Private Caregiver's Case Summary

The resident is an 88-year-old Caucasian male who has been married for 63 years along with a long-term care living arrangement. He has medical diagnoses of generalized muscle weakness, cutaneous abscess of buttocks, and lack of coordination. The resident rated his health status as a score of “7” because he stated that he felt pretty energetic most of the time.

At this point in time, I feel that the patient is gravely disabled, that he cannot provide food, shelter, or clothing for himself nor make decisions in regard3 to his medical or financial affairs in his best

1. Informal Care giving: How would support and incentives for informal caregivers support our current long-term care system? Support and incentives for informal caregiver’s support our current long-term care system helps our aging population to be taken care during their health issues.

My patient was a 68 year old female that was brought to ER via EMS on Feb 15 with nausea, vomiting, and diarrhea x2 days. The pt had not been able to eat or drink for the last 1.5 days, and felt weak and dizzy for the past 2 days. The patient lives at home alone in Kitchener, her spouse resides in a long term care home as he suffers from advanced dementia, they have no children. For IADL’s the client is able to cook her own meals, drive, and do her own shopping. However she receives help with heavy items and house cleaning from a

CM spoke to Ms. Quinones (caregiver) in regards to a follow-up on services for Taina (youth). Caregiver informed CM that youth met with IIC for the initial session. Caregiver reports she likes the IIC. CM was informed that caregiver attended the youth’s school meeting on 2/23/17. Caregiver explained to CM that youth teacher reports youth is failing her classes and she continues to misbehave in school. Caregiver also, stated that since 2/23/17 she has not had any phone calls from youth’s school due to her misbehaving in school. CM will continue to monitor youth’s behavior and grades in the school and therapeutic sessions with IIC.

The patient is an 87-year-old female who was recently hospitalized here at St. Joseph's Medical Center and discharge to rehabilitation spent approximately 3 weeks in the rehabs setting and was home for a day before she represented to the emergency room complaining of inability to move, profound weakness, right hip pain and right thigh swelling, as well as bilateral leg edema. The patient's medical history is significant for afib, coronary disease, congestive heart for diabetes mellitus, GERD, thyroid disease, sick sinus syndrome with permanent pacemaker. She has undergone CABG, nausea, profound vascular disease, anemia, severe gastroparesis, as well as having had polio, she presents with profound weakness and she is essentially bedbound.

Mr. loai is a 51 year old married Jordanian male, he was diagnosed with stomach cancer, and he was advised by his doctor to have a surgery to remove the tumor, after his admission to the hospital to have the surgery, the nurse walked into his room and stood beside his bed, she found him lying on his left side and his legs were bent toward his chest, and he was putting his hands on his abdomen, his face was grimaced and he looked tired, when the nurse started to talk to him he closed his eyes and turned his head away, but he followed the nurse instructions when she asked him to extend his arm so she measure his blood pressure, she found his blood pressure and heart rate elevated, she asked him what’s wrong and he said he is in pain and

Prior to my entrance into the patients’ room, I had to look up the patients chart to see what her current status and past Hx was. As I as reviewed my patients chart, I saw that she is a paraplegic who is paralyzed from the waste down with no smoking History or pulmonary dysfunction. My patient had been on SVN Pulmicort treatment

Hi Lora, I liked how you incorporate client-centered approach throughout your initial post. Adding desire goals will increase patient cooperation during treatment sessions. Sharone likes singing and spending time with her family, so in my opinion it will be a good idea to have karaoke every Saturday with her family members. Choosing an easy and favorite song for Sharone could help on her slurs speech, guiding her to hold the microphone with her right hand, will work on right side body awareness/movement and playing don’t forget the lyrics can help her improve her cognition and concentration skills. My documentation will say: Sharone will engage with family members in a social activity with 50% accuracy. She will sing a song of her choice by holding the microphone with right hand. She will start in a standing position for 3-4 minutes, then transition to a sitting position to improve on her standing tolerance.

The patient is a 70-year-old gentleman who presented to the ED with the complaint of numbness, noticeable changes mental status and is also noted glucose of 43. His medical history is significant for long-standing history of insulin-dependent diabetes mellitus, chronic alcoholism, chronic pancreatitis, paroxysmal atrial fibrillation, he is on no coagulation because of a history frequent falls, coronary artery disease, past history of a CVA, as well as COPD. Review of the chart and discussion with the patient reveals that he attends a daycare center five days a week. He lives alone, his sister and his niece do his food shopping for him. He prepares his own meals and he gives himself his insulin on the weekend otherwise it’s given to him

The client and his caregiver are both very receptive to utilizing the social worker and her services. They are always appreciative of the services. The caregiver responds back to the agency with a timely manner. The patient is willing to work with us on changes, like with respite care. The patient was willing to go so that his caregivers can have a break. Patient is remaining stable and consistent. While there continues to be memory loss, it is expected due to the patient’s diagnosis. The social worker and social work intern will continue building a relationship with the family and client, as long as he continues to cooperate.

A review of the medical records indicates that he suffers from multiple medical illness, which includes chronic COPD/heart failure for which he is oxygen dependent due to debilitating shortness of breath, chronic stable HTN-manage with medication, chronic stable hyperlipidemia-manage with medication, chronic poorly controlled anemia, chronic GERD, chronic phantom limb syndrome with pain- LAKA. He also has a history of DVT. He has had multiple hospitalization. His last hospitalization was in April for pneumonia. He is current on antibiotic therapy fro pneumonia.

He is independent with his transfers but again this is a slow and somewhat labored process. He is overweight, has tight lower extremities and has poor core strength, he is generally deconditioned. Palpation reveals tightness and tenderness in the lumbar paraspinals and he has complaints of pain to central palpation of the lower lumbar vertebra. His x-rays do show degenerative joint disease at L5 and S1. He has decreased lumbar vertebral mobility. He has a negative straight leg raise test

In this scenario, the patient is a 49-year-old woman with end-stage cancer. End of life snags are always poignant for the healthcare provider and family mutually, I would need to comprehend the extent of the cancer proliferation, the maximum period given to live; if the patient has an advanced directive in place. According to American Cancer Society (2017), advanced directive usage emerges when the patient is incapable of making the decision for themselves. I would need to understand the patient and family wish in event whereby the patient in incapable to make a decision, the ethics committee will be contacted because the end of life issues can be arduous. It is vital that the family and patient while alert and oriented to have every necessary information to make an informed decision because several might desire quality over quantity and vice-versa. Further, I would encourage the family to be at bedside with life-saving procedures to allow the family to comprehend the practicality of the condition and to eyewitness extend of the life-saving procedures and to

As our technologies and advances in medicine improve, patients are living considerably longer with chronic and life-limiting illnesses. Living longer with an illness usually means that the patient suffers longer with the side effects from the disease and its treatment. Palliative care (PC) can be a very important and beneficial service for patients, their family as well as their healthcare provider in meeting the physical, psychosocial, and spiritual needs of the patient. Unfortunately, not all patients who suffer with a life-limiting illness experience the benefits of a palliative care service or if they do it is very near the end of life.