Patient 's Background

D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for

On 11/17/2017 I received a phone message from Dr. Mendelson’s office as a reminder that Mrs. Raney is scheduled for an appointment on 11/21/17 at 2:50p. I recontacted this office as I had her scheduled for an earlier time. The staff rechecked the physician’s schedule for that day and I was told that she could be seen at 2p. I notified Alimar Transportation of the new time and the nursing facility Cherrywood.

Good communication between physician and patient is vital for a patient to make an informed choice regarding their care.

You are conducting patient education with the family, discuss in our own words, the potential complications for Jessica if she is not compliant with her medical regimen when she goes home.

Effective communication is one of the utmost characteristics of a high-quality health care model that responds to the existing needs of the general population. However, communication may sometimes be taken for granted and therefore fail to relay important information between health care providers within the interprofessional team. In today’s health care setting, communication is particularly challenging due to the limited time constrain in the workplace. In spite of the utilization of existing charts and documentation, errors are made. In this paper, a real life clinical scenario is discussed which involved a breakdown of

The worker was able to speak with Ms. Richardson advising her of her appointment with Preferred Children Services. Ms. Richardson told the worker that she was aware that the appointment was on 12/2/2016. The worker told Ms. Richardson that it was imperative that she attend the appointment.

Writer called Constance to find out if she has heard from the Visiting Nurse Association (VNA). Constance said yes and that they scheduled to meet on the 9th of this month. Constance said she will be seeing her pain managing doctor on the 8th. Also Constance said Medicaid approved for her to use long term care. Care manager was glad to hear that. Constance promised to update care manager after the

Flowers’ room, we were quickly met with her daughter who impatiently wanted to discuss her mother’s discharge plan. Before we could even discuss our assessment and what the plan was for Mrs. Flowers, her daughter informed us that no one would be cutting on her mother, that she was makes the final decision, and that we should clean her mother’s foot so they could go home. That was it. To me, I thought it was clear that Mrs. Flowers either couldn’t make her own decisions or was simply agreeing with her daughter because that was all she knew. Thinking about it now, I realize how angry that first interaction with Mrs. Flowers had made me. I was angry at Mrs. Flowers’ daughter for treating her mother with what I thought was obvious neglect. I was also upset with the attending physician for not being more direct with Mrs. Flowers’ daughter. I understand now arguing with the daughter would have only made this situation

P-The patient was strongly encourage to attend the Women's Group on 02/29/2016 and update this writer with any assistance until she is assigned with a

Patient refusal could result from misinterpreting what is said during difficult situations of decision making or due to denial of the truly bad situation, poor registration of bad news or even confusion by multiple sources of information. In addition,

If a patient makes an enquiry and you are unsure of it is better to seek the correct information from a colleague than to give the wrong information.

Octavia called stating that she was at her child doctor and she couldn't updated child immunization record because child was feeling ill. She's asking for an additional day to submit the paperwork, also she ask if someone can go in her assign room and retrieve the medical forms because she forgot to take the form with her when she left and faxed over to her doctor.

What else would you like to know about Shannon’s recent history and events leading to her hospitalization.

Care Recommendations are customized messages written by provider based clinicians or case managers designed to positively influence the care outcome of a patient’s ED visit. It contains relevant information useful to ED providers such as life threatening medications, barriers to care, and care recommendations. ED providers uses the Care Recommendation as a valuable source of information to help their clinical decision-making, but exercise their own, independent medical judgment in caring for the patient. The Care Recommendation is shared with all participating EDIE hospitals at the time of patient registration and creates a platform of communication between health care providers regardless of hospital affiliation.

In this case study, the pseudonym name, Mrs Hillary Cole is used for the patient to maintain confidentiality and placement allocation will be disclosed.