Rehab Potential: A Case Study

A sixty-five-year-old male presented to the out-patient clinic with two venous stasis ulcers, with the complication of cellulitis on the right lower extremity. The patient informed me that he had been getting recurring sores on his legs over the past several months. At the time of the initial visit, both wounds had 100% adherent yellow slough and the surrounding tissue was red and edematous. His primary risk factors are age, obesity, previous leg injuries, and diabetic

HISTORY AND PHYSICAL EXAMINATION_______________________ Patient Name: Chapman Robert Kinsey Patient ID: 110589 Room No.: 322-B Date of Admission: 23 February ---Admitting Physician: Martha C. Eaton, MD, Geriatrics Chief Complaint: Admitted from Dr. Max Hirsch’s office due to deep ulcer on left toe. Admitting Diagnoses 1. Severe peripheral vascular disease, status post deep ulcer on left toe. Rule out thrombolysis. The patient was admitted to a regular floor. Condition is serious. 2. ALLERGY TO PENICILLIN, which puts patient into anaphylactic shock. 3. Continue with home medications. DETAILS OF PRESENT ILLNESS: Mr. Kinsey is an 87-year-old white gentleman with history of (1) Chronic atrial fibrillation, on Coumadin. (2) Chronic deafness,

Too many people try to keep their addiction a secret for a wide variety of reasons. Many are worried about legal problems, others are concerned about family reaction, while an even larger number don 't want to lose their job. That 's why so many people are concerned about whether or not they can keep working while in drug rehab. Thankfully, the answer is mostly positive, though maintaining that balance may be a challenge.

Rehabilitation, what is rehabilitation? Rehabilitation is the action of restoring someone to a normal life through training and therapy after incarcerated, addiction or illness. Rehabilitation can be used for an offender who has committed a crime and is incarcerated, someone who is struggling with addiction or illness. Rehabilitation was originated in 1779 by the British Government as part of the Penitentiary Act, rehabilitation would consist of punishment along with treatment for the offenders. (Benjamin Disraeli 2004). The purpose of rehabilitation is to treat the offender in order for the offender to return to society and be able to contribute, rehabilitation is also a punishment for breaking a law.

The aim of treatment of wound management in Mr BW was to safely allow the exudation of pus to drain freely from the wound in order to expedite wound healing. At the same time, to consider the level of comfort, prevent further infection, increased mobility and ensure nutritional

The healthcare team honored the patients’ wishes as best as possible; the only time we bothered the patient was when we changed the dressings on the pressure ulcers located on the anterior portion of the left foot and right buttocks and when we provided the patient with PRN pain medications. Since this is a Medical Surgical floor, we were required to do one assessment, and that occurred during the time the health care team went in as a group to clump all of the care up and do it at one time. The only negative experience that had occurred was when the patient was expressing non-verbal signs of pain – and from that point, we worked quickly to give him his PRN pain medications to manage it.

“‘It was not easy being a soldier, but we just had to do it. I have been rehabilitated now, so don’t be afraid of me. I am not a soldier anymore; I am a child.’” (Beah 199). In Ishmael Beah’s a long way gone, he retells the story of his childhood as a child soldier fighting for the government in the Sierra Leonean civil war, and his journey to rehab after UNICEF places him in a rehabilitation camp. The book starts with Beah in his hometown village, Mattru Jong. As a twelve-year-old boy, his life is simple, yet fun and he enjoys spending time with his mom, his dad, his older brother—Junior, and his friends, as well as listening to and singing the lyrics of rap and hip-hop western music with his friends, Mohamed and Talloi, and his brother. One day, one of Ishmael’s friends in a faraway village wants Ishmael and his friends to come perform at the talent show that their village is hosting. Ishmael and his friends depart from Mattru Jong, and while they are traveling, the civil war that is happening in Sierra Leone reaches Mattru Jong, and it is attacked by rebels. Ishmael spends weeks traveling with his friends and his brother, until one day they are captured by rebels. After escaping Ishmael is separated from his friends and brother, but he continues to travel Sierra Leone, just barely surviving, until he reaches a village where people have said his parents are; however when Ishmael reaches the

While it is inevitable that some prisoners will have psychiatric problems, it would be beneficial to reduce the rates. In Canada, there are some attempts to do this. Under section 672.38(1) of the Criminal Code of Canada, each province has a Review Board to handle people who are found not criminally responsible by reason of mental disorder (NCRMD) or unfit to stand trial. A person with a “disease of the mind” may be deemed NCRMD if they are incapable of appreciating the nature and quality of the act or omission or of knowing that it was wrong. This is a fairly high standard, which requires a significant degree of mental impairment. If a person is found to be NCRMD, the court or Review Board must decide to discharge the accused absolutely,

Specializing in providing the highest quality home health care services, ACCESS Nursing Services offers the best comprehensive medical care packages to families throughout the country. With five offices and seven hospital-based locations around New York, New Jersey, and Maryland, this ACCESS Nursing Services has been helping patients receive the health care they need for more than 30 years.

This is a 81 year old female admitted to Derby health rehab. She has a history of bilateral leg cellulitis. She has history of diabetic neuropathy. She normally wears support hose Patients reported numbness on her BLE and decreased sensation. It was worse with movement, relieved by rest. She could not bear weight on them. This morning pt seem to be weak and poor in her balance and reported numbness to her BLE and decreased in her

Mandating a person into rehab very seldom works. I am reminded of a tv show that used to come on called Celebrity Rehab with Dr. Drew. This show was based on celebrities who had various addiction issues who entered into a rehab program lead by therapist Dr. Drew Pinskey. Several times on the show he said that entering rehab in itself is a tough decision, however for individuals who do not come from their own self-will or motives the chances of success are increasingly slim. This is the core of my thesis. When a person is commanded to do something it has a diminished effect. But if one decides for themselves they are more inclined to stick with it. For instance, when we are young our parents may tell us that the stove is hot and not to touch

During my clinical rotation at Roper Hospital, I was caring for a patient who developed a stage 2 pressure ulcer on his sacrum. This developed after he underwent to remove a tumor that was located near his groin where his recovery time was approximately 4 weeks. Three weeks into his recovery he lost all sensation and mobility of both his lower extremities. He underwent emergency spinal surgery where they repaired a herniated disc. During his admission and assessment prior to surgery, the nurses found, scored and documented the finding of the pressure ulcer that had developed. A wound care team was called after the surgery was completed to complete their assessment and to start treatment and management to the ulcer. One of the most important parts of assessing a

ndividual rehab services were provided. WYP primed, prompted, and reinforced the client to follow instructions. WYP stopped playing with the client when the client is not following instructions. WYP primed and prompted the client for accepting no as an answer without a complaint when the client ask for things. The client was reinforced with a pat on the head and his favorite song on the radio for accepting "no" as answer. WYP assisted the client to engage in a pro-social activity: roller skating while in the community. WYP gave the client attention when following instructions. The client wanted the WYP to see the client skates.

Past and Current Medical History: AICD/pacemaker,Atrial fibrillation, Benign hypertension, Chronic obstructive pulmonary disease, Coronary arteriosclerosis, Coronary artery bypass graft (in 2010), Diabetes mellitus, Home oxygen supply (4 liters) Transient cerebral ischemia (in 1989),Kidney stones, Partial nephrectomy.

In this essay I will discuss theoretical principals of rehabilitation of a particular patient I cared for while on clinical placement. It will focus on the role of the multidisciplinary team involved in this rehabilitation process post acute myocardial infarction and the education and support given to the patient and her family during the discharge planning process. Also I will be including statistics and evidence of pathophysiology. The National Service Framework for Older People (Department of Health, 2001) sets out eight standards including standard three about intermediate care services that promote independence and provide effective rehabilitation services. Active rehabilitation is seen to reduce the risks of hospital readmission,