R/S Mr. Burgess Case Summary

Admitted to the medical-surgical unit with a chief complaint of “breathing problems”. She speaks broken English & requests that her daughter be allowed to stay with her. She is on nasal cannula oxygen & sitting up in bed. At this time, she seems slightly short of breath, but is not in acute distress. You note that she is pale & has a petite frame. Her ankles are swollen. Her daughter tells you that she has been complaining of feeling more tired in the evenings & “unable to catch her breath”. While at home, she has been sitting up either in an easy chair or in bed with three pillows. Her daughter states that Mrs. Lee has not had to

I arrived at 5:20pm and spoke to Paul Summers with Creek County EMS and advised the time of death was 5:08pm. I found Wilbert H Goodman deceased in the bedroom floor. I did not see any signs of trama or foul play. I spoke to Norma Goodman who is Wilbert's wife who was with Wilbert at the time he passed. Norma stated Wilbert had radiation done today and was not feeling well. Norma stated her daughter Wilberta Witty was also with her. Norma stated she and Wilberta helped Wilbert to the bathroom. Norma stated while Wilbert was using the bathroom he passed out and slumped over on the toliet. Norma stated they could not get Wilbert off the toliet at first and finally moved him to the bedroom floor. Norma stated she called 911 and EMS arrived at 5:00pm and pronounced time of death at 5:08pm. Wilbert had sevral medical issues at the time of his death. Wilbert had heart failure, skin cancer, diabetic and lung issues. Wilbert was going to weekly chemo and radiation therapy for his cancer.

During our negotiation with D.G. Barnhouse (DGB), we intend to utilize an integrative bargaining strategy with management. Before coming to this conclusion, we weighed the advantages and disadvantages of a distributive approach, however, we eventually decided to take an integrative and predominantly interest based stance versus a position based stance in our negotiations after assessing internal and external environmental factors. In addition, we settled on this strategy because we ultimately believe that management and the union share at the very least, one fundamental common interest, which is the firm’s financial stability. That being said, even with our plans to use integrative bargaining, we still plan to negotiate assertively to achieve

Twenty-four year old teacher Bertram Cates was put on trial this past week in Hillsboro, Tennessee, for teaching the sacrilegious studies of Charles Darwin to his sophomore science class.

R/s Elouise Ethridge has cancer and is doing chemo treatments. R/s Ms. Ethridge has a blood circulation problem in her legs and it affects her mobility. R/s everyday Ms. Ethridge and her son, James fight and LE is called out to the home once a week. R/s on yesterday according to James, his mother had her hand in his face, so he slapped her. R/s LE responded to the home and James was arrested, but later released. R/s there is concerned that Ms. Ethridge and James are going to kill each other. R/s James sometimes double up on his medication and calls to the ambulance. R/s James abuses the system by saying he needs to go to a mental institute, but he only he does it to get out of the house.

R/s Ms. Brenda Gasque is in a wheel chair, she is paralyzed from the waist down due to her having meningitis years ago. R/s Ms. Gasque suffers from high blood pressure, COPD, Congestive heart failure, and stage 2 pressure ulcer. R/s Ms. Gasque’s COPD is very severe she has to use a nebulizer. R/s Ms. Gasque wears a diaper and she has a suprapubic catheter. R/s Ms. Gasque needs assistance going to the bathroom and bathing. R/s Ms. Gasque can feed herself and she can use her hands. R/s it was reported that Ms. Gasque is being abused physically and verbally by her children. R/s Ms. Gasque is never happy because she lives at several different places with her children.

Uncle Jake and Aunt Leah were playing golf last week. On the sixth hole, Jake told Leah that he was having unusual pain in his left arm and chest. All of a sudden he felt weak and complained that his shirt was much too tight. A dentist playing one hole behind them examined Jake and found he was short of breath, pale, and sweating. He called 911 on his cell phone and told Jake to lie down and wait for the ambulance. The paramedics rushed Jake to the hospital where he was evaluated by a cardiologist. The tests showed that he had four clogged arteries. He was scheduled for surgery the next day.

On 1/22/2015 SO EMT Perez was dispatched to FC-117 via phone call from a resident regaurding a fall . SO EMT Perez kocked and announced his presence at the apartment door. SO EMT Perez was the verbally greeted into the apartment. SO EMT Perez the unsecured the apartment door and proceeded to search the apartment. SO EMT Perez eventually found the resident, a Mr.David Furman on his bedroom floor by his bedside. Mr. David Furman slid out of his bed and was unable to get up on his own strength. SO EMT Perez asked Mr. Furman if he was in any pain, which he denied. Mr. Furman also did not present with any pain while SO EMT Perez preformed the pelvic exam. SO EMT Perez then helped Mr. Furman to his feet and witnessed him standing on his own strength

On Tuesday (October 11th), we are requesting Council‘s approval of a resolution authorizing the purchase of 1750 Grant Street (APN: 224-02-022).

R/s Bertha Belton is a disabled stroke victim. R/s Ms. Belton is not able mobilize outside of her wheelchair, she needs assistance from others. R/s Ms. Belton is able to feed herself and she can assist in clothing herself. R/s Ms. Belton is not able to stand for a period of time. R/s Ms. Belton attends Adult Daycare Monday-Friday, she has an aid in the home, and she receives meals. R/s Belton’s apartment is smelly and her carpet is wet. R/s the apartment Manager Gloria has been notified but went off on the reporter. R/s it is hearsay that the carpet will not be removed.

Nova Scotia politician Steve Sampson, a member of Richmond County council says that he has been blackmailed over a mail escort. Sampson says that he recently received an anonymous letter that shows a call from his hotel room to a male escort agency. In the letter, the blackmailer had written that they will release a copy of a hotel bill from February 2014, unless Sampson resigns from his position and promises not to run for office again. Sampson had later confirmed that the bill included a phone call to a male escort service, incurred while he was on county business in Seattle, Washington. Sampson said that he trusted local residents to weigh the motives of the blackmailer against his conduct during twenty-five years as a councilor. He said

Kerry Middleton is a fifty-two year old Caucasian male and is currently married to his wife Sherrifor more than 20 years. For the past several months Kerry has been experiencing night sweats,repetitive nightmares and extreme amounts of anxiety. Most nights Sherri has to wake him aftersweating profusely and shaking in his sleep. When he is finally woken up, it becomes difficult for him tofall back to sleep. During the daytime Kerry has reported feeling terribly disconnected to hissurroundings. He often finds himself in a place of despair and self-hatred. Kerry daily indulges in anenormous amount of alcohol and from time-to-time recreational drugs to convince him-self thateverything is going to be ok. Up until a few months ago Kerry was the Chief

The reporting party (RP) stated a home visit was made on 4/8/16 for foster child Ronny Perdomo. During the visit the RP observed multiple bruising to the foster child's lower part of his spine, upper left shoulder, and on his back area. The RP stated she took pictures of the bruises. The foster mother Ana Ramos explanation for the bruising was the child is Anemic. The RP stated on 4/11/16 she consulted with her SCSW who advised her to take the child for a forensic exam. The RP stated on 4/12/16 she took the child to have a medical examination. The RP stated on 4/19/16 at approximately 1:50PM she received a call from a Nurse Practitioner (name not provided) from High Desert Regional Clinic who informed the RP the child's bruising was highly

R/s Mr. Larry Cook weighs about 70lbs and he has prostate cancer. R/s Mr. Cook can’t get up and walk and lives alone. R/s Mr. Cook is home dying and it is alleged he will be dead in 30 days. R/s Mr. Cook doesn’t want to go anywhere. R/s Mr. Cook hadn’t been to the VA clinic since 2004. R/s it is alleged that Mr. Cook stated that he will shoot EMS if comes to his home but source stated that Mr. Cook doesn’t have a gun. R/s Mr. Cook is asking for in-home service. R/s it is alleged Mr. Cook has mental problems, but the report feels Mr. Cook is alert and oriented.

R/s Henry Lykes is a double above the knee amputee and has congestive heart failure, COPD, arthritis, hypertension, and diabetes. R/s Mr. Lykes caregiver Tapeka (niece) recently moved out of the home. R/s there is no lights and water in the home. R/s Mr. Lykes has nowhere to go and generator is no longer working.