Health Case Study

Lisa is 5’4’’ tall and weighs 140 pounds. She has not been hospitalized recently and she does not have any chronic medical conditions. She explains that she does not have any health conditions that keep her from participating in activities that she does enjoy. She explains that she does not practice preventative health measures. Lisa does not have a regular physician. Lisa rated her health as a 7.2 because she believes she eats healthy. However, she is concerned because she has not been to the doctor since her twins were born eight years ago. Lisa’s health history is “excellent” because she has not had any issues since the last time she went to the doctor which was eight years ago. She states that she does not get sick easily. She explains that medical bills are very expensive and she does not believe it is necessarily important. Lisa explains that

Another component assessed is cost of welfare payment. It is known that a large sum of schizophrenic patients rely on disability support as they are unable to sustain a wage in the workforce that could provide a substantial amount of funds for average living costs. These transfer payments of quite costly to governments Australia alone spending 274 million in disability support.

SC received a call from Pa and completing monitoring telephone call. Pa reported that she is having difficulty securing transportation to her medical appointments because her doctor did not complete the necessary paperwork the insurance company needs to continue to provide door to door pick up. Pa reported that she missed three important appts with her Nephrologist, pulmonologist and rehab for lungs. Pa reported that her lungs are really bad and she was offered lung therapy because she is experiencing SOB more and more so she is unable to help completing her ADLs and IADLs. Pa reported medication changes she now takes Benzonatate 200 mg to help with severe coughing and Prednisone. Pa confirmed that she is receiving her services as specified

My client’s, Miles Meredith, goals are to decrease disease risk, body fat, as well as improve strength, flexibility, and performance. The physical examination determined that Miles is 5 feet 8 inches tall, weighs 166lbs, and has a waist circumference of 34 inches. That puts him at a BMI of 25.24. According to the skinfold test his body fat percentage is at 15%. His other vitals are all within normal ranges. His resting heart rate is 76 bpm, and he has a resting blood pressure of 78/110 mmHg.

On 7/20/15 worker visited WBMC, for the purpose of assessing Mr. Hubert Knoblock need for services. When worker arrived, Mr. Knoblock was lying in bed. He was appropriately dressed and did not present an odor. Mr. Knoblock is legally blind and reported he was attacked by his landlord, Ellis Nickolas. According to Mr. Knoblock Mr. Nickolas was upset because the grass had not been cut. Mr. Knoblock stated he told Mr. Nickolas he was unable to mow the grass so Mr. Nickolas mowed the grass. Then, Mr. Nickolas came back to Mr. Knoblock's home and demanded payment for mowing the grass. Mr. Knoblock told Mr. Nickolas he did not have any money. Mr. Nickolas stated, "I'm going to get my money one way or another." Mr. Nickolas then hit Mr. Knoblock across

Century Health is a faith based healthcare organization formed in 1996 by sponsors Adventist Health System and Catholic Health Initiatives. Centura alone currently employs 21,000 people and 6,000 physician partners across Colorado and Western Kansas. The network is made up of 17 hospitals, hundreds of of clinics, urgent cares, physician practices, senior living etc, with Net Operating Revenue of 3,443,658,000. This non-profit healthcare organization specializes in cardiac, trauma, oncology, neuroscience, pediatric, and senior service network (Centura Health, 2017). In 2009 Centura started its journey to transform the future of today’s health care for not only patients, but the communities as well. They created the foundation based on their

It has been a foreseeable goal of healthcare organizations to solve integration and interoperability problems across systems with disparate EMRs since the introduction of health information exchanges, with the emphasis on improving clinical outcomes and containing costs. The Vermont HIE did just that in 2015 when they successfully interfaced all 14 Vermont hospitals to their HIE through the initiatives of the Vermont Information Technology Leaders or VITL (Raths, 2016). VITL was able to accomplish this by developing a clinical data warehouse that allowed them to create data marts for Accountable Care Organizations or ACOs. Realizing head on that for ACOs to integrate processes and improve care coordination, VITL stressed the need for data

Reviewing current medication use is imperative at each visit. D.E. could have added or discontinued medications with or without her health care providers’ instruction. Asking whether or not D.E. needed to refill current medications could promote medication adherence. D.E. took Simvastatin for hyperlipidemia and Ventolin for chronic obstructive pulmonary disease (COPD). While reviewing the medications and diagnoses, checking labs were also imperative to ensure D.E.’s lipid level was under control. Food, drug, and environmental allergies were reviewed for accuracy.

There are many different departments and programs that are run by the state of Illinois that are potentially related to long-term care and thus should be involved in the integration effort. The first program is Long-term Ombudsman Program which is a resident-directed advocacy program that protects and improves the quality of the individual’s life in various long-term care settings.

Many state environmental health departments, more specifically, regarding programs associated with food safety are experiencing areas of reduction. In Baton Rouge, Louisiana in January of 2010, the Department of Health was facing a 20% budget reduction in their food safety programs which would force the director to fire employees and reduce services that could be disastrous to the overall health of residents; CDC stated about $87,680,289 in cuts during 2009 (Realmuto and Sutaria, 2012). CDC estimates about 48 million people that suffer from food-borne illnesses every year—which includes about 128,000 hospitalized and 3,000 deaths (Realmuto and Sutaria, 2012). Food-borne illnesses as described by WHO, are

Reducing ER visits for senior with two or more visits within the last six months begin with implementing programs that target this population. WISH is Montgomery County’s effort to begin to address this issue. The challenge is expanding the reach of the program. Currently, this program has isolated a small subset of the senior within Montgomery County. The statistics show this issue spans well beyond the population identified in Montgomery County. This is a national issue. CMS has developed several initiatives to begin to address the issues. While programs such as WISH are beginning to move the needle in the right direction, there are challenges within the program. Rapid cycle improvement measure ensures that the

According to Bleier (2014), managers at more than a dozen Veteran Affairs (VA) facilities lied about scheduling appointments and 93 VA facilities across the country are being investigated for not doing what is expected in health care. Officials at 42 of the 93 facilities engaged in manipulation of scheduling. However, 19 of the same facilities cancelled appointments and then rescheduled for the same day to meet on time performance goals. The required electronic waiting lists were failed by 16 facilities. Phoenix VA hospital falsified waiting list while their supervisors looked the other way or even directed this action to be conducted, resulting in chronic delays for veterans seeking care. In addition, 14 out of 17 patients received

Clinician met individual at Lamar County Counseling Center in a scheduled appointment. Clinician engaged individual in check-in of last week events and emotions. Clinician asked open-ended questions to assess current level of functioning, including mood patterns, thoughts and feelings. Clinician explored individual's past to establish rapport and to identify possible causes of current symptoms and behaviors. Clinician explored individual's strengthens and needs. Clinician encouraged individual to keep working hard in order to get her GED. Clinician explained Erikson's stage of Generativity vs, Stagnation to reinforced positive changes that Tammy was bringing to her life. Clinician assessed for SI/HI.

In 2015, our hospital spent $102,037,333 on charity care and uncompensated care. We support those who are unfunded or low-income. Since we help every single individual that walks through our doors, we have no biases. It is a random selection based off the community and surrounding communities. Whether you are homeless, rich, white, black or anywhere between those, our services are available to you. We have a large support system and services for the elderly. A possible barrier is language. Most of the employees speak English only, which can create a difficult and frustrating situation for the patient. However, we have interpreters and translators to help support them. As previously stated, our staff is from all over the world. We do not

ssess the general physical health of a person, give clues to possible diseases, and show progress toward recovery. The normal ranges for a person's vital signs vary with age, weight, gender, and overall health. There are four main vital signs: body temperature, blood pressure, pulse (heart rate), and breathing rate.