Medical Case Study

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

On 7/27/2015, HOH and client attended to ILP meeting with their daughter Emily. Child was observed well dressed for the weather. Client explaining to cm that her floating hospital was cancel and she doesn’t know the reason.

Another disparity recognized is the standards of care from one palliative care or hospice care center to another. The varying degrees of care are due to lack of education and standards of care. The Center to Advance Palliative Care has recommendations for hospice and palliative care centers to measure and monitor care standards. These guidelines will help quantify data and allow for process improvement to occur among hospice and palliative care facilities. These improvements essentially allow for better education standards and improved standards of care within the hospice and palliative care centers. The most essential part of the paradigm that is palliative and hospice care is the patient. In the article, Is This Palliative care’s Moment,

Every person wants to feel like they are in control of as many things as possible, especially when they have no control over their terminal illness. To some, this may mean doing things they have always wanted to, all the way up to making every possible decision they can when it comes to their final moments, their advanced directives. While some that are scared of the end still may want extraordinary measures taken to try and prolong life for even a short amount of time, many hospice patients elect to make themselves a DNR (do not resuscitate), meaning if their heart stops beating, no person will begin CPR. Other countries have also followed suit with these types of standards, passing certain laws to uphold their patients’ autonomy during hospice care. In Asia, the “Natural Death Act” was implemented to guarantee a patient’s right to choose to be a DNR, and subsequently, the “Patient Autonomy Act” came next, which gave the patient the right to decline any treatment according to their own will (Cheng, Chen, & Chiu, 2016, p. 293). While these choices are universal in our health care system in the U.S., how these choices implemented into action is the key. When in a palliative care hospital setting, patients will have machines and IV lines attached to them, nurses and other healthcare personnel coming in to help them to and from the restroom or bedpan, and other types of embarrassing and

1. I do believe that large pharmaceutical companies as well as doctors prescribing opioid medication should be held partially responsible in cases when patients are over-prescribed drugs. Although they are in no way actually forcing those patients who are over-prescribed these drugs to misuse them and it is ultimately the fault of the individual misusing the medication, they are, however, allowing for the the misuse.In regards to pharmaceutical companies, I think that they should be held responsible for marketing and allowing such drugs available to virtually the mass public opposed to only those that need it in order to increase their profits. If they would not advertise the medication to medical professionals as something that they could

Then plaintiff realized that on January 03 2017, she suffered a minor stroke due to exposure to CO poisoning and as of result lack of oxygen to her brain, stroke is a disease when the brain is robbed of oxygen. It was approximately 700 over-flights from January 01, 2017 through the early morning of January 03, 2017 and at that time plaintiff’s heart and breathing condition were in a very bad shape.

DOI: 11/15/2010. The patient is a 56-year-old male sales representative who sustained a work-related injury when he tripped on a pallet. As per OMNI, the patient is diagnosed with strain to right knee, right leg and right shoulder and is status post right shoulder diagnostic and operative arthroscopy on 8/10/12.

Routine visits to outpatient primary care provider are encouraged for everyone to maintain a healthy lifestyle. Health disparities in the US, such as patient’s access to healthcare, physical problems, and psychosocial factors act as barriers to this healthy lifestyle. Additionally, African Americans are at significantly greater prevalence of preventable diseases such as type II diabetes mellitus (DM), hypertension (HTN), hyperlipidemia, obesity, and heart failure (HF) compared to other ethnic backgrounds Taneja, Stewart, Evans, & Jason (2015). Although there is not one single factor responsible for all health disparities, a number of factors such as social determinants, access to resources, and risky behaviors coalesce

Michelle brought a sheet from home, and said she got it off a hand out EV Staff provided for fun things to do inside with your children. Michelle fed her children first at the table then they built a fort in the living room. Michelle told EV Staff that her doctor took her off some of her medications. Michelle said she hoped that her doctor would figure out what is best for her to calm down her high strung personality. Michelle was very loud at the visit today, and referred to herself as obnoxious multiple times.

Defendant to assist them with meeting the financial obligations of Physician’s new practice in the Community. Specifically, Hospital agreed to advance a sign-on bonus and a commencement bonus, and to reimburse certain expenses, including relocation expenses, marketing expenses, and continuing medical education expenses. Ex. A at Cover Sheet, §§ D.3-7.

     Physicians, nurses and other health care employees must be easily accessible to the patient and family. The same health care team should provide care for the patient, whether at home or in the hospital. The patient’s and family’s life style must be preserved, and their life philosophies respected by the health care practitioners. The loneliness, isolation and fears of abandonment are to be expected and should be dealt with accordingly. No one person can fully meet the needs of the dying patient, instead, a multidisciplinary team must be available to deal with any needs the patient or family may have. The patient should be treated as a person, not a disease. The family must receive adequate support to help in coping with the impending loss of a loved one. The terminally ill patient must be allowed to give as well as receive. The self-respect, identity and freedom of the dying patient should be built up. The family must feel a sense of participation in care giving and in the decision-making. The primary care person attending to a patient at home needs support and occasional relief.

Hospice care is commonly offered to patients who possess terminal illnesses, especially cancer related diseases. Although palliative care might offer immeasurable benefits to patient’s quality of life, it is still being underutilized. While the typical reason for patients to deny hospice care is overestimating their chances of recovering from the illness, most patients would not consider it until their physicians recommended it to them. Physicians would value any chances that could prolong the life of their patients, because they might be blinded by their medical knowledge and their belief in the miracle of medicine. However, it’s essential for physicians to accept the reality and recommend palliative care to their patient that would improve patient care as well

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

Patient recently had his medication changed and he feels like "his attention and memory is improving and it is helping him to focus more."

Dialysis clinics like DaVita and Fresenius, being the two largest for-profit corporations are fighting against a proposed Senate Bill No.349 (SB 349, 2017) that would necessitate dialysis clinics in California to have a mandated minimum staffing requirement. Furthermore, SB 349 (2017), as authored by Senator Ricardo Lara, would also require that dialysis clinics to provide patients with forty-five (45) minute transition time, and frequent inspection be done yearly instead of every five to six years (SB 349, 2017). With this regulation in place, patients will be provided with a higher level of care. The mandated staffing ratios would also help promote patient safety. Furthermore, with greater than 66,000 dialysis patients in