This is a 46-year-old female with a 5/9/2014 date of injury. On the date of injury, the claimant was performing cleaning activities as a custodian, and the claimant developed symptoms of pain in an affected shoulder.
01/13/15 Reconsideration Letter indicated an appeal for the previously denied review on 01/12/16. OMRP is a CARF approved program. It is an individualized program based on the needs of the patient. The initial request was denied based on the rationale that all lesser levels of treatment have been exhausted by the patient and the records indicate that narcotic medication is not required for pain management. However the OMRP at our facility is not the same program as chronic Pain program, therefore does not require the patient
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Treatment plan: Outpatient pain rehabilitation program. It also noted Subjectively; pain was described as a six on a scale of 1 to 10. Objectively, there was a documented Beck Depression Inventory (BDI) score of 19 and a documented Beck Anxiety Inventory (BAI) score of 22. The review denied Outpatient pain rehabilitation program. The patient is currently working 40 hours per week at her job. Medication and rest make the pain better, however, all her physical activities are limited. The pain is described as burning, sharp, and stabbing. Recommendation: Outpatient Medical Rehabilitation program • 10 sessions …show more content…
Objectively, this assessment revealed that the claimant was capable of sedentary-light duty work activities. It is documented that the claimant was with a preinjury occupation of a medium duty level. A designated doctor evaluation was conducted on 11/03/14. The records available for review indicate that an orthopedic evaluation was conducted on 6/11/14 at which time, surgical intervention was recommended for treatment of the described medical situation. Grip tests indicate a 56% Right side deficit at position 1 when compared with the opposite hand. ROM of the cervical spine was reduced. ROM of the right shoulder was also
An out-of-body experience is explained by few as a sense of being detached from one’s body, and if associated with other factors like a sense that the world is not real, far away, or even foggy. This with the combination of failure to recall significant personal information, or the content of a meaningful conversation forgotten from one second to the next are signs of a psychological disorder known as Dissociative Disorder. Considered as a rare and mysterious psychiatric curiosity, Dissociative Disorders will be the psychological disorder that will be discussed in this paper.
Kimberly came to Touch of Healing Counseling Center as a referral from Oak Park Church. She is being considered for the position of senior pastor at Oak Park Church. The leadership team of the church requested she be evaluated for suitableness for the position of senior pastor.
There are various assessment tools obtainable for assessing the needs for patients or clients. The addiction professional uses assessment instruments as one component of the counseling/treatment process taking into account the client’s personal and cultural background. The assessment process promotes the well-being of individual clients or groups (NAADAC, 2015). This process helps determine how much and what kind of treatment your client needs. It is important to be aware of different types of assessments as well as being familiar with how they work in each situation. As we assess George we will use two different assessment tools to give as an example of how to assesss the needs of this client.
31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.
emotionally capable of making an informed decision regarding participation in this study. Of the participants, 250 were male and 300 were female. Participants were selected from general
Over the weekend I was working in Evolv on a client Biopsychosocial Assessment , and I accidentally used Biopsychosocial Assessment RTF. After realizing my error I corrected it and used the Biopsychosocial Assessment RTF V.2, however there are now two assessments in Evolv for the same client. Can you please assist me with deleting the incorrect assessment.
The claimant had 9 physical therapy visits for cervicalgia and low back pain from 01/12/2017 t0 02/01/2017.
Psychopathology is the study of mental distress and abnormal maladaptive behaviour, there are four approaches to psychopathology, cognitive, behavioural, psychodynamic and biological. The biological model of abnormality is split into four parts which can all cause abnormal behaviour these are; Genetic, Brain injury, Neurotransmitters and Infection.
On Thursday, 10/22/2015 the claimant stated he reported for work pain-free and was not suffering from any pain or discomfort from four other work related injuries that he reported as claims and received judgments. The claimant was unable to account for the real dates of his past work-related injuries that occurred between 2010 and 1/2013. The claimants past industrial-related injuries ranged from a left wrist injury, head injury and two separate right wrist injuries which he says did not include any injury to any other body parts.
Ms. D. is a widowed 81-year-old Italian-American woman living alone in a one-bedroom apartment at a senior living building in a metropolitan city. She was born in Brooklyn, twice married but was the single mother of two children, and now has three adult grandchildren and one great-grandchild. Ms. D. is now retired but she worked as a registered nurse until her 60’s when she returned to earn her Master’s degree in Counseling and worked as a school guidance counselor until she was 73. She reports that she has an extremely supportive family who is actively involved in her life. Ms. D. enjoys singing, art, board games, gardening, and reading. Overall, Ms. D. is a charismatic, successful, resilient,
Currently, The population of elderly are estimated to be increasing in number (Australian Institute of Health and Welfare, 2014). The government is concerning about the pressure being placed on public resources as the result of aging population. The aging populations can be vulnerable to different acute and chronic disorder, which can decrease their mortality rate. This can stifle patients’ normal living pattern, which can lead to the vulnerability of experiencing moods disorder, such as depression and anxiety (Potvin et al., 2013). This will lead to the increase
Getting ready to embark on a journey as a white aging counselor who, will be entering retirement, this course was intimidating to me. The reviews of the book I had read were that white people had been shamed, and felt the are to blame for the views they hold. My assessment of the book was that it was informative, and I don’t think I would have gained a new perspective without educating myself about minority world views. The passages that spoke about the minority experience is similar to the stories I have heard from my wife who came to the United States in her twenties. She didn’t speak much English, and was sidelined by oppression and what she saw was preferred treatment, and systems designed to promote inequality.
A prior review dated 12/01/2017 indicated that the claimant was approved for 12 visits of physical
When I was given a tour of the Psych-Med-Unit (PMU) at Saint Mary’s Hospital, I was slightly uncomfortable and thought the hallway was dark. But I quickly realized that the dim light was designed to create a calm and healing environment for psych patients occupying the unit. Bright light may push schizophrenia patients into manic episode, for example. As I walked in the hallway, I was surprised to see how comfortable the staff were with their surroundings. The scene opposed my previous personal and professional belief about psych patients. I have always believed that psych patients are combative and are challenging to manage. This notion came from way back when my clinical teacher told me to always place one hand in the front of my throat when
Just as all psychological tests are categorized, not all tests are applied for the same use and the same users. Each test is done by a trained or professional to determine what is the situation based on the results and to see what treatment is best for the individual. There are four major psychological tests users are clinical, educational,