Pca Remain Days And Hours

Through basic observations, health professionals are able to evaluate the performance of an individual’s health status. In relation to Casey, it is noted in her Observation Chart that in the time span of two hours the patient’s health status had changed from being relatively normal (to the patient) to an increased respiratory rate, heart rate and temperature as well as a decrease in blood pressure. It is also noted that the patient has a score of 8 in the pain scale (compared to the score of zero two hours previously), relating to the lower abdomen. Programs such as Between the Flags acknowledges the fact that the early recognition of deterioration of patients can reduce harm to patients through designing and implementing systems which provide a structural response in the event of a deteriorating patient, such as Rapid Response and Clinical Review. There are two phases involved in the rapid response, which includes the afferent phase and the efferent phase. The afferent phase focuses on the overall monitoring and recognising the deteriorating patient whereas

Good communication with the individual should be enhanced. Both individual and carer must compromise and negotiate to what would benefit most for the individual as long as it is safe. Thorough information should be given and must acknowledge the benefits of their choices. This is a way of recognising rights and choices of the individual. One example is the resident’s choice not to use his/her walking frame. This is one conflict of decision – making. Decision should be tailored to the needs of the resident

Intervention: As per member's request days of PCA services changed as Monday, Tuesday, Wednesday and Friday 4D/8H, Thursday, Saturday and Sunday 3D/4H effective 03/12/2017. Spoke with Ms. Irina Simkhovich from HCS home health care, authorization and billing department, CM informed changes of schedule and sent an fax with updated authorization. Also, Ms. Irina Simkhovich reminded CM request of 8 hours for 03/03/2017 and 03/06/2017, CM kindly informed member is only approved 4D/8H, 3D/4H by ABH and by 02/28/2017 Americare( covered by Medicare) informed they would covered M,W,F 4 hours each day. on 03/07/2017 Morrine Fox , Americare, informed as per RN recommendation 2 additional hours each day was approved for M-F, case shown up as active by 03/08/2017. HCS provided from 03/02/2017- 03/06/2017 each day 8 hours for this reason are requesting coverage of 03/03/2017 & 03/06/2017.

SC completed monitoring telephone with Pa’s informal Tressa on 1/28/2016. No new health problem was reported. However Pa’s treatment regimen has change to include radiation therapy due no change in the tumor. No ER visit, hospitalization, or falls were reported by CG. A temporary increase in PAS services was requested due to new medical treatment. Pa's informal, stated Pa is requesting a temporary increase in Pa's aide services so that she can safely remain in her home with assistance. Pa is being treated for cancer and need a more aggressive treatment which includes chemo and radiation 5 days a week. Pa currently gets 6 hours of PAS per week, 4 hours on Wednesday and 3 Saturday agency model PAS via Prestige Home Car. Pa anticipates that

Member experienced moderate pain due Dx. Osteoarthritis, have an unsteady gait, experiences dizziness (new medication Flomax 0.4 milligram) and is a risk of falling (score 11). He needs assistance of daily living. Goes to bathroom frequently due to Enlarged prostate.

P-The client is aware that the clinician will monitor is UA results and give him positive feedbacks for all negative results. The client is also aware about keeping all appointments and if there is any cancellation, to provide 24 hour notice. The Clinician and the client agreed to meet every week for 30 minutes and the next appt. is scheduled for 12/10/2015 @7:00

SC met with Pa, for scheduled RA HV in Pa's home on 03/1/2016. The completed both the LCD and CMI assessment. Pa appeared clean, appropriately dressed in PJ's and sitting on the couch SC in the home. Present in the home were the Pa visiting nurse Scott from Millennium home care. He was on the phone trying to order the Pa medicines. Also Pa’s aide was present from the agency aide. Pa appeared weak and in discomfort. The SC asked Pa if she okay and she reported that she is in a lot of pain. The SC asked if she is taking her medications and she reported that she ran out that’s why the nurse is helping now. The SC asked the Pa how did that happen and she stated that when she saw her PCP in January for her post hospital and rehab discharged he

SC completed monitoring phone call with Pa on 10/30/2015. Pa reported that she is doing well. PA reported that she is receiving services as outlined in the ISP. She remains satisfied with services and feels that they meet her current needs. No fall, hospitalizations, change in health status or medications reported by Pa. Pa reports that she is doing physical therapy evaluation and therapy at Nova Care at 2301 Broad St for: knee, neck, upper thigh, lower back joint pain, muscle weakness, and problems with balance and gait. Pa has follow up appointment with Rheumatologist and Optometrist for evaluation and treatment of vision problems. Pa last visit with PCP was on 10/29/2015. Pa reported that her electricity and gas company was scheduled to be discontented due

UCM:CPSW spoke with Ms. Barksdale regarding her case plan and staying consistent with her UA's. Ms. Barksdale has not been consistent with her UA's and intaially we started color code Black and was changed to Orange. Her last UA's on 2/6/17 Positive Alcohol. CPSW called Ms. Barksdale and reminded to stay consistent with her UA's. Ms. Barksdale stated that she does not want to complete UA's anymore. CPSW reminded if she misses twice or positive than rule 25 referral needs to be completed . Goal 1-2

POA Larry was irate and requesting to have Case Manager to contact him within 1-hr. Spoke to Kristin with Case Management and refused to speak to the family because of HIPPA and she does not know if son is really a POA. However, she had provided current status of patient transfer from hospital to SNF and relayed information to patient’s son. However, patient’s son still demanded to speak to Case Manager. Advised and apologized to patient’s son that no CM available to speak to him this weekend and will escalate his request on

SC completed M T/C with Pa on 5/9/16. Pa reported that he went to the ER at Wiles Eye on 4/28/2016. He was treated by a Retina specialist and d/c the same day. The Pa stated that he woke up one day and had and couldn’t see. The Pa has a follow up appt on the 5/24/2016 with retina eye specialist at wiles eye. No hospitalization, recent falls, change in health status or medications were reported by the Pa. SC reviewed Pa's care plan and he reported that he is receiving services as outlined in the care plan. He remains satisfied with the services and feels that they meet his current needs. Pa is not requesting any change to the service plan at this time. Pa denied any other changes to her ADLs/IADLs, mobility, cognitive, social, emotional, environmental, or financial

Leo is thirty- seven- years- old (he is in the life stage adulthood), he has not long slipped on some ice and has broken his leg. He has had his leg into a cast for two months now. Is now allowed to have it off. So he went to his appointment at the hospital to get his cast removed. Due to the reason that hasn’t been able to walk for two months, he had been on crutches and in a wheelchair, he isn’t used to walking anymore due to his accident. So the doctor at the hospital has told him to stay on the crutches until he has got used to in again. The doctor has also told him to stay on the crutches also so that Leo doesn’t cause any fever injury to himself. To help Leo walk again the doctor has referred him to a physiologist. This is someone that

UCM:CPSW called Ms. Barksdale and scheduled home visit today 1/30/17 at 5:30pm. Ms. Barksdale stated that she will be home with her child Calvin. This worker discuss about her case plan and her progress regarding her UA's and that she needs to follow the yellow color. Also, this worker will remind Ms. Barksdale to stay consistent with UA's and if missed UA's she will need to complete r.25 assessment.

SC received a call form Pa’s PCP Dr. Wilbert Warren on 2/5/16. The doctor stated he was returning SC call from early. The SC informed that Dr that the Pa is in the Aging Waiver program and being in the program the Pa is re-assessed annual to determined eligibility and needs. And base on the SC RA home visit on 2/4/2016 the Pa is not medication compliant and appeared showing signs of poor health (swollen legs and feet and rapid breathing accompanied by wheezing). The Dr. confirmed that the Pa is schooled to see him on 2/15/2016. The SC informed the DR that the Pa would benefit from skilled care and asked that Pa be given a referral to help her get back on her medication regiment and assist her medication functioning at home. The Dr agreed

Patient has also been having problems with functional urinary incontinence because of her inability to get to the bathroom in time. Her oral intake had decreased and she has lost 10 pounds in the last six months. Her baseline weight is 230 pounds. She ambulates with the walker, but only when she must go to the bathroom.