not know of any family history but reports patient’s father is deceased, died at 42 in his sleep. Mother alive and with high blood pressure.