Moravia Home Health Care: A Case Study

SC placed call to Pa’s CG and friend Teresa Lim and for monitoring phone call because none of the numbers on file for Pa was in working order. She reported that the Pa is doing well and is taking a break from radiation and chemo. She Provided the SC with Pa’s new phone numbers. SC asked about Pa’s service and Teresa reported that the Pa is receiving her PAS service specified in her care plan. Teresa reported that the Pa is happy with her current service and do wish to make any changes right now. The Pa is satisfied with her services and feels they are meeting her needs. No falls, hospitalizations, changes in health status or medications were reported. The SC end call with Teresa and place call to Pa via language line interpreter Michelle. The

Your client Sue is a Social Work Assistant. In your last session she disclosed that she is concerned that on a recent home visit, herself and a senior colleague did not follow the necessary policies and procedures. They had visited a family with a history of neglect and domestic violence and did not ask to see the child or enter the home, both these actions are prescribed as appropriate as part of their work.

Initially we had difficulty obtaining his discharge orders as the hospital care manager replied she had forwarded the documentation, but neither I nor Mrs. Bianco had received a copy. Mrs. Bianco made a visit to Mills Creek and met with Mr. Smith at that time she was made aware of an appointment that Mr. Smith attended. Mr. Smith attended a physician appointment on June 28, 2017 with Dr. Leonard, Orthopedic trauma. Mills Creek assisted with the transportation and a mobile x-ray unit was coordinated to obtain x-rays of the femur at the facility as Mr. Smith didn’t bring his slide board to the appointment and couldn’t get onto the radiology table.

OFC Montejano made contact with the Hegle at Primary Care Desk B lobby. Where the she gave an omission and stated she had an appointment and because the Johnson was not at her desk she missed it. Further, she claims Dr. Little told her she could get the Tens Unit right away. I did however confirm that Hegle did not have and appointment for the use of the Tens Unit. Hegle was given a verbal warning that this type of behavior will not be tolerated and she could be charged with Disorderly Conduct in the future. Hegle departed VA Controlled property without further

After the recovery process was completed, the patient was placed in the care of the discharge nurse. She was given a report and was aware that the mother had not showed up to collect her child and several overhead pagers had been performed. While the interview was taking place the nurse stated that she was unsure how to proceed, with the mother not being located, the nurse stated that she was relieved when she was informed that the patient father was there, the discharge nurse stated that the

On this date worker made an unannounced visit to the residence of Mr. Lawson Lovett, for the purpose of linking Mr. Bobby Lovett with VA nursing home application and information. When worker arrived, Mr. Bobby Lovett was cutting grass. Before worker could exit vehicle Mr. Bobby Lovett came to worker's car. Worker exited the vehicle and explained the reason for her visit. When worker gave Mr. Bobby Lovett the nursing home application he gave it back to worker and asked worker if she could help him fill out application because he did not have much education. Worker explained to Mr. Bobby Lovett she would assist with the application. However, he would need to gather documentation and sign application for Mr. Lawson Lovett since he was POA. Mr. Lovett gave worker his number and told her to call, they would set up a time to fill out

Iraida (PSA) received a call from Ileana who requested the HCSS to leave. As per Ileana, the HCSS had an attitude and they weren’t getting along. She requested the HCSS to leave her at her MD office and she’d be taken home by transportation. Ileana alleged the HCSS was talking badly about her to the MD office staff (HCSS denies this). Ileana was informed that we wouldn’t be able to leave her alone. SC was informed of situation and attempted to speak to Ileana over the phone. Ileana couldn’t speak since she was being seen by the MD. Aide was able to redirect Ileana and calm her down. She allowed the HCSS to accompany her back home. HCSS is refusing to return to the case.

Counselor flagged Pt. on the AMS computer system to meet with this writer before dosing. Pt. met with counselor discussed and completed an AMS Dose evaluation to increase her dosage of methadone because she isn’t feeling well and experiencing side effects. Counselor prompted Pt. to talk about her pregnancy, medical appointment and to schedule her monthly therapy session with this writer. Pt. reported that her pregnancy is going well and she is having a lot of appointments at the Bay health hospital in Dover, DE. Pt. stated that they can’t determine the baby sex because her baby has the legs cross. Counselor told pt. that the Bay Health Hospital has a good nicu care unit and professional doctors. Counselor asked Pt.is

During interview Ms. Stoker was alert, aware of surroundings, and answered all questions appropriately and independently. During the visit Ms. Stoker dry heaved into a garbage bucket, and visited the restroom once. The worker was at the residence for about 2 hours. Initially Ms. Stoker was shaking uncontrollable to the point of shaking the entire bed. At the end of the visit the shaking had stopped and Ms. Stoker was smiling and interaction with worker while talking about DELETEbeing a wife and mother. During visit Ms. Stoker received a call from Alacare Home Health. She informed them she was out of her pain medicine but did not inform them she was out of all medicine. Alacare called the pharmacy and was informed she did

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

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

Service Coordinator (SC), Jennifer Stoker met personal staff, Aiesha Crayton at the home of consumer Jonathan .SC asked was Jonathan meet his outcome would like is medical expenses to cover. Aiesha noted he has Medicare and Medicaid which cover all his medical expenses. SC asked if money covering his want and needs. Aiesha noted yes. He wants and needs are being meet. Jonathan wants his cell to be paid every month. Aiesha noted he cell is being paid every month. SC asked is Jonathan maintain good health. Aiesha noted he when to his PCP on June the 1st. She noted he is health and there was no change in medication.

SC placed call to Pa and CG Annette on 01/5/16. SC asked Antoinette about her employment status with provider to be Sweet Home Health Care and she reported that she was still waiting to hear from the provider. SC informed Annette that it has been over 60 days since Pa’s was approved for service and has not us it. SC asked how Pa’s personal need is are being met and Antoinette reports that she is proving care to Pa. Annette said she did everything and is waiting for the agency. SC end call with Antoinette and placed call to agency. SC got the agency answering service and left detail message, identifying self, Pa, stated reason for calling, and contact informant.

One of the paramedics massaged Candee’s hands as she breathed. Once they had her calm I answered questions from one of the paramedic regarding the cause. I told them I was in contact with her husband providing updates and I asked if she was going to be taken to hospital. The paramedic stated they did not want to take her for an anxiety attack and asked me if her husband could come and pick her up. I called the husband and he stated 30 – 45 minutes ETA and I relayed that to the paramedics. They were ok with staying with her until her husband showed up. The paramedics and Candee walked to the conference room, a short distance down the hallway, to wait it out and I stayed closed by in the lunch room, across the hallway, to make myself available while providing privacy. After about 25 minutes one of the paramedics informed me that Candee requested to be taken to the hospital and that they have no choice but to take her when she makes a demand. The paramedic said that her husband could follow them there and that Candee was in communication with her husband on her cell phone. They were taking her to Kaiser Oakland as Candee was on the phone while they wheeled her out the

SC, Jennifer Stoker contacted the provider, Pam Provider via telephone. SC introduced herself and told provider that she was Bo’s. Pam noted she got MIW for Bo. Parkland police has pick him up. SC noted to Pam she have to allow Bo to come into the home. SC noted she talk with Consumer rights and services (CRS). SC informed Pam that CRS noted she has to continue to be BO provider until he chose to move. It is not her decision to try to get Bo to leave. Pam noted SC need to from BO somewhere to stay once he is released from the hospital. Pam noted SC need to find him a placement. SC noted to Pam that Is her reasonability as Bo