I Apologize For Taking A Little Extra Time

The person I interviewed is Raegan. Raegan is a patient advocate in a nursing home. Raegan received her Bachelor’s Degree in psychology at Western Michigan University. She received a Graduate Certificate in patient advocacy from the University of Toledo. Raegan has been a patient advocate for 5 years. She became a patient advocate because she likes helping patients with their direct care needs, and enjoys helping patients navigate through the complex health care system. As a patient advocate, she helps patients in numerous ways. Raegan ensures that patients see the correct doctors, coordinates care between doctors, ensures the patient has access to all available treatment options, and that the treatment plans are being followed. She also educates the family on how to

UCM: CPSW did a home visit again and talked with Annette regarding her relationship with her mother Ms. Clifton. Annette stated that some times that they both disagrees on things and that and than Annette gets upset with her mother. CPSW talked about therapy with Annette and Ms. Clifton. Annette looked at her mother when this therapy talked about family therapy with her mother Ms. Clifton. Ms. Clifton refused to participate with Annette any family therapy. Ms. Clifton stated that Annette has anger issues and that they don't need family therapy at this time. Annette was very quite and mostly was looking her mother's responses regarding family therapy. CPSW told Ms. Clifton andf Annette to think about it and that we will talk about it on next

This was my first shift back from having a few days off and I returned to work on a night shift. Patient A was admitted to the hospice that day. She was admitted for general deterioration and she had tried to maintain her independence up until breaking point. It was handed over she has aphasia.

The second resident was Ms. Sister; she was in room no. 226A. I had an opportunity to provide a lunch for Ms. Sister; she was very nice and friendly. She ate 45 % of her meal, but she enjoyed eating fruit, ice cream, and milk. Sometimes, she stopped eating; I assisted her getting her cold water or grabbing utensils on the table. I noticed that she always said “thank you” to me, and tried to talk something. I noticed that she was a smile and her face looked happy. I felt happy too. After finishing lunch, I brought her back to her room, and Dat used a full sling mechanical lift to move Ms. Sister back on her bed and changed completed continence brief. Ms. Sister watched her TV and took a nap later. Then, I checked the call right that it was right next to Ms. Sister before I left her room. My second day of clinical practical learned many things from residents, such as noticed personal food preference, gave the person time to eat, reminded residents to chew and swallow carefully, made a bed ( a closed

My work day began the night before my shift started, as I received an email from my supervisor and was pleased to see my favorite patients on my list. Anna was scheduled first on my itinerary. She had become a quadriplegic after a serious fall down a flight of steps. Next was Mr. William, who was dying of a brain tumor. This man had the best attitude towards life, and always kept me laughing. My last patient of the day was Mrs. Patsy. She was very dear to my heart, and I had grown very close to the family, because I had been seeing her for over six months. Every time I walked into Mrs. Patsy house, she wanted an update and recent pictures of my children. It is unusual to have everyone agree on the scheduled time, but this warm summer evening was the exception. Tomorrow’s schedule was looking great and I was ready to get some rest.

CPSW did a home visit to meet with Ms. Berner and to discuss about her safety plan since the children are moving with her on10/29/16 from the foster provider. Ms. Berner was late for her appointment and CPSW waited a 40 minutes for Ms. Berner. Ms. Berner apologized for being late. CPSW explained Ms. About safety plan. Ms. Berner understood and she signed them. Ms. Berner stated that she will be doing a house arrest for two weeks and the recommendation of her criminal court is to obey law and continue taking her medication on time and seeing her therapist. Also, cooperating with her PO and CPSW. CPSW consulted with the supervisor and she has approved both children to move back with Ms. Berner. Goal 1-2

The client, Julie*, called into the Crisis Center Hotline looking for immediate shelter for herself and her two young children. At that time, our shelter was not full and therefore had space for the mother and her children. I went through the procedural routine of making sure that she was not in the center’s blue books, a record of clients not allowed to receive shelter and/or services, and seeing if she had an alpha card already completed, this would mean that she was a previous client at the shelter and already had a file. Julie* did was not found in either source. At that point, I began to complete the shelter intake paperwork with her over the phone. The first two pages of the intake are completed first with the client. These pages find out more about the client’s demographics, her current physical and mental health state, how many children she has and if she could be pregnant at the time, her abuser’s demographics, and the presenting primary abuse occurring. I completed these two pages with Julie* and then from that point an approval staff member will tell you if you can complete the rest of the intake or tell the client that at the time we cannot offer them services. Julie* was approved to complete the rest of the intake paperwork. The majority of the rest of the intake paperwork is a more detailed explanation of the first two pages. These pages help the approval staff and I see if the client raises any major concerns and allows us to prepare for her stay

It was another restless Friday afternoon in the small-town nursing home. Overworked nurses buzzed around, itching to start their weekend. “Ann,” a late-stage dementia patient, stared out her bedroom window. Her eyes focused on nothing in particular. As a hospice volunteer, I had been visiting Ann for three months. She spent our time together lost somewhere in her mind where I could never seem to reach her. I reminded Ann who I was and began one of our familiar conversation topics. As usual, she never spoke. As the visit went on, however, something changed. Ann slowly shifted her gaze toward me. I paused. She gently reached for my hand. Her hand felt weak, but her grip was firm. She looked into my eyes, and for a moment her face was clear with recognition. “You’re here,” she said. “…You are here.” She struggled to get out the words as she brought my hand to her face and kissed it. I was so touched I could not speak. For a moment, Ann connected with me. She trusted me. In that moment, I knew I had made the right choice.

“Right this way,” the nurse ahead of me was prompting me to a brightly lit hall that was completely foreign to me. I couldn’t help but be terrified by the sights and sounds around me: people chattering, machines methodically beeping, gurneys rushing past. It was my first time in a hospital and my eyes frantically searched each room looking for any trace of my father. She stopped suddenly and I turned to the bed in front of me but I could not comprehend what I saw. At such a young age, I idolized my father; I had never seen him so vulnerable. Seeing him laying in a hospital bed unconscious, surrounded by wires and tubes was like witnessing Superman encounter kryptonite. My dad’s car accident not only made him a quadriplegic, but also crippled

I met Ms. Cortes at the Dept. of Health and Human Services. When I arrived, she was in a meeting with her case manager. When she came out she told me what the case manager said. They might put her into a new activity and they can only help her on April 29th, because she is currently not in need of emergency placement. So, we called some of the shelters and programs we made a list of the night before. Garden State Episcopal was willing to look into Ms. Cortes case. This is one of those agencies that she went through in order to get into Project Home. After I got off the phone with Garden State Episcopal, Ms. Cortes was called back into the office to meet with her case management work again. They did not have any activities, but he was going to try to find her one. He told her to call him at 1 p.m.

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

QMHP called the client to informed her that she is not eligible for case management due to (1) living in Independence and (1) has inactive Medicaid. QMHP informed Ms. Anderson that she could receive services at Swope as an outpatient. Ms. Anderson asked if she could get her medications and other services (Imani House, vision, dental) without having Medicaid. QMHP told Ms. Anderson that she could. Ms. Anderson stated she will apply for her Medicaid. QMHP apologized to Ms. Anderson two times because at the intake, QMHP had informed Ms. Anderson that he was eligible for CSS. QMHP told Ms. Anderson that after she her Medicaid is active, she could request for a CSS. QMHP thanked Ms. Anderson for her understanding and hang up the

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

This worker informed Holly that DCFS classes do not have babysitting. This worker spoke about visitation with Christina and the children. Holly stated that Christina has been coming to Sunday school and seeing the children on the weekends. Holly thinks that having visits in Christina's home is easier because the children act out in her home and she does most of the parenting. Christina was visiting on the weekends now because it was difficult to visit on the week days with homework and evening activities. This worker questioned if Christina does not help with homework. Christina helps but she gives answers instead of letting Gracie do her own work, nothing gets accomplished giving her the answers. Holly was trying to mentor Christina, but has backed away. Holly spoke with this worker about CJ having his last tube removed from his ear. Within two days CJ had an ear infection. The ear specialist stated that they may need to do tubes again. CJ party went well. At birth to 3 the day prior Cj matched every color perfectly on the color wheel. CJ was loving the SunShine Kids 2 year old class. He is doing well with potty training. Holly is thinking about putting him in Monday Wednesday and Friday mornings 8:30-11:30 and paying out of pocket. The daycare does most their actives in the morning. This worker reminded Holly because it was a recommendation of the ACR this

During a late shift on the ward, my mentor asked if I would stay with Mrs Smith whilst she gave out medication in order to ensure she wouldn’t be left on her own and fall. I introduced myself to Mrs Smith and sat with her in her room. It became apparent to me quite quickly that she was obviously very confused and she was not fully aware that she was in a hospital, as she repeatedly asked me where she was. On being told she was in hospital she would say no and shake her head. It wasn’t long before she asked me when her husband would be there to take her home, to which I replied