Tis means that the cancer cells are only growing in the most superficial layer of tissue, without growing into deeper tissues. This is also known as in situ cancer or pre-cancer.
On this date worker made an unannounced visit to the residence of Mr. Lawson Lovett, for the purpose of linking Mr. Bobby Lovett with VA nursing home application and information. When worker arrived, Mr. Bobby Lovett was cutting grass. Before worker could exit vehicle Mr. Bobby Lovett came to worker's car. Worker exited the vehicle and explained the reason for her visit. When worker gave Mr. Bobby Lovett the nursing home application he gave it back to worker and asked worker if she could help him fill out application because he did not have much education. Worker explained to Mr. Bobby Lovett she would assist with the application. However, he would need to gather documentation and sign application for Mr. Lawson Lovett since he was POA. Mr. Lovett gave worker his number and told her to call, they would set up a time to fill out
Monday was a slow day at the office, and I was not given a task by my supervisor to complete. I took the initiative to email everyone in my intake department. My email asked if anyone needed assistance with their cases to contact me. An intake case worker saw my email and told an ongoing caseworker who need assistance. The ongoing caseworker asked if I could assist her with transporting a child from the Perseus shelter to the McKean County Court House. The ongoing caseworker said she did not feel comfortable with transporting her teenage girl client in her car alone. The ongoing caseworker wanted another caseworker to monitor the girl’s behavior. I accompanied the ongoing casework with transporting the youth to court. The
During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.
The patient was located on the fifth floor and as I was bringing them down the elevator, there was a family member of a patient in the elevator. Under HIPAA regulations, I cannot allow others to view the patient confidential information that I had in my hand. As we got to our stop I told the patient to follow me through the mechanical doors. I told the patient to wait in cubical 2 and that the nurse will be with then in a few moments. In addition, I will be getting them a warm blanket once I come back. I headed to leave the binder at the receptionist desk in the OR where they had another patient pick-up waiting for me. Before I left, I went to get the patient a warm blanket from the storage area that had temperature control. I gave it to the patient and left. Ronnie saw me and asked me if I did the patient pick-up alone, I said yes and he was surprised. Usually he needed to teach others in order to know what exactly they had to do. The only reason why I knew that I had to do everything that I did was because Ronnie told me everything verbally. He did not have to show me what to
After promising to provide me with documents confirming Petitioner's allegations, Mr. Sundstrom did provide me with the promised documents. As a result, I called Mr. Sundstrom the following morning. After asking about the promised documents, Mr. Sundstrom responded, "Chermette can access the records. I said, "Chermette does not work in the department that handles mental hygiene applications. More importantly, unauthorized access represents a HIPPA violation. I plan to file a complaint with the DC Office of Disciplinary Counsel, unauthorized access would taint the documents." Realizing Mr. Sundstrom did not offer to provide me the documents, I said, " I will stop by your office and pick up the documents." Contrary to what Mr. Sundstrom said many times the prior day, "Well, I do not have any documents. I only have a cover sheet with
On 03/11/2016 SC met with Pa in her apartment for a RA visit. Pa 's Agency Model PAS aide was not present while SC was there. The Pa appeared poorly groomed and dressed in dark color clothes. The apartment was dirty and cat litter and feces on the table and floor. All utilities are in working order. The Pa reported numerous hospitalizations between Temple University and Episcopal University. The Pa did know the exact dates of admission and/or discharge. However, the Pa stated that reasons for admission were either asthma exacerbation; COPD and/or fluid around the Lungs. The SC placed call to Temple University Hospital medical records department and inquiries about Pa admission and discharges. The SC was placed on hold for a long time and when the SC did speak with the receptionist she stated that most of the Pa admission was at Episcopal Hospital Temple University and she did not have the time to go over every admission she provided the SC with the medical records department telephone number for Episcopal. The SC thanks her for her time and end call. The dates of ER visits and hospital admissions are as follows: 11/2015, 12/2015, 3/1/2016-3/4/2016, 3/5/2016-3/6/2016; and two ER visits 2/29/2016 and 3/7/2016 at Temple University. SC reviewed Pa’s services and per Pa he is receiving services in the type, scope, amount, frequency and duration as specified in the ISP. But the SC reasons to doubt that the Pa is receiving service according to the ISP. The SC arrived at the Pa’s
This writer agreed to meet with the patient as she missed group and her scheduled individual session with this writer. The patient apologized to this writer for her absence and then reports about transportation issue. This writer discussed with the patient about her MVA this month on the 18th and the status of obtaining a police report. The patient reports, " I can get the police report by the next appointment. I just have to go to my insurance company that isn't too far from where I live to get a copy of it."
SC asked Soon if Pa could stay late on 1/14/2016 for SC to visit and will she be able to provide her with transportation home. Soon stated that she can try by she can’t promise that. SC thanks Soon and told her SC will discuss above information with SCS and call her at a letter time. SC called with Soon 12 minutes. SC consulted with co-worker about the day care policy and she confirmed that after 4.5 hrs a provider can bill for a full day because it includes transportation. This conversation lasted for several minutes. SC tried to find reading martial about this policy but was not very successful. SC placed call to Active Aid Solution and spoke with Tanya who reported that they had received the service order a while back but it did not include an installation. SC informed Tanya that’s SC had completed service order the installation but SC was not able to put it in before 2/1/2016. SC informed Tanya of this and she stated that the device was installed back in October, 2015. So she was asking SC to back date the service order to match the service delivery
In 1941, we formally entered the war. Around the same time, the Ellis Fischel Cancer Center was opened, turning into the first state-possessed and operated clinic west of the Mississippi River dedicated solely to the consideration of cancer patients. I was seventeen years old when war had been declared on Germany. While the men were off at war, women would do as much as they could for the war exertion. Case in point, I went to the USO dance halls with the men who were being sent abroad. On the off chance that I wasn't there, I was helping in the greenhouse. At that point, the day of the assault on Pearl Harbor came around. Sincerely, I can't remember where I was at the time. Yet, I do recall the amount of praying we did and listening to the
This writer escorted the patient to Nursing Coordinator Kesley office as the Nursing Supervisor was not in her office. Upon entering Kesley office, Kesley was having a discussion with another nurse and this writer apologized for the intrusion. This writer addressed to the Nursing Coordinator that the patient is experiencing bedbeg and the patient is aware he will not be dose by the Nursing window, only curbside. It appeared that Nursing Coordinator was being abrasive towards the patient as she explained to the patient as to what is needed before the patient can reenter the clinic. The patient then became agitated and shouted at Kesley and says, " Kiss my Ass, " and then proceeded storm out into the lobby area.
Usually, on Thursdays, I’m at my field agency from 8am-3pm, the Career Services from 3-5pm and attend classes afterwards. The front desk at the Health Department called to confirm if I would be at the Agency and I confidently responded “Yes”. She said she was just making sure because I’m usually early so she was wondering what the problem was since my 8am client was already at the Department waiting. I checked my schedule and wished I could fly to the Agency as soon as possible. I felt so awful about this honest mistake because that has never happened to me before. I told the front desk person to tell my client’s mother that I would be at the agency as soon as possible since I was already on my way. When she got the phone, the client’s mother said she could not wait because she was already running late for work so she reschedule instead.
Hello Regina, it is very nice to meet you. I am new to Ohio University and currently taking 4510 and 4520. I’ve never taken online classes before and this all seems a bit overwhelming for me. I’m sure it will get better once I get the hang of it. My goal is to become an Oncology Nurse, so I hope to be where you are now. I don’t have any kids, but I do have lots of nieces and nephews and they are a lot of work. Being a mom is the hardest job in the world, so much respect to you! Good luck to you in your