Rehab Potential: good
Clinical Summary
This is a 58 yo female who was hospitalized for brain mass, associated with headaches. The masses was surgical removed. Pt also has two Lung nodules right upper lobe. Pt a white patch in her mouth which looks like thrush. I spent a long time calling around to find some see the pt. Pt does not have stabilized PCP. I called the inpatient doctor and talk to the doctor assistance. The doctor is not in service and since she is discharged from hospital, finding a doctor to treat her thrush was not successful. I told the patient to go to mini-clinic or urgent care. Pt was discharged with a liquid oxycodone and a voucher for oxycodone table. I called to Brianna, Case manager at GMC, and fixed the problem. Pt’s
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Post-op care, SN to assess incision for s/s of infx or complications, medication teaching, and pain management teaching.
Has the patient been in an inpatient facility in the past 30 days? Yes,
If yes, reason for admission: brain mass.
Were there any complications? no
If yes, summarize complications:
Has a specific body site been affected and/or has the disease process/surgery affected patient's dominant side? no neurologic deficits
Pertinent past medical/surgical history: migraine headaches, Smoking, and tuba ligation.
Prior level of functioning: (ambulation/transfer ability (include reasons for other disciplines seeing patient)) Pt has decreased gait skills and dynamic balance, increased pain, increased anxiety/agitation, and healing incision. PT will work with pt.
If patient has refused other ordered services, why? No
New Medications started? yes
If yes, please list and describe medication teaching completed. Pt’s c/g is independent with her medication management.
If patient has ulcer, wound, or incision--describe type, stage, location and healing status wound
Appearance: appears to be healing well with good re
Pt. was readmitted to the program on 8/10/16 and he has shown good participating during therapy session. Pt. is currently encouraged to meet with the Primary Counselor to discuss and practice new behavior in order to progress to the Maintenance stage of change. As the Pt. has participated in the recovery program and has been able to achieve phase 5 of TX program and maintain 7 months of negative UDS results. Pt. remains in compliance with TX obligations by attending mandatory monthly counseling and making payments in advance despite recent hospitalization. Pt. was hospitalized due to a car accident in Lewes, DE. Pt. also indicated that he stills support his child financially. Pt. indicated that he is currently not working after having a facial
Introduction: Physical therapist working in various clinical setting should be familiar with the patient 's medical condition including medications that they are actively taking to ensure that any symptoms associated with the drug are appropriately and safely considered. Here is an example of an acute care patient in the orthopedic ward anticipating for a left total hip arthroplasty surgery.
A few years ago, this statement would have been utterly false or perhaps something else I'd say under the influence of alcohol or to prevent my loved ones from finding out that I had taken a few sips. It had become second nature to me, lying. I could say anything after having a few glasses, or a bottle, or two. I lied on and on and I didn't care. Honestly, at that time, I did not care how my lies affected people around me, or whether they affected them. All I cared about was myself and the temporary escape I get from reality, which the drink offered. When I was sad I'd drink, when I was happy I'd drink, when I was angry, I'd drink, every form of mood I found myself in, I'd use it as an opportunity to drink. And afterward the result was the same, I'd lie and hurt my loved ones. Drinking had become a problem.
Hinkle, Janice L., Kerry Cheever. Hinkle & Cheever: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition. CoursePoint, 11/2013. VitalBook file.
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.
The 1992 Mining Act (No. 29) states rehabilitation to be the “treatment or management of disturbed land or water for the purpose of establishing a safe and stable environment.”
A multi-disciplinary team will work together to collaboratively balance the physical, psychological, emotional, spiritual, social and vocational needs and preferences of a patient, to achieve optimal outcomes. The team may consist of some or all of the following; the patient and the caregiver/family, psychiatrist, other physicians, rehabilitation nurses, social workers, physical therapists, occupational therapists, speech and language pathologists, physiatrists, recreation therapists, nutritionists, vocational therapists and spiritual counselors. The team may include other specialties as well. Which specialty is involved depends on the
Rehabilitation can have two different meanings- to bring (someone or something) back to a normal healthy conditions after an illness, injury or drug problems; or to teach a criminal in prison to live a normal and productive life. Approaches to treatment range from individual to group methods. Correctional officers must discover what works for which offender in what context.
Avoiding repeated arrests and putting a stop to the revolving door commonly seen in the criminal justice system is possible. However, to accomplish this, counties throughout Tampa must begin addressing the issues of drug addiction and depression through drug rehabilitation and mental health facilities.
According to Darbouze, for a juvenile to re-enter into the mainstream of society, he/she must first be rehabilitated. Rehabilitation is essential to young offenders because it reduces the chances of recidivism. Being refurbished sets the foundation of a healthy lifestyle in the community once out of the juvenile justice system. (Darbouze, 2008) According to the research, the rehabilitative model is considered to be more efficient than the retributive model (which is known as punishment). The rehabilitative model is more successful than the retributive model, because it's more practical, and it addresses the needs of the youths. The model gives juveniles, some form of hope and an option in making it in society without having to recidivate. In some way rehabilitation ties with Strain Theory by Merton (1938). (Darbouze, 2008). According to Darbouze rehabilitation is imperative because it teaches juveniles that some necessary steps and priorities are taken to obtain goals. And to accomplish such goals, one must do so in a legitimate way. (Darbouze, 2008). “When one does not have the means to obtain goals, sometimes one is
“If I can save one person and have them go back in society, sleep at home and raise a family, we've done our jobs," said West Baton Rouge Sheriff Mike Cazes.( Programs Are Helping Prisoners Live Again)People are sent to prison because they were found guilty in some type of illegal act. Sometimes some convicts are really innocent but the court system has found him guilty. There is also people that deserve to be locked up. No matter is they should be in there or not they should not just be thrown into jail and sit there and rot. There is a big disagreement on if you should put them in there and throw the key away or help them get better; be able to support himself when they get out.
Almost all of the patients that are encountered in physical therapy (PT) are taking one or more medications for various conditions. Physical therapists (PTs) do not prescribe medicine to patients. However, it is important for the PT to be aware of the patients’ medications and the effects of the medications on their PT. The effects of medications in combination with the effects of their particular conditions will help guide the PT in the safest and most effective therapy for each unique individual that presents to the clinic. Knowledge of the patient’s conditions and medications also help the PT decide the appropriateness of therapy and referral to other professionals.
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
Addiction can strike at any time and one of the most traumatic times it can strike is during college. College students are at a high risk of addiction, due to the prevalence of experimentation, and rehab is a vital for for them to regain their lives. However, many college students ignore this solution because they don't think they can take classes during treatment. Can they?
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,