Lmw Case Studies

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

15. What are your thoughts of the importance of understanding the per patient day (PPD)

On May 15, 2016 at approximately 2335 hours Security Officers Steven Evans and Omar Alonso were in the E.D. Security Office when we heard someone yell for help inside of the E.D. entrance doors in regards of a “Gunshot Wound” patient. Out of the Office, we observed a Hispanic male hoping towards the PFS counter with blood on his left abdominal area. Security Supvr. Evans grabbed a wheelchair and wheeled him to one of the E.D. triage room, while his friend, Joseph Park (witness) register him with PFS. Security team in coordination with E.D. Charge Nurse Robbie Phillips placed the Emergency Department in a lockdown, Security Officers responded and kept watch over both E.D. entrances. The patient, Daniel Lopez (DOB: 10/16/1997, FIN #85640879) was transferred to E.D. #35, he had 4 “GSW”, 2 on the right and left buttock, 1 on the right

UCM:CPSW did a home visit and met with Ms. Iglesias and her daughter Monica. Her daughter Monica was planning with her toys and sitting next her mother. CPSW discussed about services at North Point and her meetings with her therapist Cierra. CPSW asked about any signs about depressions symptoms. Ms. Iglesias stated that she is not having any suicidal thoughts and she has been seeing her therapist Cierrra at North Point once a week. She reported that she has scheduled c-section on 1/19/17 and she has been feeling anxious about giving birth lately. She also reported that once she gives birth she will stay with her grandparents until the child is 6 or 7 month old. She stated that she is getting a job and a new home after her child is 6 or 7

UCM:CPSW received an email from Dr. Verna reporting that Ms. Berner completed 10 out of 12 sessions. She took responsibility to attend class and arrived on time. Ms. Berner contributed thoughtfully to group discussion, sharing personal insights into the altercation with her former partner, and expressed a sincere desire to never allow herself to lose control in a relationship again. Also, Dr. Verna reported that Ms. Berner was highly supportive of her peers in every way. Also, Berner graduated from group on 12/15/16.

AAs have a 77% higher risk than most other ethnic groups, and are almost more than twice as likely to be hospitalized from diabetes and ultimately succumb to the diabetic complications (Chow). Many of these numbers are predominately made up of men and leads to the AAWs to being a highly understudied group. The AAW group is known to have high rates of obesity, chronic health conditions that have been exacerbated by weight (i.e. DM, CVD, and some forms of cancer), along with poor health and dietary behaviors. Many researchers have found that the increase in abdominal obesity has been closely associated with increased cardiovascular risk (Laffin). CVD is still one of the leading causes of death within the AAW group, and despite a downward trend of CVD related death in the United States, the AAW group still sees it as the leading cause of death with the highest mortality rates (Hill). Many associate this disparity among AAW with a serious lack of education in the socio-economic aspect of life in the AA community. Several groups have studied the how educating the AAW community about pre-diabetic, diabetic, and nutritional health impacts the likelihood of disease development though numerous community interventions.

Cardiovascular Assessment: No visible pulsations, no heaves or lifts. Apical pulse present in the fifth intercostal space at the left midclavicular line. Auscultation of apical rate 62 beats per minute, normal rhythm regular S1 - S2 heart sounds present. Pulsations present when supine and disappear at a 45 degree angle position. Extremities are brown color without redness, cyanosis, lesions or varicosities bilaterally. Temperature warm bilaterally, Allen test was negative. Homan’s sign negative. Carotids: +2 and present bilaterally. Right Radial +2, left radial +1 , Right Brachial: +2

This is a summary of a discussion with 76 year-old woman, named Anna who is currently living alone in a small unit around north Sydney area. The purpose of this discussion was explained and she agreed and understood to answer all the questions that were provided correctly and accurately.

Based on the medical report dated 03/25/16, the patient continues to have significant headaches and bilateral neck and shoulder pain. IW has numbness and tingling in both arms with neck pain.

The patient was initially evaluated at two outside hospitals with non-contrast head CT and CSF analysis which remained grossly unremarkable. Following both evaluations, the patient was discharged with oral analgesics. Following the third episode, the patient presented to our emergency department where was admitted to the Hospital Neurology Service. Upon admission, vital signs and laboratory studies were grossly unremarkable. MR angiography of the head revealed multiple foci of segmental vasoconstriction of the anterior and posterior circulation suggestive of RCVS. The patient was treated with oral calcium channel blockers and discharged home with a mild persistent

A: Janie is a 60 year old Female with PMH of A-Fib, COPD, Hypothyroidism, HTN, Lung Cancer and recently diagnosed Pulmonary Embolism. Janie presents to ER for evaluation on SOB, cough with greenish sputum, sore thoart, hoarseness and generalized weakness. Janie lives at home with her husband, use to smoke ½ pack per week, but quit many years ago, denies alcohol or drugs. Family history is non-contributory. Allergies: NKDA. Differential diagnosis includes worsening Lung Ca, PE, COPD and CHF. Janie uses home O2 at 4 L/NC. V/S: T=98.7, HR=89, R=16, B/P=132/56, O2 sats=100% on 4L/NC, Pain=6/10. Labs: WBC=7.6, H&H=8.5/27, Na=141, Troponin=0.08/0.06, BNP=495, INR=4.2, UA=3+ protein, 1+ blood and 6-10 RBC. CXR: Impression:1). COPD with nonspecific coarsening of the basilar interstitium. 2). Mild cardiomegaly with borderline cardiac compensation. 3). Right

Patient is a 45 yo male; 5’7”, 221 lbs who entered the emergency room at 6:30 am on 9/7/14 with severe chest pain (onset at 6:00 am) radiating to his arm, L arm numbness and nausea and vomiting. Past medical history reported by wife includes peptic ulcer, tobacco use (1-2ppd for 27 years), elevated blood pressure (controlled by lopressor). Wife did not know of any family history but reports patient’s father is deceased, died at 42 in his sleep. Mother alive and with high blood pressure.

A 47 year old hypertensive male presented to the outpatient department at our institution with a history of headaches and worsening vision over a one year period. In particular he noticed that he had difficulty in seeing peripherally. His headaches were pounding in character and frontal in location. He had no other significant symptoms. On examination his vital signs were within normal limits. His Glasgow Coma Score (GCS) was 15 with no motor deficits. His visual acuity was 20/200 in both eyes and he

A 55-year-old white female with a past medical history significant for ischemic stroke of the right frontal cortex, multiple episodes of transient ischemic attack, hypertension, and temporal arteritis presented to the hospital for right carotid endarterectomy (CEA). Past surgical history was notable for bilateral encephaloduroarteriosyngiosis, right superficial temporal artery to middle cerebral artery bypass, coiling of aneurysms in the right

History of Present Illness: Mr. A. O. a 66 year-old-African American male came in the clinic for a monthly routine follow up visit complaining of severe cluster frontal headaches that radiates to his left eye, pain level eight out of ten, on and off for three days lasting for 30 to 45 minutes. He stated that he takes Tylenol 1000mg orally every eight hours with mild relieve, and will like his blood pressure medications increased. Also, he complained of edema to the upper and lower extremities, and right hand pain when he tries to make a fist. However, he denied shortness of breath,