Life Care Plan for Mr. Robert Vince Date of Report: December 12, 2014 Source of referral: Department of Veterans Affairs Client: Mr. Robert Vince Date of Birth 11/17/1957 Age: 57 Social security number: 123-45-6789 Date of Injury: May 15, 2014 Medical Intake/History Review Mr. Vince is a 57 year old African American male referred by the Department of Veterans Affairs. The referral is in reference to the development of a Life Care Plan and required home modifications that addresses the patient’s lifetime disability medical needs secondary to a motorcycle accident that resulted in paraplegia due to T7 thoracic injury. Mr. Vince has prior military experience, but was not service connected to any …show more content…
Unfortunately, the room is too small for a clinitron bed to fit in it and other medical equipment needed to care for the patient. There is only a half bath downstairs; therefore, the spouse has to use a basin to give her husband a bed bath. Her desire is for her husband (patient) to be able to maneuver in the house utilizing his wheelchair. Chief Complaint and Subjective History by Patient Patient incurred a T7 thoracic injury and has no lower extremity functional ability. At present the patient has a stage two sacral decubitus, urinary tract infection, and muscle spasms in his lower extremities. The sacral ulcer was caused from the lack of frequent position changes while in bed and improper seating in the wheelchair. The wound requires daily dressing changes and more frequent if soiled from urinary and fecal contamination. The urinary tract occurred from the patient intermittently cauterizing himself with a straight catheter every four hours. The patient has also been experiencing spontaneous uncontrolled spasticity in the lower extremities. Mr. Vince states he was 56 years old on the date of his motorcycle accident; he lost control of the motorcycle when a vehicle cut in front of him. The patient was pinned between his motorcycle and the guard rail on the highway. When EMS arrived, the patient was reported to need
Jane was involved in a single-vehicle accident that resulted in multiple areas of injury from a head trauma, two broken ribs as well as bilateral fractures in her leg’s as well as right arm and wrist fracture. Jane was, transported a hospital that was an hour and half away from her home.
Health history of a patient is an important tool in identifying health issues and devising efficient interventions to address them. Hence, health providers can use health history information to diagnose, treat and plan for the care of the patients (Ball et al., 2006). In that light, we will focus on the patient named BB for purposes of privacy and confidentiality. BB is a 70-year-old Caucasian female. The patient resides and recently just moved to Show Low, Arizona. She is married and operates her business with the help of her husband. The interview was conducted at her home in Show Low, Arizona. More importantly, the patient's consent was sought before this meeting and she was assured of the confidentiality of the information shared
Mrs. W is a 35-year-old, married but recently separated for the past two years, African-American woman with 4 children, and works full-time as a Trainer for a large corporation. She had her first child at the age of 15. Her primary language is English and Mrs. W is a Christian who actively goes to church, sings in the choir, and is president of the youth department at her church. As a Trainer, Mrs. W reports an annual income of approximately 40,000 dollars.
Review of the medical record indicates that he had a MVA in 1977 with C4-5 injury that resulted in him been a Quadriplegic. Due to his bedbound and immobility status he has had multiple pressure ulcers over the years that have resulted in hospital admission and rehab stays. Other medical history include, HTN, hyperlipidemia, Sacral pressure ulcer, Right hip pressure ulcer, Constipation, depression. Bilateral arm contractures, bladder cancer, prostate cancer, urostomy and colostomy, aspiration pneumonia, neuropathy and MRSA.
On Tuesday, September 29th my partner and I had the opportunity to interview a 55-year-old patient named Tom at LA County Hospital, admitted nine days prior for injuries he sustained after being struck by a city vehicle. His injuries were quite apparent the moment we sat down with him: his right foot bandaged up, having been crushed by the vehicle’s tires, abrasions and bruising all over his lower limbs and worst of all, a broken pelvis. Yet despite the bad shape he was in, Tom was kind enough share his life story with us and provide the limited knowledge he had about his insurance history.
CP is a retired, 89-year-old male of upper-middle socioeconomic status. CP earned a degree in law to become an attorney. Prior to retirement he had 35 years of experience and his own practice. He had a right posterior hip replacement following a fall that fractured the right femoral neck. The fall occurred when he was walking from his home to the end of the driveway to throw away linens. Part of the linens slipped out from underneath the pile he was carrying, he stepped on it, fell and rolled down the driveway. He was taken to the hospital where he was to have a right hip replacement. The surgery went well, but he had to receive a blood transfusion. He has been transferred from the hospital and is currently at an inpatient rehabilitation center.
James, who is in his late adulthood, 80 years old, United States Air Force veteran living in a non medical, residential board and care facility for the elderly with his wife. The interview and observation was conducted in their private room. He and his wife have resided at the
On Saturday, August 22, 2015, at approximately 1220 hours Blue Ridge Parkway Communication Center notified me of a motor vehicle collision with injuries located in Virginia at milepost 180 along the Blue Ridge Parkway. A single motor cycle operator had applied brakes, skidded and laid the motorcycle down in an effort to avoid colliding into a truck. The operator was transported by ambulance to Northern Hospital of Surry County, NC. The operator suffered a broken left humerus, broken left rib, punctured left lung and possible spleen damage. The operator was then transported to the Baptist Trauma Center in Winston Salem, NC.
This is a 52-year-old male with a 8/21/2014 date of injury. IW is a milker, who was pushing cows, when one backed
If patient is healthy enough to walk around the place, his linen need not be washed regularly (after he leaves) and he does not need bed
Richard is doing his best to provide great services to Veterans, however; following case reviews Richard was advised not to serve Veterans with missing SBE’s, spouses of Veterans if they don’t meet required criteria or TSM still on active duty. Justifications for activity codes should be provided, as well as justification on why the Vet is added on the case note. There were some issued codes present and the follow ups should be in timely manner.
Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points, with 5 points awarded for clarity of writing, which means the use of proper grammar, spelling and medical language.
2. Limitation of a patient that has a below T6 injury mainly include the use of a wheel chair because the lower half below the angel of louis is in shock from the injury. These patients work on upper body strength in order for them to become independent in their environment. There are limitations to driving, but with hand pedal driving they can drive again. This patient must always be sure not to over excerpt themselves because of the level of the injury it causes respirations to be more shallow, but they can fix this through lung capacity therapy/ exercise. Patients are able to communicate, and live a good life as long at they have a supportive environment; if they do not it is up to the nurses to become and advocate for the patient and get him/her the help needed.
Walking through a strip mall, the allure of a GNC or a Vitamin Shoppe can be hard to resist. Enter through the front doors and get lost in wall-to-wall shelves of products addressing health concerns so obscure that even the most neurotic hypochondriac would feel at ease. There are probiotics, herbal therapies, bodybuilding supplements, smart pills, beverage infusions, vitamins and minerals, you name it. The products on these shelves represent the fruits of a thirty billion dollar industry that capitalizes on consumers’ desire to aspire beyond good health into the illusive realm of wellness—however that is defined (Reinberg, 2015). The logic fueling this desire makes sense: given so many options to choose from, there must be something that will make life even healthier and happier than it already is. This logic is both true and false at the same time. While there are a range of dietary supplements catering to a range of health needs, it is important to understand the facts behind them and how to distinguish effective products from useless ones. By considering science, avoiding marketing gimmicks, and moderating consumption, consumers can use dietary supplements in ways that could have life-changing health benefits.
Envision a pill that has the ability to replace protein, vitamins, and calcium. Is that even possible? The answer is both yes and no because the human body cannot live on pills alone. Dietary supplements are popular worldwide among athletes, those who go to the gym, and the general public. However, what many do not believe is all the possible health risks that come from consuming these pills Yes, dietary supplements can benefit the body in a couple ways but only for a small period of time.