The rehabilitation management of a stroke patient with multiple impairments as illustrated in this case report warrants early rehabilitation referral and requires an effective interdisciplinary teamwork to ensure prevention of further complications as well as to improve the patient’s function and independence. This patient who had undergone left transtibial amputation and had a chronic right forefoot diabetic foot ulcer unfortunately suffered a stroke resulting in left hemiparesis, leaving the managing team in a difficult situation to balance between patient’s independence in function with safety.
PO is referred to continue chemical dependence treatment at the community agency. PO will need to have a new assessment to determine appropriate level of care. PO is recommended to attend minimally of two self-help meetings per week, abstain from all mood-altering substance, and utilize positive support structure to aim and maintain substance free lifestyle.
In evaluating the outcome and measuring the success of the team, we went back to the objective that was established to determine if these were met within the timeline specified?
The applicant requests an upgrade of the characterization of his discharge from general, under honorable conditions to honorable. The applicant states, in effect, his requests for an upgrade is based on a general discharge that was given for a positive urinalysis. The applicant contends, he was diagnosed with Post-traumatic Stress Disorder (PTSD). He was receiving treatment for his in the line of duty PTSD disability. The applicant further contends, he struggled during reintegration, having difficulty operating a vehicle safely, and was cautious and nervous of aggressive drivers. The applicant states, that medical therapy began to determine the best treatment for him; however, he took it upon himself to self-medicate with marijuana. The applicant contends, fellow Soldiers took the opportunity to run from the test, he chose to face it assuming he would receive help for issues. The applicant contends, he had a pristine military record, is seeking to better himself for his family, and is now dealing with the ramifications of his discharge.
SSA received a phone call from Verna Goecke-PRPV inquiring if the Bond family was aware of Katlyn’s discharge from the facility. She stated that she had not heard from Mr. Bond regarding the discharge notice and according to Katlyn she had not discussed the discharge arrangements with her parents. SSA shared that two messages had been left on Karen Kohn’s cell phone. We discussed that in the event the family did not arrive to the meeting location this morning, PRPV was willing to transport Katlyn to the family home. Verna asked SSA to email the family’s home address in the even they needed to transport Katlyn to the home.
As a community social services assistant, I work directly with pediatric patients that have been discharged from St. Vincent Hospital. When meeting with patients post discharge, I have noticed that they are often confused about the types of services they require. I have considered various options to address this issue and have come up with a potential solution. Hospital admissions can be overwhelming for young children; I am suggesting we trial providing homecare information in a more fun and less intimidating manner. I am suggesting we hire a popular local clown named Claris who performs at children’s parties .Claris is passionate about helping children, and would be able to explain homecare information in a fun and interactive way that would be easier for children to understand.
On April 6, 2016, at 1645 hours, MSA Clerk from Woman’s Clinic notified VA police of disruptive Veteran. The Veteran entered the Clinic after hours stating they were going to the Pharmacy but instead went to Women’s clinic and demanded to see a doctor. The Veteran hit the window when, they informed her that the doctors had gone home for the day. VA police made contact with her and she stated she needs medicine or she would die. VA Police asked her mutable times if she wanted EMS called and she stated “no”. The Veteran was given a verbal warning for violating 38 CFR 1.218 (b) (11) Disorderly Conduct which creates loud boisterous and unusual noise. Veteran departed VA controlled property without further incident.
In September of 1993, my mother, Pamela, was stationed in Kuwait. After a few weeks of deployment, she was informed that she was pregnant and would have to return to the states. In April of 1994, in Fort Lee, VA, she met her husband, Richard. A month later I entered the world, and she was given a choice; leave me with a family member and return to Kuwait, or be discharged from the Army. Having already left behind one child she chose to be discharged as well as to settle down and have a family with Richard. Three years later they welcomed a beautiful baby girl into the world, and the next year a baby boy. To people on the outside looking in they were a perfect family, but looks can be deceiving.
The applicant requests an upgrade of his general, under honorable conditions discharge to honorable and a change to the narrative reason for his discharge. The applicant states, in effect, he has submitted two requests to have his discharge upgraded. The applicant contends, unfortunately, his requests were denied on both occasions. The applicant further contends, he has been receiving disability compensation for multiple disabilities. The applicant states, he has an anxiety disorder that is associated with Post Traumatic Stress Disorder (PTSD). The applicant further states that on September 3, 2014, the Secretary of Defense issued a memorandum to the Boards for Correction of Military/Naval Record (BCM/NR). To carefully consider each and
There are many steps to the discharge process and while it is important to think big one should focus on starting small to achieve short-term wins. Demonstrating quick wins will help foster increased engagement. One area to gain a quick win is to partner with community physicians by arranging follow-up appointments prior to discharge. In a recent study Bradley et al. (2014) data indicates that this effort contributed to a 0.52 percentage point reduction in readmissions (Bradley et al., 2013, para. 2). Another area to introduce new practice is in increasing the number of at-risk patients who receive referrals to home health care and post-discharge phone calls. “The effect of home visits reported that with continuous post-discharge home care,
The applicant requests an upgrade of his uncharacterized discharge to general, under honorable conditions and a change to his reentry code. The applicant states, in effect, at the time, he enlisted, he was only 18 year old and he was unprepared mentally for the challenges that awaited him in the Army. The applicant contends, he have matured and he has mentally prepared himself to reenlist and face these challenges once
On September 16, 2016 at approximately 00:44 hours, East Officer Ariel Weiland (419) along with fellow Officer Omar Alonso (420) and Security Supervisor Steven Evans (407) responded to a (51S) Patient Stand by in E.D. room #24. Upon arrival Register Nurse Corrine Caswell stated, patient Anthony Stafford (DOB/FIN: 02/16/1966; #86183714) had been medically cleared and was about to be discharge but prior to being discharge, he requested Narcotics to be administered before he leave. Nurse Caswell informed him that she was not able to fulfill his request. Mr. Stafford then began complaining and requested to speak to a Charge Nurse in order to submit a formal complaint. At 0100 hours E.D. Charge Nurse Luke Monterola arrived and spoke to the patient
Appropriate and complete post-operative discharge instructions should include preventative and basic care guidelines for a patient that has went through surgery and was given sutures/staples or bandages including casts, splints, and slings. The instructions should be supplementary to information and guidelines verbally given, and should be concise and easy to read. The instructions should include the veterinarian’s name and the medical staff’s phone number line, as well as the hospital’s general phone numbers, hours, and address.
As you know Sir I completed a package to possibly have an opportunity to be a Coast Guard Recruiter. In my initial attempt to have my package endorsed by the command, admin would not sign the endorsement due to preview CG-3307, that was interpreted as a violation of the Arts. 2.B.1 Discrimination. On the 3Jul15 I had my interview for the position, which i believe went pretty well. I was contacted by Mr. Ada M. Harris and he requested my endorsement get forwarded.
I enjoyed reading your post. Your response to the discussion question and your thoughts on terminating a client is similar to my companies discharge plan. One of the criteria to our discharge plan is to go back and review each individual family member desired outcome. We have them express if they feel their desired outcome was met or if there is some issues/concerns we have not addressed. I feel this is an important aspect to address because it not only give you the therapist/counselor and idea of the progress you have made with the family but it also provides the family with a sense of impowerment. It shows the family you do care about their issues/concerns and those issues/concerns matter.