Home Therapy Case Study

Kathy has a weight bearing restriction in place, is currently utilizing a wheelchair for mobility, and is a hands on one person assist with transfers. Judy shares that the previous day Kathy and the physical therapist worked with Joe and herself on transfers into and from the car so they can take her to her scheduled appointment with the orthopedic doctor on Friday. Judy shares that it is expected that the doctor will modify the weight restriction at the appointment. Judy and SSA spoke about a time frame for discharge. Judy shares there is no time frame established. Per Judy, Kathy’s private insurance only has twenty days of physical therapy remaining in the plan and does not know what happens at the end of the twenty days if Kathy needs additional therapy. She has plans to contact Humana later this day to discuss Kathy’s insurance benefits. We discussed that Kathy believes she has an UTI and that a sample of her urine was taken before lunch for testing. We discussed that Kathy is satisfied with the Care Springs facility, the food served, and nurses assigned to work with her. During the visit, Kathy asked about Wildey staff and of all who was aware of her injury. We discussed her

The patient is very independent in his home and is able to perform all ADLS within the home without any addtional assistance. MSW asked patient if he was interested in any addtional care giving support in the home, but patient declined addtional support at this time. Patinet stated he gets transportation from his neiabors to the store when needed. MSW offered the patient additional transportation services, but the patient declined needing any addtional transportation services at this time.Patient reported falling back in 2004 off the steps and was air lifted to the hospital. Patient reports having diffculty paying doctors and helicoter bills. Patinet's only income is through SS for $847. Patient reported that was the only time he was fallen in his life. Patinet has only been in the hospital two times during his lifetime. MSW offered life alert services, but the patient was not interested. Patient stated his only concern was being able to afford his doctor and helicotor transportion bills. MSW connected AHCCCS and spoke to represtative regarding getting patient signed up for the medicare savings program. Representative stated the patient has already applied for AHCCCS back in

I have been seeing Health Point Rehab Physical Therapist, Katrina Volker, on my back. She is treating me for SI joint alignment and the bulging disc that is causing the symptoms we discussed during my exam. I have been seeing her since last week. Yesterday during treatment she highly recommended that I not go back to work until the 9/23. She thinks I am asking for trouble if I return to the type of work I am doing at the plant. I am going to ask her to write me a work release excuse until then, but she recommended that I get one from you. For my disability insurance to pay while I am off I prefer one from my primary doctor too.

Children of alcoholics often learn to neglect their emotions, because most of the time they are busy concentrating on the chaotic environment. These children become adults that are unable to seek help or form relationships because they are unable to verbalize what they feel. Using a micro level intervention, my plan is to target young children who are part of the dependency court system because of parental alcohol abuse. Similar to the intervention of Hanson et al., I want my intervention to be family-based-in-home-treatment. The intervention will target the child’s psychological and behavioral issues with a secure attachment approach. Parents will learn the importance, and how to develop a secure attachment style with

Home health care aid are becoming more demanding as the months and years come due that our aging population is requiring more care and according to NAHC, the cost for Medicare is nearly $2,000 per day for a typical hospital stay and $559 per day for a typical nursing home stay. Meanwhile, home care cost just $44 a day on average. ( Seegert, 2013). I do agree with you that these working individuals deserve same governmental protection as all the given American

Interventions provided during this service: Intensive home based services were provided. WYP educated the client about being sleep deprived and the danger associated with being sleep deprived, while attempting to assist the client to be more independent in his sleep schedule. WYP assisted the client to identify the causes of the client being unable to fall asleep at night. WYP assisted the client to create a sleep schedule by going over routines the clients can do before sleeping. WYP was unable to encourage the client to create a sleep schedule and moved on to assist the client with practicing some coping skills to talk to his mother. WYP role modeled for client by using "I think" and 'I feel" phrases to better communicate with his mother.

A.K. receives weekly home-based occupational therapy because of her delays in gross motor, fine motor, and self-help skills. Activities of daily living (ADL) and play are the areas of occupations that affected. Independency in ADLs is not a factor for A.K. given that she is only 2 years of age. She relies heavenly on her parents for most. ADLs that are affect include bathing, dressing, feeding, and functional mobility. A. K. needs assistance with dressing skills such as undressing and removing shoes and socks. To independently feed herself, A.K. uses adaptations. As a result, of A.K. having spastic diplegia her play skills are affected. The play skills that are affect include, moving around her environment to attain toys to play with. She also

Interventions provided during this service: Intensive home-based services were provided. WYP assisted the client to decrease some energies (client was physically aggressive and cannot function by following directives) by engaging in football. Client was able to relax to engage in other activitites. WYP assisted the client with pro-social behaviors while engaging in a positive activity (tag) in the community. Client was rewarded by playing tag for not kicking, playing fair, and following the rules. Client was also rewarded with a Pokemon card with no physical aggression (kicking). WYP monitored the client for any inappropriate languages. Client was not rewarded with a Pokemon card, due to use of inappropriate languages. Client was prompted

Beverly is a 58-year-old, black female who currently lives with her daughter and previously with her daughter's boyfriend. He caused her intense stress and anxiety which is the reason she began therapy. One evening there was an altercation between Beverly, her daughter, and the boyfriend where Beverly ended up going to jail for several days. Eventually the charges were dropped, and the boyfriend left the home for good. Having the boyfriend gone has alleviated one stressor, but client is now dealing with the trauma of having been incarcerated and lack of finances, because she lost her in-home care income. Client has been resilient throughout her life. She was molested as a child, came out as a lesbian to her mother and sister who didn’t approve

The claimant went to the St. Bernard’s Emergency Department on August 16, 2017 complaining of low back pain and headache. It was noted upon examination that her range of motion was mildly limited due to pain. However, due to insurance requirements, an appointment was made to see her primary care

After viewing this providers claims, I notice that the provider is billing on a CMS1500 and UB-04 for Home Health Aide Services. Because Home Health Aide is normally billing on a CMS1500, the claims are denying for G04 –Inappropriate billing for the contract. However, provider is also billing on a CMS-1500 which is passing the G04 denial to deny for OHI. I called Emery McDonald at 2:32pm to go over the details of his claims, however, he’s receptionist advise he out today and I left a voice mail advising I would call him back. I will call again tomorrow.

For this week, some insurance companies reviewed two of my In Home Therapy (IHT) cases and they determined that the cases did not meet criteria for IHT. The IHT model has been moving towards serving families that are in high degree of need. While in my opinion they do need services, they do not meet the intensive service. Some of the criteria for the identified client to be at risk of being hospitalized or being remove from their home/foster placement. The therapist and I, as the therapeutic staff, have to be in the house twice a week for around 2 hour sessions. While my families still needed to work on some things, we needed to give them “the Talk” and plan a transition for them to have more appropriate service. It felt strange to have had

Interventions provided during this service: Intensive home based services were provided. WYP praised the client for doing well in school (following directives and no challenging behaviors). WYP assisted the client to engage in a positive activity (connect four) while in the local community. Client was rewarded by watching 5 minutes of the anime clip for participating and 10 minutes for beating the WYP. WYP assisted the client with maintaining a positive relationship with his foster family through positive feedback. WYP encouraged the client to continue to list positive things about his foster family. WYP assisted the client with following directives playing cards. Client was rewarded by watching 5 minutes of his anime for following directives.

In this segment of the case study, Lee had her second meeting with the Abernathy family. When Lee discusses the meeting with her boss, she realizes that she is missing pertinent information. She didn’t realize that she needed to thoroughly document the “project” even though she hadn’t been officially hired yet.

Therapeutic play, (checking accept treatment) , will be An awesome secured control predicated upon A number of mental speculations. Research, both subjective Besides quantitative shows that it is Exceedingly solid in quite a few people cases. Late investigation In the long run Tom's examining PTUK, an affiliation auxiliary will PTI, recommends that 71% of the know adolescents suggested with expect help will demonstrate a beyond any doubt change. A sheltered, private Moreover minding earth may be prompted which approves the adolescent will accept with Concerning outline couple of cutoff focuses In like manner possible At any rate as A substantial number Comparably as imperative (for physical and energetic security). This supports restoring to