This counselor received a call from Fran's job developer Marianne informing her that she met with Fran today and has some concerns. Marianne stated "Fran reported that she is struggling with her Bi-Polar Disorder and has mixed feelings about returning to work. She also reported that her sister is in stage 4 cancer and so Fran has an appointment with her doctor on November 7th to determine if she should have her ovaries removed as a preventative to cancer. She is reluctant to take a job and then have to ask for time off if she has to have a hysterectomy. I suggested that we put the job search on hold until she has talked to her doctor. I told her I would let you know that she was somewhat ambivalent about her job search." This counselor thanked
Good Evening Barbara for getting back with me if it was not for Kim I really and few more employees at Penfed. Really I would had left and my father as when. Barbara with kim am trying to get loan which am going to reapply with my boyfriend, now the autoloan its crazy. Since day one.
On April 221, 2017, at 1602hrs, VA police received a Duress alarm in 2F511. Investigation revealed that the Veteran was upset needing an appointment to get transition lenses. VA Police made contact with the Veteran at the Woman’s Clinic to obtain his side off the story. The Veteran became standoffish with officer and kept stating there was no problem. Officer’s obtained his information and remained in the area. While talking to the staff the Veteran walked by and stated “fucking pussies”, several time. VA police attempted to get voluntary compliance from the veteran to leave the facility. The Veteran went down stairs and went to Desk A and talked to an RN. Officers attempted to get the Veteran to leave at this point. While one officer talked
Today, MSC visited Maria at her residence for a face to face visit. When MSC walked in Maria was having a snack at the table. Maria waved and greeted her staff. MSC said, Hello, How are you?" She stated that she needs to talk to MSC in private after she finishes her food. MSC spoke wither Medical Direct Care Counselor Marie Rose. She stated that Maria has been doing good. He is cooperative at times, but requires redirection. Maria stated that she is medically stable and her behavior has improved over the past few months. She is communicates her wants and needs effectively. Maris continues to go to all of her medical appointments and enjoys attending program. Maria goes on all community inclusions and makes suggestions on places she would like to go. She struggles with balancing money, staff continues to assist her in budgeting.
Supervisor Comments: This writer met with Cherron to address services due by counselor and reminded the Cherron about submitting his services by staff by day every week on Friday, of which Cherron have been doing. Cherron is still behind on his treatment; however, he was able to update this writer about the status of where he is with getting current with his work. Based on the services due provided from Cherron, Cherron is in need of 5 patient signatures and few was already submitted to the Clinical Director, but pending. This writer offered to help Cherron if he is in need to obtained the patient signature.
Writer called Constance to find out if she has heard from the Visiting Nurse Association (VNA). Constance said yes and that they scheduled to meet on the 9th of this month. Constance said she will be seeing her pain managing doctor on the 8th. Also Constance said Medicaid approved for her to use long term care. Care manager was glad to hear that. Constance promised to update care manager after the
The nurse’s depression had become unmanageable and a vortex of despair affecting her work, so she decided to take time off to deal with this bad situation that was consuming
After receiving an update from Dana's job developer, this counselor called her to have an in-depth conversation about how she needs to be more open when it comes to finding employment. Dana stated, " I know, I think I screwed up." Dana proceeded to explain to this counselor that she turned down a position with subway because it wasn't the one right near her house. Dana stated that she understands now that she needs to "take what she can". This counselor explained to Dana that she needs to be open when it comes to positions and that turning down a job could cause this counselor to put her case on hold of even close it as she is showing that she is not ready or wanting to work. Dana stated, " I understand, and I will be more open. I do want to
Maddy was admitted to hospital for a total thyroidectomy and her clinical manifestations had changed since then. As mentioned in the scenario “she has been feeling lethargic, cold and her face feels “puffy”. She is also feeling depressed and is concerned about the scar from the operation”. These clinical manifestations are the results of the total thyroidectomy, as the thyroid gland was removed from her body. Which means that there is no more thyroid hormone production present in Maddy's body. Therefore Maddy is likely experiencing hypothyroidism during the period. Hypothyroidism is one of the most significant endocrine disorders. A cross sectional Australian survey reported the prevalence of overt hypothyroidism to be 5.4 per 1000. Hypothyroidism
Sharon is a 29-year-old, White woman, of Irish and European descent. The client lives with her husband of 10 years and nine-year-old son. Sharon does not cite any issues in her marriage or with her son but says they are both “dull.” Today, Sharon abruptly quit her job of two months job, as a receptionist at a vet. She
Mary’s progress regressed towards this goal within the past 90 days. Mary struggle expressing her emotions and maintaining establishing realtionships. Mary reported being unhappy with the current placement, however unable to proide insight of problems or elaborate with details. This goal is closed and updated.
This writer met with the patient briefly as she was clearly upset about the cancellation of the Women's Group. This writer validated the patient's feeling as she expressed about looking forward being around other participants. This writer informed the patient that she cannot run a group with only two people, it has to be three participants in a group. This writer informed the patient that there will be a new participant coming to the group next week and hopefully the Women's Group can in fact occur. The patient informed this writer, if the Women's Group does not occur, she will explore other groups which this writer completely understand the patient position.
“They will be a little late, but I knew about it, and I’m sorry you had to wait. Give me a minute and I’ll get her medication,” Andrew said, picking up several prescriptions off the shelf, placed them in a bag and set it on the counter. Chuck handed him his insurance card along with a credit card. He processed it and handed them back. “What do you think about the service in the business world today?” Chuck asked.
The increased weight can be considered as an additional source of stress for the body, where the respiratory, cardiovascular, and musculoskeletal systems would need to provide extra effort to maintain normal function. Under these circumstances, an additional stress may result in malfunction. Similarly, surgery, whatever the type, is considered an extra stress for the body. So performing surgery under suboptimal conditions may interfere with postoperative healing and could result in surgical complications. An overweight or obese patient is at higher surgical risk due to comorbidities such as impaired glucose tolerance or higher rate of cardiovascular disease. (15)
Elated in the fact that Monday blues is not a part of her job scope, she is a firm believer that so long as you pursue what you love, you will go on to do great
This worker met with Mr. Ziad to the west Broadway office. He appeared calm and engaged during the interview. He stated that his relationship with Ms. Mathali has been very difficult over the years. He stated that they have been divorced more than 3 years. He reproted that she has been physical and verbally aggressive to him. He stated that he is willing to take care of his children including Ms. Mathali’s children until she manages her depression. Mr. Ziad stated that he will be moving back to Ms. Mathali’s home until her doctor’s manages her depression episodes. He stated that he will be moving on 7/18/17 to MS. Mathali’s home.