Secondary Diagnosis: Mood Disorders

Section 504 stipulates rather broadly that a person with a disability is “one who has a physical or mental impairment that substantially limits one or more major life functions, a person who has a history or record of such an impairment, or a person who is perceived by others as having such an impairment” (US Dept. of Justice Civil Rights Division Disability Rights Section). Because impairments are not specifically named, these laws are open to interpretation and qualify anyone in need of

The multidisciplinary team (MDT) meeting that the author attended was regarding Laura 's case, a 62 year old lady that lives alone and had a fall followed by knee surgery on her right leg which now needed rehabilitation. Laura also has Hypertension, arthritis and was recently diagnosed with Parkinsons Disease, which is managed with medication.

Describe the tests and methodology used to determine the disability and/or condition. Please do not send copies of the applicant's medical records.

d. A nurse gives a PRN dose of an antipsychotic drug to a patient to prevent violent acting out because

Her tailbone hit a sharp rock at the lake.Her back pains started to get worse after her friend hit a car at an auto dealership when she was riding with him. Jennifer's friend that lives across the trailer park has to help her sort through her meds in inhalers to check the expiration dates . Jennifer's friend also drives her to the city for her doctors appointments because Jennifer is scared of driving in the city. Sometimes Jennifer's back and wrists hurt her so much that she has to go to the hospital to get shots of steroids put in her back to calm the muscles. Jennifer can't do simple tasks like lifting up heavy boxes, and she also can't sit for long periods of time or go on long car rides because her tailbone and back starts to ache. Jennifer has to take 10 different types of medicines. Jennifer used to take so many different types of medicines that sometimes Would work against each other to cause her to have back spasms which some of them were severe. Since then her doctors how to reduce the amount of the medicine that she used to take. She now has to take ten different types of meds a day. She has to take some of her meds “multiple times of the day”, and she also has to wear braces around her wrists to help keep them from

Provide a description of the disability and its causes. Include any relevant information such as statistics and diagnosis procedures.

Personal/Social History: The patient reports receiving her high school diploma and worked in the fast food industry as a cashier until her back injury and subsequently filing for disability.

A behavioral health physician statement completed by Victorino De Jesus, MD (Internal Medicine), dated 05/10/2017, indicated that the claimant was incapacitated for a single continuous period of time due to her medical condition, including any time for treatment and recovery from 05/09/2017 - 07/09/2017. The claimant had impaired concentration and train of thought that affect work performance. She also had osteoarthritis of the bilateral elbow, hands, fingers, and feet.

A review of her medical record indicates that she has a history of functional decline, dementia, weakness, MRSA, cognitive communication deficit, presence of right artificial hip joint and HTN.

The first issue I will address to Mrs. Thomas is how to manage the pain, because the problem really worsens her quality of life, it made her self care difficult to carry out, caused her feeling hopeless, dependent, distressed, fatigue, and losing appetite. Taking pain medications on time will keep the pain

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

In the report it states that he attends CSDD 5 day's a week and lives on his own, however struggles with independent living skills (safety, navigating in the community, and ADL's). It also states that he receives CLS and respite services through Lifelong Advocacy. The report states that he will need support with finding employment and with his unsteady gait he will require support with transferring in and out of the tub or shower. A copy of this is in his case file.

296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.

Reporting health issues: Some issues with bathing (did not feel dirty), sometimes forgot to take medications, difficulty doing house chores (unless manic episode). Problems with memory, concentration, understanding and following directions, completing tasks, and getting along with others when anxious or irritated. Sometimes “I get an out of body experience.” Difficulty, “very bad,” handling stress and changes in routine.

“For purposes of nondiscrimination laws (e.g. the Americans with Disabilities Act, Section 503 of the Rehabilitation Act of 1973 and Section 188 of the Workforce Investment Act), a person with a disability is generally defined as someone who (1) has a physical or mental impairment that substantially limits one or more "major life activities," (2) has a record of such an impairment, or (3) is regarded as having such an