R.P. is a 74-year-old married Caucasian female that is a homemaker that lives at home with her husband. Reason for her care is due to a recent fractured left hip and left wrist. She stated that she slipped on a rug in her home and landed on her left side. R.P. reports pain being 10/10 and sharp and radiates all over body stating, “even the slightest touch of skin hurts so much”. It all began a few minutes after the fall. Pain is alleviated with narcotics (hydromorphone and morphine) and immobilization.
According to R.P. she is allergic to sulfa (thrush), eggs, Allegra (cramps) and Penicillin (GI upset. Her past medical history consists of hypothyroidism, chronic sinusitis, endometrial cancer and a mitral valve prolapse. The conditions that required hospitalization was a surgical removal of the ovaries and a hysterectomy in year of 2006. R.P. also had surgery on the right elbow and an appendectomy, but was unable to recall the year. The medications that she is currently taking are levothyroxine, Claritin, Singular, Prilosec and propranolol. R.P. is currently up-to-date with immunizations of Td/Tdap in 2016 and vaccinations of pneumococcal 11/2016. Client refused influenza vaccine.
To R.P., being
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is the middle child of two other sisters. Both have a history of hypertension, with the oldest having severe allergies. Their father passed away from cirrhosis of the liver at the age of 72; while their mother alive and has a history of colitis, migraines, and asthma. Currently, R.P. husband is 78 and is healthy, with the same for their children age 38 and 41 years old. She is an active mother and wife. While spending majority of her time traveling and attending golf tournaments with her spouse. When she is not doing so, she is out spending time with her friends and family. R.P. involves her husband in every aspect of her care and decision making. She does not partake in any drugs or tobacco, with some occasional alcohol. She is very family
Anna stroke lives with her husband Steve Stork in a three-bedroom apartment in Newport Richey, Florida. Her both parents are deceased. Her father died at 68 due to myocardial infarction and mother died at 92 due to old age problems. She has a total of 4 siblings. One sister with hypertension which is controlled by medications and diet, one brother with hypertension and cardiomyopathy, and the other 2 siblings (boy and girl) are in good health with no current illnesses. Her husband has mild dementia, diabetes, and hypertension. She has 2 children (son & daughter); both are healthy with no significant medical history. Anna Stork is happily married for 40 years. She denies alcohol, tobacco, and illicit drug use. She was a former smoker and quit smoking few months ago. One of her sister own few day care centers and she work 8 hour shift 3 days a week in one of her
History: Margaret Donovan, a 72-year-old white female, was brought to the emergency room by her son-in-law after falling in her bathtub. She was previously in good health, despite leading a relatively sedentary lifestyle and having a 30-pack-year history of cigarette smoking. The only medication she currently takes is Inderal (propranolol) for mild hypertension. She fell upon entering the bathtub when her right leg slipped out from under her; she landed on her right hip. There was no trauma to her head, nor does she complain of right or left wrist pain. However, she reports severe pain in the right hip and upper thigh, and was unable to get up after her fall. An injection
Reporting party (RP) stated that her daughter, April O'Meany-Lucas (04/08/2000) is ADHD and has learning disabilities which qualified her to be cared for at this daycare. RP stated that child attended until December 2016. RP stated that she left specific instructions for the licensee to not allow the child access to any electronic devices (cell phones, tablets, computers, etc) because RP would not be able to monitor her. RP stated that she discovered nude photos of the child which were taken during daycare hours using the licensee's tablet and posted the photos on social media. LPA Lasso-Hills asked RP how she found out about the photos and RP stated that she searched through "Instagram". LPA asked if the child has an Instagram account, and
Patient presents with right leg pain and heard a pop. Slipped today while shoveling snow about an hour ago. Rates pain at 6 out of 10
Ms. T has no past surgical history at this time. She had previous episodes of Group A Streptococcus in the past relieved by Amoxicillin, but the last time this medication did not seem to work as good. She takes Flonase and Claritin daily for her severe allergies. She has no other past medical history other than recurring GAS, constipation, hand, foot, and mouth as a toddler, and a few episodes of gastroenteritis, when she started day care. She has no known allergies or medication intolerances. Ms. T lives with her mother, which has no chronic medical conditions. Her father is healthy other than some lower back pain from work. She has two smaller siblings that are healthy. Her maternal grandmother is
I would like to take a moment to update you on two changes that were approved by the Massachusetts RPAC Board of Trustees at their meeting last week:
The patient I have chosen to write about is a seventy year old male who has been married for nearly fifty years. He has two grown up sons, both married with
The author read Mrs. X’s medical notes prior to their initial consultation to afford herself the knowledge she required should she need to prescribe for her when fully qualified. It was evident from reading her medical notes that there were a few considerations to take note of before commencing any treatment, such as her medical history, drug history and allergies. Her past medical history consisted of Type 2 diabetes mellitus, which was diet controlled, hypertension, hypercholesterolaemia, neuropathy, rheumatoid arthritis and raynauds syndrome.
The two casualty backing projects I inquired about were Rape Victim Advocacy Program, RVAP, and the U.S. Armed force MWR Victim Advocacy Program. The RVAP's primary mission is to give free backing to all casualties of sexual roughness and use counteractive action training to make social change. The RVAP offers a couple of diverse administrations. They have mindfulness crusades, survivor bolster and promoter preparing, and aversion training administrations through school and college instruction, youth training, and group training.
She reports a history of back pain, ovarian cysts excision, and breast tumor. She denies chest pain, shortness of breath, or palpitations. Patient reports that her immunizations and preventive care are up to
departments, this proved problematic as hospitals relied on vendor support for employee training, medical procedure support, patient follow-up and more. As these services were typically at no charge (or hidden in the product price), their cost was a non-issue for the hospital. To ensure vendors are unable to charge separately for these services, the GPOs now include criteria that stipulated the level of service required for a vendor bid to be retained. If the vendor refuses to acknowledge those terms, their bid is immediately rejected.
Shirley Caretaker is a 56 year-old widow who spent the last twenty-five (25) years working in the health care field as a Certified Nurse’s Assistant and Licensed Practical Nurse. Ms. Caretaker’s job-related knee pain was worsened by a work related accident, which also injured her hip and back. She cannot sit or stand for more than 30 minutes at a time, or walk for more than 10 minutes. Pain in her upper back radiates up her neck and through her fingers, which causes her arms and fingers to periodically feel
The patient is a 92-year-old female who tripped and fell while walking into her place of residence. She tripped and fell on her right side and presented to the ED. Her medical history is significant for hypertension, hypothyroidism, s/p thyroid lobectomy, a parathyroid, nephrectomy, chronic, afib (on Coumadin) and a past history of polio as a young child. CT of the pelvis which reveals that she has a right hip nondisplaced inferior and superior rami fracture. Clinical review of the chart indicates Dr. Rifai has grave concerned that this fracture and the fact that she is on Coumadin places her at
Husband is the head of the family. All the family members are health conscious. The whole family is covered under medical insurance and adheres to annual health check up. This family prefers homely food and the parents set example for that. They also enjoy the relationship with neighbors and with extended family members. There are no risk factors of smoking, alcoholism, and use of other drugs.
S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%