Home Care Field Report

Seniors with breathing issues are not able to take in as much air into their lungs as they did prior to their breathing issues. Further, the air that they do take in is not processed as efficiently. In the end, this means there is less oxygen getting to the cells. Less oxygen means less energy.

I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally

Albert, you are being progressed to Step three of the Ascend Corrective Action process for failing to follow specific directions from Chocolate Bayou’s medical staff in regards to your clearance to use a respirator. You were directed by MHBA supervision and the medical department on multiple occasions to resolve the issue but you did not take the appropriate actions in the time you were given. Failure to complete the required tests meant that you were working while knowingly being out of compliance with the site’s Respiratory Protection Program, SP-039. Additionally, your decision to not follow the direction of supervision and complete the required tests is considered insubordination and is unacceptable.

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.

The Children’s Hospital of Central California (CHCC) is one of the nation’s largest pediatric hospitals; CCHC not only provides great quality healthcare for pediatrics but also caters and cares for children from pre-birth all the way until their young adulthood stage of life. CHCC is a nonprofit healthcare network that specializes in medical and surgical services to help care for common to rare health conditions. Children’s Hospital provides healthcare services in over forty different types medical services. Services can include from Intensive Care Unit (ICU), Emergency Room (ER) to Cardiology. The department that will be observed and discussed is the social services department

On 8/7/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting; she was alert, satisfactorily groomed, and casually dressed. In the meeting she was cooperative and friendly. CM inquires how client is doing since the last Bi-Weekly ILP Review. Client reported she is exhausted from running around obtaining relevant documents to be submitted to Lemle & Wolfe, Inc. by 8/3/2015. She continues to reports she has Straight Medicaid and she is searching for a Managed Cared that cover oxygen tanks.

Medicine and senior care San Diego can accomplish amazing things, even when the outlook for long-term health seems borderline. The psychological benefits of seniors living in their own homes, sharing life with an in-home companion and enjoying outdoor outings in gorgeous San Diego can work medical miracles. The city that many people call the most beautiful and temperate in the United States offers its elderly citizens some of the grandest adventures and enriched lifestyles in the world. Having a companion to share the days gives anyone a healthier mental attitude and stronger outlook for a prolonged and fulfilling life.

What would it mean to stay in a stranger's house and take care of someone's daily needs that he/she requests help with? Could some random high schooler go and do some form of action like this without a high level of nursing requirements? These qualities perfectly describe a home health aide. A home health aide is someone who takes care of elderly people in a senior citizen's home and assists with cleaning, cooking,and even helping senior citizens bathe, as well as completing their everyday tasks. Home health aides can become emotionally involved in their work as well. Some of the most important things to keep in mind when becoming a home health aide are educational requirements, job opportunities, and salary range, not to mention the professional duties, job benefits, and the job drawbacks. Becoming a home health aide is not

On 8/12/2016, CM met with the client to complete Bi-Weekly ILP Review. In the meeting CM observed that the client was wearing the same clothes from last session. She was hostile in the meeting. Client was wearing a yellow skirt and black blouse. Client was wearing summer hat, reading glasses and a mask covering her nose and mouth. CM also observed client had foul body odors. During the interview session client continues to be loquacious complaining that “People are out to get client and how residents are using Marijuana on her foot. Client continues to reports some of the residents here at the shelter are part of the “Russian Mafia” and when they used Marijuana on both leg it triggered the open wound ulcer and it cause it to discharge foul odor.

QMHP called the client to informed her that she is not eligible for case management due to (1) living in Independence and (1) has inactive Medicaid. QMHP informed Ms. Anderson that she could receive services at Swope as an outpatient. Ms. Anderson asked if she could get her medications and other services (Imani House, vision, dental) without having Medicaid. QMHP told Ms. Anderson that she could. Ms. Anderson stated she will apply for her Medicaid. QMHP apologized to Ms. Anderson two times because at the intake, QMHP had informed Ms. Anderson that he was eligible for CSS. QMHP told Ms. Anderson that after she her Medicaid is active, she could request for a CSS. QMHP thanked Ms. Anderson for her understanding and hang up the

My client is Margie M, a 69-year-old widower with chronic venous stasis ulcers. PMH: Asthma, Cataracts, Arthritis, Tremors, Narcolepsy, Congestive Heart Failure, Diabetes Mellitus, Peripheral Vascular Disease, Hyperlipidemia, Hypothyroidism, Gastric Ulcers, Irritable Bowel Syndrome, Micro colitis, Restless Leg Syndrome, Hypertension, Atrial Fibrillation, Anxiety, Depression, Cardiac Stents, and Cerebral Aneurysm. She lives in a two bed, one bathroom house with her daughter Becky, Becky’s husband Jim, and her twenty-five year old grandson Jason. Margie’s daughter, Terri, Jason’s mother is deceased. Jason has mild developmental delays. Margie has one son, Buster, who is not involved in her care. We met for lunch at McDonald’s

My client is Margie M, a 69-year-old widower with chronic venous stasis ulcers. PMH: Asthma, Cataracts, Arthritis, Tremors, Narcolepsy, Congestive Heart Failure, Diabetes Mellitus, Peripheral Vascular Disease, Hyperlipidemia, Hypothyroidism, Gastric Ulcers, Irritable Bowel Syndrome, Micro colitis, Restless Leg Syndrome, Hypertension, Atrial Fibrillation, Anxiety, Depression, Cardiac Stents, and Cerebral Aneurysm. She lives in a two bed, one bathroom house with her daughter Becky, Becky’s husband Jim, and her twenty-five year old grandson Jason. Margie’s daughter Terri, Jason’s mother is deceased. Jason has mild developmental delays. Margie has one son, Buster, who is not involved in her care. We met for lunch at McDonald’s for the

Objective A: After 5/2/17, the consumer has missed two appointments with outpatient therapy. The consumer has stated that he wanted to hang out with his friends at the barber shop in lieu of going to his outpatient appointment with the MHSS. The MHSS has discussed the importance of outpatient therapy with the consumer and the consumer acknowledges that he needs outpatient therapy but he refuses to go or makes excuses not to go. Objective B: The consumer and the MHSS reviewed the consumer’s appointments with outpatient therapy and a PCP check up. The consumer was able to review the paper work for the PCP (Dr. Chinnery of Divine Health Group) however he declined help from the MHSS in reviewing the intake packet. The consumer stated that

This week in the field I was fortunate to be able to gain more hours interning than what I regularly gain. Therefore, I spent a lot of time completing different tasks in the office and going on several in-home visits with my supervisor and her coworker throughout the week. One of the tasks completed this week was completing in-home visits. One of these visits was completed with a coworker of my supervisor. We were to visit two of her clients that are medically fragile and their foster parents to discuss their plans for attending a summer program. As we discussed this topic the foster parent made it clear that she was having difficulty enrolling the two into a summer program due to a conflict between their current Medicaid provider, Personal Care Attendant (PCA), and the South Carolina Respite Care Coalition. With it being unclear as to why this issue exists my supervisor’s coworker and I agreed

During my first semester student clinical rotation, I was introduced to patient, 76 year old AB who was being treated at an assisted living facility. She was a wonderful patient and someone I immediately connected with. AB had been medically diagnosed with COPD and displayed all the classic physical signs of the disease such as wheezing, deliberate breathing, severe shortness of breath and nutritional deficit. She was my first patient as a student nurse and the first person I was able to complete a health assessment and nursing care plan for. I recognized early on that AB was special and someone who would be a great person to communicate with. With the initial assessment she was a little scared, but