Organic Brain Syndrome

HISOTRY OF PRESENT ILLNESS: This 40-year-old Latin female presents with complaints of low back and right leg pain she said that she hurt her back in a motor vehicle accident three years ago and she has had a history of intermittent low back pain since that time. Last December she started a job where she had to lift boxes that weighed approximately 40 pounds. Around the first of January this year she began to complain of back pain that

Bob Schmoe is a 34-year-old Caucasian male who was referred by his Department of Rehabilitation caseworker for an evaluation. His intelligence was measured using the Wechsler Abbreviated Scales of Intelligence (WASI). There were four subtests measured, two of which were verbal and the other two were non-verbal. Bob’s nonverbal abilities, specific analyses of subtest scores and math computation skills showed both fell within the low average range. Bob’s visual spatial skills fell within the low average range as well. In addition, Bob’s spelling skills fell within the borderline range. Lastly, Bob scored highest in his verbal comprehension and word reading even though both fell within the average percentile of his age group. Altogether,

He is total care with his ADLS, he is able to verbalized his needs but unable to perform them. He reports that he had a colostomy placed in 2011 and urostomy placed in 2014. His father provides hygiene care and changes for both his colostomy and urostomy bag. He has bilateral arm/hand contractures and he has gotten weaker. He is getting OT and PT from kindred home health. He uses a hospital bed with air mattress and his father changes his position every 3 hours. He reports pain in his legs and back that is constant, dull and aching. His pain is worse with movement and dressing change. His current pain level is 8/10 on a pain scale. His pain regimen consists of fentanyl 75 mcg patch every 72 hours and oxycodone 5 mg p.o every 6 hours as needed for breakthrough pain. He has been taking 2 prn doses daily because he did not want to run out of medication. He states that 2 prn dose is not effective in relieving his breakthrough pain. He previously was getting his medication from his PCP but since his condition has deteriorated his parent who are elderly is not able to get him to the

Although there is no mention of the condition he has, he has challenging behaviour which may require physical intervention and physical restrain, requires

Split-brain syndrome, also referred as callosal disconnection syndrome will be a condition that is distinguish by a bunch of neurological abnormalities that emerge from either a partial or a complete lesioning or severing the corpus callosum, which is basically the cluster of nerves that connect the left and right hemispheres of the brain.

The next year and a half he suffered from severe depression and attempted suicide twice by drug overdose. For the past six months he had been seeing a therapist at the university’s psychological services center regularly. Upon coming to see another therapist there was previous diagnoses made on Steven by a private therapist a little while back. Mr. and Mrs. V. felt the need that their son need to continue seeing a private therapist but he had stopped the therapy his junior year for unknown reasons. He had been seeing a psychotherapist since he attended kindergarten. He was very quiet, did not speak much and was unresponsive at times to the environment. His kindergarten school psychologist noted his actions and conditions to be autistic like. Mr. and Mrs. V. immediately hired a prominent child psychiatrist to work with him regularly and whom later denied him being autistic in any way but stated he would need intensive treatment for many years. Steven was

A review of the subpoenaed records from Dr. Sharma’s office indicates the applicant visited Dr. Sharma on September 21, 2010 regarding his neck pain. Applicant was diagnosed with neck pain, cervical and left shoulder girdle pain, degenerative joint disease of the lumbar spine, degenerative joint disease of the right knee and leg pain. The subpoenaed records indicate the applicant continued to see Dr. Sharma until the end of 2010 and throughout 2011.

The family I interviewed has a son named Cuyler that is 22 years old. I talked to Cuyler’s mom Cathie. He is the oldest of three kids. Cuyler was born at 24 weeks’ gestation and had a grade 3 brain bleed. Because of being born premature and the bleeding in his brain it led to some of the disabilities Cuyler has. His mom told me that Cuyler has spastic quadriplegia. His disabilities include cerebral palsy, blindness, and he is nonverbal. She also told me that Cuyler also has seizures at least once a month, is hypotonic, and is fed by a g-tube. As far as physical movement the only gross motor skills that Cuyler can do is roll over.

Client states “I accepted responsibility for the decision that I made that have led to legal conflicts.” Client appears to cope more effectively with his stress, and is in compliance with all his legal and treatment requirements. Client reported participation in self-help activities/ program, and his family is supportive of his recovery, as

Personal/Social History: The patient reports receiving her high school diploma and worked in the fast food industry as a cashier until her back injury and subsequently filing for disability.

Per the SSA form 832-U3 dated 01/15/2015, the claimant’s disability continued. Her disability began on 05/01/2007. The adjudicative level was “Initial.” The basis for the decision was “Medical and Vocational Considerations.” The reason for continuance was “Disability Continues - No Medical Improvement or Any Medical Improvement is Not Related to Ability to Work”. The review was made because medical improvement was possible. The primary diagnosis was anxiety related disorders. The secondary diagnosis was schizophrenic, paranoid and other psychotic disorders.

Malfunctioning Motor Skills – Incapable of body movement. Mutism. Body clenched in a stiff position. No awareness of environment.

A review of the records reveals the member to be an adult male with a birth date of 11/09/1960. The member had a diagnosis of leg and shoulder pain, cervicalgia, and thigh muscle strain after a traumatic fall on ice two years prior. He has been receiving Deep Tissue/Manual therapy Myofascial Release and Neuromuscular Reeducation techniques since approximately 06/2015 from his provider Robert Regan-Hughes, LMP. Services received from 10/27/2015 forward were not covered as the member’s policy limits massage treatment coverage to 16 sessions per calendar year.

The disease has affected motor control over his body, but all mental functions, including cognition, have remained unaffected. His upper extremities, lower extremities, and facial muscles have been greatly compromised, thus decreasing his ability to walk, perform voluntary arm and hand movements, and produce coherent speech. Stephen has been using two canes to aid in ambulation but he has recently had trouble walking or standing without his wife’s assistance. Loss of motor control in his upper extremities has made it difficult to grasp the cane hand grips, feed himself, and perform self-care tasks, such as bathing, brushing teeth, and dressing. Stephen’s speech production has been affected causing his words to be slow, slurred, and sometimes incoherent due to decreased motor control of the tongue, mouth, and facial muscles. The disease has also affected muscles involved in swallowing, increasing his risk for choking while eating and drinking.

The patient 's employment began as a junior associate at a finance company. After a few months, he was terminated from that position due to excessive tardiness, absenteeism, unmet deadlines, and a general impression that he was simply not competent. In the loss of that first position as a junior associate was the premier of a succession of loss of employment. Future reasons were the lack of dependability, also he randomly quit when