Patient's Case Study

O: Client was seen in outpatient center for 45 min therapy session to address socialization, concentration and attention. Patient was able to identify 3 common distractions during tasks when asked. Pt was able to understand upon return demonstration .PT was able to applied the 2 strategies, given by the therapist, to redirect himself when realize that he is distracted .Pt was asked to be part of a game with another same age partner. Pt was able to initiate a conversation with one peer same age during a game. Pt was able to maintain attention on task for 15 min, with min distractions

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

As a nurse executive leading an accountable care organization (ACO), I lead monthly patient-centered medical home (PCMH) meetings that involve interprofessional clinical experiences. During these meetings, primary care office staff present patient cases that currently are, or have been, challenging to manage. The registered nurse (RN) case manager will usually start the discussion, but anyone on the team can present a patient case. Round robin type discussions between the physicians, certified registered nurse practitioners (CRNPs), physician Assistants case manager, front office staff, medical assistants and pharmacists, and students of any of these disciplines, are conducted to find solutions or to provide success stories about how patients

SC received a call from Pa and completing monitoring telephone call. Pa reported that she is having difficulty securing transportation to her medical appointments because her doctor did not complete the necessary paperwork the insurance company needs to continue to provide door to door pick up. Pa reported that she missed three important appts with her Nephrologist, pulmonologist and rehab for lungs. Pa reported that her lungs are really bad and she was offered lung therapy because she is experiencing SOB more and more so she is unable to help completing her ADLs and IADLs. Pa reported medication changes she now takes Benzonatate 200 mg to help with severe coughing and Prednisone. Pa confirmed that she is receiving her services as specified

Jose Diaz D) Client met with his counselor for his 1x1 session to discuss his treatment plan and any other issues that he may have that is of concern. There is three issues that client is concern with 1) his reported that he wants to work on his self-esteem

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.

Patient is a 30 year old male who presented to the ED via LEO with HI. The Patient is under IVC paperwork due to complaint aggressive behaviors towards family. The patient reports that his brother and him got into an altercation over him dating the same girl he did 10 years ago. TACT contacted family about event that took place and was able to reach mother and brother. The patients mother reports that he tried to punch brother because he would not let him use his credit card to buy something while they were out at the store. She reports that the patient has never dated the brother's girlfriend and only seen her once before. The Brother reports saying in Georgia and is home for the holiday's. Brother reports that his current girlfriend lives

This is 34 year old AAF. Patient is here to be establish as a new patient, and several compliants as listed above. Patient is a non-smoker, denies use of alcohol or illicit drug use. Patiet is acurrent resident at Lovelady Center. Patient deneis depressive moods, thoughts of suicide or homicide.current pain

six¬ month history of episodes in which she becomes confused and is unable to continue with her train of thought

Syphilis is a sexually transmitted disease that can cause serious complications when left untreated, but it is simple to cure with the right treatment. It is caused by a bacterial agent known as Treponema pallidum. The most common form of transmission is during oral, anal, or vaginal sex in which the bacteria comes in contact with a cut or mucous membrane within the vaginal walls. It is otherwise known as the “great imitator” because of its ability to mimic so many other symptoms. This makes it very difficult to diagnose because so many of the symptoms could mislead you into thinking it is something different. The following story of Patient X gives us a little more detail into the disease and just how serious it can be if left untreated. It will teach us the effects of the disease, what the disease does to our bodies, and how the disease can affect our everyday lives.

The patient is 69-year-old gentleman who presents to the ED because he was unable to follow commands and answer questions. He had similar episode with weakness in February. He was just discharged from the Barnert Subacute Rehabilitation on 3/11/2015. The patient relates he just feels cold and he does not have any complaints, but he is unreliable because of a history of dementia. His medical history is significant for carotid stnosis endarterectomy, had multiple CVAs, dementia, hypertension, prostatic hypertrophy ,insulin-dependent diabetes mellitus, as well as having a left adrenalectomy in the past (reason for that is unknown at present time). His neurologic exam reveals him to be alert and oriented x2 to person, place but not to time.

Patient is a 13 year old male who presented to the ED with concerns from mother regarding a suicidal note at school which patient has a history of doing, however within the journal entry he wrote about being raped and identified his perpetrator. Patient reports that during math class he started write because he was not engaged in the lesson being taught by teacher. The patient reports writing a journal entry talking about the past events of his sexual abuse from his older brother. In addition, expressing history of SI. Patient denies current SI, HI, and symptoms of psychosis. Speaking with the mother who was in the room via interpreter she expressed that since his last visit with the hospital help him develop coping strategies like the journal.

D-The patient arrived on time for her appointment. Reports stable on her dose and denies any cravings/withdrawals. The patient asked about the status of her dose decrease. This writer informed the patient, her request is still being reviewed by the clinic's medical team. During the course of the session, the patient reported about how focused she is about her recovery and has no desire to return to her habits. She expressed about her wanting to live a drug free lifestyle.

The activities that led to this good prognosis is that the patient was actively involved in taking care of her health. She did regular self-examinations and that led her to identify a small, hard, painless lump in her left breast which she kept an eye on. She also sought for medical attention when the lump did not disappear. Also the removal of the five lymph nodes of which two containing the malignant cells helped decrease the chance of developing a secondary tumor due to metastasis. Lastly, with the courses of radiation and chemotherapy that will help to kill any remainder tumor cells and decrease the chance of tumor growth and also decreases the effects on healthy tissues. In conclusion, the early diagnosis and treatment limit the extent of the cancer and improves the chances of survival leading to a good prognosis.

Mrs. J. arrives at the emergency department with her 6 year old son, PJ, who has a history of Cystic Fibrosis (CF). He is febrile (101.7° F orally), BP 98/66, HR 122, RR 32 with the use of accessory muscles. Mother states PJ has, for the last five days, exhibited signs and symptoms of upper respiratory infection, runny nose, low grade fever, cough, and fatigue. He has lost 2 pounds over the past 5 days due to anorexia though he has not had vomiting. He weighs 36 pounds and height is 3’2”. Today, PJ became more lethargic and his fever was difficult to control with pyretics.