Maxine Bargelle Response Paper

This worker called the DCFS in Jerseyville to question who they use for drug drops. DCFS in Jerseyville uses help at home in woodriver or

Interacting with these patient taught me about the challenges they face establishing reliable care. They are often assigned to one of the few clinics in town who will accept such challenging patients for such low reimbursement. Getting to the clinic may require arranging transportation that can deliver the patient to and from an office visit or referral. Often the clinics these patients are assigned to are overcrowded and may not be able to see the patient for weeks or even

Jacquelyn Boddy has been missing since February 7, 2017. She was last at her house party, witnesses say they saw her walking out with a group. It is now believed she has been kidnapped or murdered. If seen she is a 23 year old and has dark blonde hair, she goes by Jackie, she is 5'4".

: Met with client before IOP group this date for ISP review, and to address overall treatment progress. Presented a good attitude and engaged well in the conversation. Reported no use of Methamphetamine or other substances, C/S date as 2/28/2018, although UA on 03/21/18 was positive for methamphetamine. Client reported he is excited that he is in treatment, stating “I never been to treatment before. I would like to learn about the addiction, but I am also affair of treatment because I am worried that I won’t make it.” Client reported main arears of concern is “staying clean and sober and complete treatment”. Stated “My ex-girlfriend is not supportive, and she drives me crazy. I work and pay the bills, but she never happy. She asked me to do this to do

BH is a 62-year old African American Male who presents to Daybreak Clinic on September 2, 2015 for his routine follow-up exam for his hypertension, gout, and chronic back pain. His labs were collected Monday, August 31 and will be reviewed today. He reports that he has been out of his medications for a week due to needing a refill. He has a refill available that he reports he was unaware of. This will be his last visit to Daybreak due to his Social Security and Disability approvals. In addition to his medical needs today, he is requesting a letter of competency in order to be able to personally receive his Social Security check.

D-The patient was advised that her bottles are in fact suspended due to the incident that occurred on 02/08/2017 of which the patient needs to accountability of taking a second dose of her methadone even though she has taken her methadone at home. The patient admits her accountability of her actions of taking the second dose. The patient then asked about how she can regained her take home bottles of which this writer explained the policy of take home bottles, referring to the reinstatement process. The patient is referred to attend the Take Home Bottle Group on 03/9/2017 to have her bottles reinstated. Then the patient shared that she wrote a grievance letter and still plans to submit it for the Program Director to review. Furthermore, this

She leaves her front door unlocked because she lives alone, which places her at risk for harm along with her health conditions. She has been hospitalized four times in the last six months for CHF. Her blood pressure and heart rate are low, respirations high, and no oxygen saturation. She refused the home oxygen delivery. She has had a fourteen pound weight gain since her last admission. There is no edema, has hypoactive bowel sounds, and no bowel movement for three days. She is nauseous, has no appetite, a cloudy head, and has no energy. Her nutritional intake is probably poor. She appears lonely, and may be depressed. She has three new medications, and discharge orders to continue her previous mediations also. There are duplicate prescriptions for two medications with different dosages than she was taking previously. The medication bottles were on the coffee table in disarray. Sallie Mae may not know what medications she is

In regards of the BRS referrals, I communicated to her that I have found in our system (I did not mentioned OR-KIDS). I told her that several attempts and referrals have been made to BRS providers, but unfortunately they do not have available space for Evan until April 2017. I informed her that this is something that DHS-CW has

SC completed monitoring telephone call with Pa on 1/20/2016. SC called Pa. Pa reported that ding “good”. Pa reported no new health problems, no medications, no falls, and no hospitalizations. Pa reported no outstanding doctor’s visits. Pa reported that’s he saw her PCP on 1/19/2016. SC reviewed Pa's ISP. Pa confirms that she is receiving services in the following type, scope, amount, frequency and duration of services specified in the ISP agency model aide via Total Home Health Care from 10-2PM, Monday through Sunday. Pa's aide provides assists her with the completion of ADLs, IALDs and supervision as needed. Pa has PERS system which gives her access to emergency medical service. Pa also, receives HMD from PCA weekly. She reported being satisfied

In David Bartholomae’s article, he circles around the notion that students are not capable of writing like a teacher or a professor. It's his understanding that a College or High School student cannot write a paper to the standards of the teachers. If that student tries to “mimic” a teacher that said student will fail. Because that student does not have the knowledge they need to breach that gap between teacher and student.

Erica Yelverton /QDDP submitted, 8/16- 6/16 MARS, 8/16- 6/16 progress report, 8/6/16-8/9/16 Cross bridge nursing progress note, physician progress note & Baptist South inpatient 8/7/16 preliminary note, since her last visit Crossbridge admitted Misty on 8/6/16 due to suicidal threats, had incidents on 8/6/16 ( VA, Elopement) & 7/13/16 (PD, SIB & 1 PRN) and her tegretol level (6.2) was done on 7/18/16, currently she is inpatient at Crossbridge awaiting an commitment hearing on 8/16/16.She does not have a legal guardian.

By checking ACCESS, I also informed Rita that her Medicaid benefits has been opened, now her prescription needs to be prescribed by Dr in Oregon. Joshua has contacted her Dr in California and Rita

07/30/15: Anita came into the office for our scheduled visit today. I checked in with Anita to how her vacation went and how she’s been feeling. Anita stated her vacation went well and that she did lots of walking while she was away. Since returning home Anita has been implementing small periods of physical activity into her daily routine; she stated that it makes her body feel much better. I encouraged her keep up the good work and to continue working towards her IFPA goal. I followed up with her to see if she received the results of her glucose test; she stated that she had received the results and that her glucose levels were within normal range. Anita has been apprehensive about her primary care physician and she wanted assistance contacting

Jennifer Devault is scheduled for surgery (palatoplasty) on 11/30 after she was not able to make her last surgery date (10/3) due to illness. If you remember, this is the patient that had been lost to care and had to childline to get them into a clinic appointment. We were then working with WVU to get care transferred to their team before it was ultimately decided that the family had to continue care here because of their state insurance.

Second goal: Patient, assisted by the social worker (MSW), will be able to identify, communicate by phone and utilize in her favor the community resources to obtain more information and/or support with the cost of her medication cost before her next doctor appointment, in three weeks.