During this reporting period I attended two appointments with Mrs. Raney. I met with Mrs. Raney at Dr. Mendelson’s appointment on November 21, 2017 and made a visit to Cherrywood Nursing Center on 12/4/17. On 11/17/2017 I received a phone message from Dr. Mendelson’s office as a reminder that Mrs. Raney is scheduled for an appointment on 11/21/17 at 2:50p. I recontacted this office as I had her scheduled for an earlier time. The staff rechecked the physician’s schedule for that day and I was told that she could be seen at 2p. I notified Alimar Transportation of the new time and the nursing facility Cherrywood. I was notified on 11/20/17 by Vicki Music RN manager for the Charlevoix unit that the facility was starting their renovations …show more content…
Raney was experiencing any pain to the area and Mrs. Raney replied that the only pain is in the right shoulder. Mrs. Raney was able to supinate and pronate her right wrist 30-40 degrees. Her skin was dry. Dr. Mendelson replied that at this time Mrs. Raney no longer required to wear the wrist brace and she can use the extremity. Dr. Mendelson obtained x-rays of her right shoulder as Mrs. Rainey has limited range of motion. After reviewing this, Dr. Mendelson replied that Mrs. Rainey as tremendous arthritis in her shoulder. I inquired if it was traumatic arthritis and the result of the accident. Dr. Mendelson replied that it was not related directly to the accident necessarily but her shoulder was aggravated from the accident. Dr. Mendelson continued to state that symptomatically it will get better and at some point Mrs. Raney did have a glenoral crack. Dr. Mendelson inquired about how Mrs. Raney’s shoulder was prior to the accident and she stated that it was fine and she could raise her arm above her shoulder and head but now she can’t and has had limited movement since the accident. Dr. Mendelson assessed and evaluated her lower extremity and replied that Mrs. Raney’s left incision is now healed. Her right ankle is still healing, the wound is dry and her skin is consolidating over the area. Mrs. Raney has an avagus external rotation of her foot. Dr. Mendelson replied that Mrs. Raney is now 3 ½ months out from surgery and her ulna is stable
I asked Mrs. Herron to explain the incident. She said she had been a patient of Dr. Gary LaMonda for 19 years, but had recently switched to Dr. Justin LaMonda. She stated she had liked him during her first visit on April 21, 2015. Mrs. Herron said she was having some very negative reactions to Clonidine so she made another appointment with Dr. LaMonda for April 28, 2015.
During Dr. Wallace’s clinic, one of the golf girls came into the Athletic Training Room complaining of right shoulder pain. Dr.Wallace first began the evaluation by asking if she remembered how she hurt her shoulder. The golfer said she had been at home during winter break and was wearing socks in the house. She said she was running and fell and when she was falling, she attempted to catch herself by using a nearby wall. Dr. Wallace then checked her strength by asking her to abduct her shoulders as far as she could. He then added resistance and noticed weakness in her right shoulder. He tested the ligaments and told her they were all intact. He also asked her if she had been experiencing any numbness, tingling, etc. since she fell and she
As I entered Mrs. Brown’s room I introduce myself, my role and the reason of being there and asked her how she would like me to address to her. Being supervised by the RN I asked for an informed consent prior to commencing a focused holistic assessment and then I asked what would be a good time for me to come back. I did recall from a handover that Mrs. Brown has a Clexane which
There has been a delay in completing this wellness check. Ms. Bell has been out of the State of Michigan for the winter. Coordination of the visit was determined by her return to Michigan. This is a onetime visit that per attorney Mr. Goodwin needed to be coordinated with the prior nurse case manager Joyce Lucas from Wellspring Case Management. On 5/16/18 I met with Ms. Bell and her husband along with Ms. Lucas
Shortly after the nurse aide was gone as well. Ms. Burrell – Karriem is now located in the Greenberg Pavilion 5-West room 424C. She is requesting we review cameras and notify the police. She has called the aide several times and the company True Care and she cannot be reached.
Nurse @ GRU did recommend a hospital for her to take the infant; however, Ms. Keith was not comfortable with the doctor, and never kept the appointment that was scheduled.
She said, she fell last night while playing volley ball. She landed on her right shoulder and heard a pop sound, too. She did not take any pain medicines. She applied icepack and felt burning pain. This was an interesting musculoskeletal assessment case. We assessed her right shoulder and compared with the left one. We found slight dislocation of the shoulder joint. She had good circulation in her right arm, no swelling noted in the right hand and the capillary refill was < 2 secs. Mary said, since she had burning pain, it could be a nerve injury, too. We also noted a slight swelling of her trapezius muscle on the right side. She complained of pain on palpation. Mary applied a sling to her right arm to keep it elevated. She may need an MRI to see the damage. Mary sent her to the urgent care. She told her that, since she heard the popped sound, the ER or Urgent care doctor can replace it. It will be a painful procedure, and she will need a strong pain medicine. She gave her the note for her teacher and asked her friend to drive her to the urgent
MSW contacted Bambi earlier that day to clarify if they would allow the hospice team to care for the patient while on long term at Lake Hills. Bambi verbalized the Pt would be allowed the needed hospice care while admitted. Bambie stated she and her team will discuss the patient's case and will have an answer regarding patient being accepted or not. MSW met with Pt and both daughters to discuss about the status regarding the patient being transferred/admitted to Lake Hills Inn. MSW informed daughters that RN Jennifer received signed orders from physician, faxed order, med list, H&P, and type of insurance to Lake Hills Inn on 08/03/15. MSW contacted Bambi to check up on a update for an possible admission for the Pt. Bambi stated the referral has been denied because the
On 12/27/16 I met Mr. Rasak at The Regency rehab center. Mr. Raska was alert and oriented. There was no sign of confusion. Mr. Rasak was very appreciative of all of the help that has been provided to him. On 12/28/16 the adjuster requested that I review 20 pages of emergency room notes.
I did my job shadowing on the Monday of fall break at the Semmes Murphey place with Marilyn Newson. I learned so much more about this new side of nursing I did not know that even existed. Marilyn job title is an infusion nurse manager where she gives medicine and fluids to patients through injections. She is the only one with this job title in the clinic so she is a manger as well. When I first entered the room I noticed that it was set up just like a dialysis place would be the recliner chairs and IV backs to the side and TV playing.
As requested, I have reviewed the facts of the above-captioned file, along with the applicable law and summarized same in this memorandum. Mrs. Mary Smith suffered an injury to her right ankle in an automobile accident on 10/3/95. After surgery and months of rehabilitation, Mrs. Smith still suffers daily. I have researched the facts regarding a personal injury action against Paul Joseph, as well as a medical malpractice action against the medical providers.
She indicated sometime during the weekend of 1/23 & 1/24 someone entered the clinic located on 425 East 61st street 8th floor and stole several gifts from her office and two other offices.
Unfortunately I have been in significant pain with my neck since Sunday and have had to visit a chiropractic clinic. I have had an assessment and diagnosis and receive my second treatment session tomorrow. The clinician informed me that my pain and restricted movement is a combination of moving things around at home, falling asleep in front of the telly and the formation of scar tissue, I’m not sure of this this correct medical term. It seems that my neck has degenerated beyond my years and that I am now likely to suffer after minor strains on neck which previously wouldn't have been an issue before the accident.
During this reporting period, Mrs. Dey had attended two physician appointments which case management attended. On September 28, 2017 at Dr. Rajpurkas Urologist and on October 13, 2017 with Dr. Hardy, Neurologist. Laurie Wawrzyniak attended September 28, 2017 appointment and I attended Dr. Hardy.
Ivy, a 60 years old Asian woman sustains an ankle fracture from a fall in a shopping mall. After the surgery, Ivy goes to an Orthopedic surgeon for follow up, who does an initial history and physical checkup. Ivy has an active life. She walks every day about two miles and stays busy with household works. She has habits of drinking a few cups of coffee and a moderate amount of wine and also smoking. About two years ago she was diagnosed with rheumatoid arthritis.