Schedule Appointment: A Case Study

Your client Sue is a Social Work Assistant. In your last session she disclosed that she is concerned that on a recent home visit, herself and a senior colleague did not follow the necessary policies and procedures. They had visited a family with a history of neglect and domestic violence and did not ask to see the child or enter the home, both these actions are prescribed as appropriate as part of their work.

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

Living with her mother; however her mother asked her to leave the premises. Case Manager asked client, why her mother asked her to leave. Client stated that they got into an argument. Client stated that they have been arguing on a daily basis. Client stated that she doesn’t want to raise her child in that environment. Client stated that she has being living with her mother all her life.

On 7/11/2015, CM did a visual and had client come to the social service office. CM completed Bi-Weekly ILP Review. In the meeting client appears to be wear out, and tired. She was constantly throbbing her forehead, like if she was having headache. CM inquires what the problem is. Client replies “she doesn’t like the shelter food and sometimes she doesn’t eat” CM advised the client to eat and nourished her body. CM also observed that client is depressed but she continues to refuse medical referral to see a psychiatrist and medical doctor. Client continues to mention her son who is in foster care, and the physical altercation she sustained many months ago here at this shelter. CM mentioned to the client she was a transferred from another shelter due to physical altercation, CM continues to relate to the client she

CM was out on vacation from 5/3/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. Her affect and mood was appropriate. Client maintains eyes contact appropriately and she was oriented to person, place, time and situation. Client continue to deny suicidal or homicidal ideation

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

Today is November seventeenth, this will be the first meeting with my new client Jill. She has an extensive criminal background due to the fact that she was caught shoplifting and under the influence on several occasions. At a later date, Jill was given a court date and failed to make an appearance. As a result of her failing to attend her court case, a warrant for her arrest was dispatched. Shortly after Jill’s warrant for her arrest was sent out she was caught speeding on Route eighty by a state trooper who then pulled Jill over. When, the officer scanned her license he discovered Jill 's warrant for arrest. On further inspection of Jill’s vehicle, the officer detected that she was in possession of various illegal substances and was then suspected of her herself being overwhelmingly intoxicated by such substances. Consequently, Jill was apprehended due to there being a warrant for her arrest in addition to her possession of drugs. As a result, of Jill being caught by the officer she has been forcefully stationed into the PHP program (Partial Hospitalization program). Which she will be spending half of her day counseling with various social workers such as myself. Meanwhile, the remainder of her day will be spent attending school under close supervision. If Jill refuses to make an appearance to these mandatory meetings there will be severe repercussions. Failure to attend will have her imprisoned in a juvenile detention center until she is of legal age to be relocated to a

This experiment was used to determine the impact of reminder systems on appointment nonadherence rates in a clinic population. Clinician time lost due to no-shows is unrecoverable. Because of the unpredictable nature of appointment nonadherence, providers’ schedule gaps cannot be filled with other patients. Since the no-shows then to occur at spotty intervals, creating short periods of downtime, it is even difficult for providers to fill the time with administrative tasks. The loss of revenue from fees that would have been charged for services had patients kept their appointments affects clinic budgets significantly (Maxwell 2001).

Purpose: To examine the shared medical appointment (SMA) design model in primary care settings grounded in the Chronic Care Model( CCM), determine which components are effective for managing diabetes to improve biophysical outcomes, and developing guidelines on a comprehensive diabetic SMA structure.

-Five-minute conversation about medical history, no examination except a Pap smear and very little medical decision making.

Care plan meeting was held for initial review. Resident is alert and oriented x3. Resident is able to make all needs known. Resident was present and was able to participate in care plan meeting. No issues or concerns were voiced at this time. Advanced Directives were reviewed, MOLST-CPR remains in effect at this time. Resident was admitted to the facility for short term rehabilitative care. Upon completion of rehabilitation, resident will be discharged to the community. Resident is stable at this time. All disciplines will continue to monitor the resident for any changes in his overall status.

Client while living in his current foster home displayed inappropriate behaviors which include him becoming aggressive towards other, property destruction and cruelty towards animals. The client behaviors were a result of him not living with his bio parents and the process of him being adopted by another family. As the client’s behaviors started at the age of 4, his most recent behaviors suggested that he receive IOP therapy. During the summer of 2015, the client took forks from the house and threw them over a fence towards neighbors having a BBQ. The client has history of taking knife and trying to stab a neighborhood kid outside and his brother while in their home. In addition to the incident within the summer of 2015, the clients took rocks

Client also expressed her concern in regards to her parenting skills because she does not want anything to happen to her son, due to his

It handles patient scheduling with appointment notifications via email and SMS to patients. It also has compact and flexible appointment calendar which includes finding open slots to meet doctors, categories for appointment types, colors associated with appointment types and facility, repeating appointments, restricting appointment based on

Pt came to doctor appointment today. Pt had been placed on twice weekly due to continued illicit substance use. Pt was not compliant. Pt frequently missed appointments, continued to use illicit substances and was verbally aggressive throughout treatment. Today pt was discharged per MD and counseling decision. Pt is already on increased services and coming twice weekly and continued to use illicit substances and miss appointment. Pt became verbally aggressive, personally attacking RN and writer. Stating she hoped that we got some of what we were dishing out and hoping we got what she was deserved. Pt making statements such as telling RN and writer that she hoped we saw her name in the paper tomorrow. Writer rephrased what pt said and asked