Daniel Burch 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

The patient asked this writer if this writer cannot talk to her mother and advocate for the patient to the clinic's TEAM about the urgency of getting her bottles. This writer was willing to talk to the patient mother and will try again, to advocate on the patient behalf to get her bottles. However, addressing the mental health portion, the patient stated she has to figure something out about the transportation barrier as no scheduled has been made with CHR due to her barrier. Please note, the patient is no longer seeing Dr. Kuru as the psychiatrist no longer works for CHR. The patient prescriber for her medication is her

The reporting party (RP) stated that 92 year old resident Delora Lovelock DOB: 1/15/24 was residing in the facility from 5/15/2015 to 6/4/2015. Prior to admission the facility was informed that the resident had a broken femur and could not bear weight. The resident required two caregivers to transfer. Initially the facility assessed the resident and accepted her into the facility. Subsequently the resident was not provided the care necessary. The resident was transferred by one caregiver that resulted in the resident's trip to the emergency room where she was diagnosed with contusions to her ribs. The RP stated that prior to admission that the caregivers were trained in transferring resident however the caregiver had no idea how to transfer a resident from bed to

Sabastian was ordered to have weekly weight checks. It is believed that Gabriella and Shomari do not feed Sabastian properly. There were also concerns about the white area of Sabastian’s eye. The process had begun to refer Sabastian to a specialist. Sabastian was last seen 2/21/18; a visit was scheduled for the week of 2/26-3/2/18, but he had the flu. Gabriella and Shomari received new parent support, 1 on 1 parent support with basic infant care and being able to parent. Although Gabriella and Shomari received parenting support, they were unable to demonstrate what they’ve learned. Gabriella and Sabastian moved to MS to live with Rhonda (maternal grandmother) on 3/3/18. Shomari remains in North Carolina waiting to be discharged from the Navy. After being discharged Shomari will also move to MS. Rhonda is a social worker; she has guardianship of Gabriella’s oldest son (unknown). Jessica spoke with Gabriella the morning of 3/5/18; Gabriella confirmed that she and Sabastian had made it to MS. Jessica informed Gabriella that she needed to continue to follow up with Sabastian’s weekly weight

Trey Cavalier was assigned to M&N control for the night. That morning (which was May 14, 2016 because he was working nights) about 30 minutes to an hour (he could not give exact times because log books were being picked up for the investigation) before 4:00 a.m. Dy. Cavalier was notified by Dy. W. Benson that Brian Ducre (who was a new move that was escorted to M&N on a wheel chair) was acting strange and that medical needed to see him. Dy. Cavalier called the medical department and spoke with Nurse Minor and advised him of the situation. Shortly after Nurse Minor came off of N01 and said that inmate Ducre had mental problems and wasn’t taking his medicine, that there was nothing the Nurse could do for Ducre and that he would ultimately be okay. Nurse Minor then left

Castillo kept acting in belligerent manner and stating that he was going to leave. I, Steven Evans then spoke to him about the fact that he appeared to be intoxicated and that he could not leave at this time. I reiterated to him that any attempts at leaving would not work and he could possibly end up being restrained by medical staff with Security assistance. The patient did not like what I said to him, so he threatened to leave and then proceeded to step out of his room. Security Officer Alonso and I asked him twice to go back to his bed, at which time he became unreceptive and refusing to go back to his room. Officer Alonso and I had to physically and forcefully direct him back to his bed. Once on the bed, he became physically aggressive and attempted to hit Officer Alonso. We instantly took control of the patient's arms and upper body while Security Officers Paz and Weiland controlled his legs as he kept screaming and fighting with us. Nurse Baptiste proceeded to contact the patient's Doctor Cleveland so that a sedative could be given to him. At 0020 hours Nurse Baptiste walked into the room to administer a sedative to Mr. Castillo. The patient fervently refused and Security had to physically hold the patient down during the

He was brought in by his friend Gavriel Martinez. At 2338 hours Orange County Sheriff's Deputies Kenneth Jorgensen (Badge# 8180) and Deputy Michael Fairley (Badge# 6210) arrived and interviewed the GSW patient, both deputies were already on site for an unrelated event. Security Manager Richard King was informed by text of the incident at 2340 hours as well as Nursing Supervisor Debra Reilly. At 2350 hours OCSO Deputy Kristine Helms (Badge# 5021) arrived and requested to speak to the patient’s friends who was waiting in the E.D. lobby. At 0010 hours Deputy Michael Fairley contacted SO Alonso and advised that it was OK to open the Emergency Department. The lockdown was lifted and Security Manager and Nurse Supervisor were informed of the incident. The patient, Lopez was airlifted to Orlando Regional Medical Center (ORMC) at 0030 hours at which time OCOS Deputy Kristine Helms informed me that the Gang Unit task force has been called for further investigation. All cleared, OCOSO report number 16-43967. Nothing further at this

At 1005 this clinician made contact with the patients CPS caseworker who reports he was scheduled to meet with the son at his daycare. He reports he met with her roommate who made him aware the patient was taken away from the home by ambulance. In addition, the roommate also reported

On this 9/3/15 worker visited the residence of Mr. Alvin Higgins, for the purpose of making first victim contact. Mr. Greg Nunn, RN with New Beacon Hospice greeted worker outside of the residence. Mr. Nunn stated he called the residence about 3 1/2 hours before arriving and Ms. Betty Griffith was not home. However, her daughter Gina Craven and her boyfriend, Kenneth Woods was at the home. When he arrived, the door was unlocked and Mr. Higgins was lying in his bed located in the living room. After being there for several minutes, Mr. Woods came into the living room and asked if he needed anything. Mr. Nunn told him no and Mr. Woods walked toward the back of the house. Medically Mr. Higgins diagnoses are late stage Alzheimer's. He is bedbound, hard of hearing, and unable to communicate.

During a review of the master file the following documents were located: Case Assignment Sheet, Uniform Complaint Report, Dr Smith’s summary and records, Mercy Hospital Records, and MRR done by Dr Voss on May 04, 2015.

On this date worker interview, Mr. Ronald Darty, son of Ms. Linda Darty for the purpose of conducting a PARN interview. When worker arrived Ms. Darty was in a hospital, bed located in the living room and did not respond to worker. However, worker and Mr. Darty exited the room and the interview was conducted in a bedroom located in the back of the trailer. Mr. Darty stated he is 42 years old 4/29/75 and has lived with his mother for 42 years. He promised her when she got sick he would never put her in a nursing home. However, recently he isn’t able to provide the level of care she requires. Mr. Darty stated she has a bedsore on her back and when he changes her or rotates her, she screams out in pain. Mr. Darty stated he sleeps in the living

S has quite a strong baseline of strengths. Firstly, Mrs. S is a very kind man, never lashing out during interviews, always receptive of health provider interventions even when he might not agree. In addition, he has completed his high school diploma. Mr. S is also good at maintaining and looking after his room at the booth, as evidenced by the recounts of the case manager’s room visit. In addition, Mr. S always attends his medical appointments, and IM injection appointments, and has good insight on their importance. The patient is also has insight to find help from the institute or ER if warning signs, or symptoms creep up. Mr. S is also responsible enough to call if he cannot make an appointment. In addition, he has good personal hygiene during his visits. Mr. S also has a number of deficits he has to combat. First of the deficits, include his ¬¬lack of social support; like previously mentioned about his parents, half-sister or half-brother. This can put Mr. S at risk for redevelopment of avolition and negative symptoms that have previously hindered his success, and will become deficits. Another deficit is his inability to manage his own finances and money, as he gets his welfare allowance every week from his case manager, and social worker, who also manages his finances. A third deficit might be his inability to get food. The final deficit, would be his situation with the Booth Center, as he might find himself to be homeless. Mr. S’ only resources are the case manager, the writer, social worker, and the FEPP

RMHU: Evesole, no problems, spoke to him briefly, was waiting for medical to disburse his medication. Evesole also went out to the recreation yard for fresh air for about 10 minutes. Mr. Evesole also is requesting to attend church, I have not given him an answer as of yet, wasn’t sure if he could. I’m adding that Mr. Evesole has been very cooperative today with appropriate behaviors and verbal discussions, with staff and clinical. Alexander, V. wrote order for him to stay on Constant Observation due to masturbating the night before also a code was called. I spoke to him and

Attached is my narrative of the event and I have also shared my concern is with Dr. Williams.

Sorry I haven’t responded to any of these e mails didn’t check my phone until later in the day yesterday. I don’t have a number for him. So Jermaine came in Monday morning and gave me a note from his doctor saying he is to return to work on the 15th. He never showed up, I didn’t get a call or nothing from him. Hopefully everything is straightened out if you need anything else let me know.