Uncharacterized Discharge Case Study

Patients recently discharged from acute care back to the community are at an increased risk for hospital re-admission (3). Efficient collaboration between interdisciplinary health professionals and nurse liaison can improve discharge planning processes.

The history and physical report is usually the first document to help a physician determine a diagnosis and begin to help the patient get better. The missing section of the given HP form is the chief complaint. The chief complaint forms the second step of medical history taking, and is a concise statement describing the symptom, problem, condition, diagnosis, or other factor that is the reason for the visit. This is a statement in the patient’s own words.

One of the best examples of the success Veteran’s Treatment Courts can provide is that of Nick Stefanovic. In 2002, Nick Stefanovic joined the Marine Corps. He served one tour in Iraq, and two in Afghanistan. When he returned home in 2006, he started experiencing symptoms of Post-Traumatic Stress

This week’s reflection paper focuses practice-based evidence and the operation of the theoretical framework of person-in-environment as each relates to discharge planning at UMPC Mercy Detoxification Unit (UPMC-MDU).

The hospital that I worked for while working as a case manager was not in network with Kaiser Permanente. It was also the time when the hospital started to hire hospitalists to manage patient care while they are a patient in the hospital. It actually worked out because it filled in the gap in patient care. The hospitalists were acting as the patient's primary care provider. Kaiser as with many other insurance have a case manager designated to ensure that the patient is meeting criteria not only for an inpatient hospital stay but for the level of care they are receiving as well such as ICU, Stepdown, or Med-Surg. I would have to give them an updated clinical information daily or every 3 days depending on the severity of illness. As a case manager, I was responsible for discharge planning and I preferred to transfer the patients to

Hunter Airfield Base in Savannah, Ga I stood there reticently facing my First Sergeant and Captain, being admonished by them. Months had passed and I haven’t recovered from the accident and it bothered them to the point that they had separation papers all laid out before me. My quiet attitude, begin to uproar a bit, I became vociferous pertaining to my career in the army. My career was coming to a screeching halt right before my eyes. My dreams of being an officer in the United States army, ever since I was a little girl was about to come to an end. “Pvt. Aaron, you are no longer physically, or mentally stable and you army being released from active duty.” Captain Mackenzie said. In my response, “Captain, First Sergeant, both of you denied my doctors convalescent leave and his rehabilitation orders for me and now you want to take my career from me too.” Then they proceeded and said “Sign here on this line Private and I didn’t know what else to do but sign. Didn’t know my rights or who to turn to. I was just as lost as a deer on a dark, dark, night in headlights and that’s just how lost I

1. I chose to cover special veterans’ courts for this paper. This court was created back in 2008 in Buffalo, New York. It was created by Judge Robert Russell in an effort to help veterans who have broken the law due to the adverse psychological and emotional effects that military service can have upon a service member. Some veterans, after undergoing various combat situations, being cut off from family and friends, and other hardships associated with being in the military, are not able to properly assimilate back into civilian life, if at all. They may resort to drug use or alcoholism to cope, and/or act out in other ways as well. In the various articles of this kind of court I’ve read, courts usually require that the veteran’s offense

Ineffective discharge teaching often leads to unnecessary admissions to the hospital resulting in negative patient outcomes and decreased patient satisfaction. This negatively impacts the well-being of the patient and creates a financial burden on institutions. As a result, this universal practice issue requires a call to action on the part of the nursing profession. Nurses can proactively assist in assuring incidents of readmission do not occur. Nurses as educators play a critical role in the successful transition of patients from hospital to home. The overall goal of discharge education is to ensure there is an exchange of critical information between the patient and nurse in which plans of care are understood and followed. The research

To the millions of veterans that have served this country by leaving behind their world as they once knew it, thank you. Entering the world of a soldier comes with a culture of warriors who are taught and trained to be ready to kill, but also ready to save, heal, and comfort (Hansen). Sergeant Hansen served in the United States Marine Corps for nine years and was deployed three times, once to Iraq and twice to Afghanistan. He was honorably discharged in April of 2014, however like many other veterans, his military experience has impacted his new civilian life due to Post-Traumatic Stress Disorder, or PTSD. It is paramount that a proper system concerning military veterans of the United States is established for the process of re-acclimating soldiers back to a civilian lifestyle. Within the current system and process that is being used, veterans with Post Traumatic Stress Disorder are discharged without the support and guidance they need to efficiently return to the civilian world.

Regulations found at 55 Pa. Code § 275.5 stated that the issue “is not whether the CAO or administering agency acted properly based upon the information then available, but whether the appellant was eligible for the period of time at issue based upon evidence of eligibility the client is able to provide at or before the hearing”. The Department’s Representative’s testimony was that the new determination based on the new information was still pending with another Department worker and that the issue of the appeal was related to category MG-91, specifically. The ALJ finds that prior to the administrative hearing the Department was in receipt of information that could have altered the Appellant’s eligibility for MA. Prior to the administrative hearing, the Appellant should have been reviewed for eligibility under the MAWD program as requested on her appeal and issued a new eligibility determination, but the Department failed to do

The applicant requests an upgrade of his general, under honorable conditions discharge to honorable. The applicant states, in effect, his discharge is unfair, because his mental condition was not acknowledged or considered. The applicant states, in effect, he had two separate offenses related to Spice, but he was never found guilty of possession, using, or purchasing Spice. The applicant contends he admitted to having tried Spice before when he was in a deep depression/anxiety state, after he was wrongfully assaulted by an El Paso, Texas, Police Officer. The applicant states, in effect, he was slammed face first into the concrete by an El Paso, Texas, Police Officer, causing severe dental fracture. The applicant contends his resulting appearances cause him to isolate himself and seek treatment from behavioral health services for atypical behavior. The applicant contends that after months of seeing a psychiatrist and psychologist, he was making progress until his identical twin brother separated, and his support system immediately deteriorated. The applicant contends he started binge drinking, even though he was under age and when he could not get alcohol, he would go ballistic. The applicant states, in effect, he unfortunately turned to Spice, which led to him be spotted

A typical recurrent problematic situation for this veteran is that he is verbally aggressive with other individuals. The veteran displayed this aggressive behavior when the writer attempted to speak to him when he came back from his walk. The veteran was irate, spitting, screaming, stating he would be moving from VHN, and would no longer see me. Typically the veteran shows little remorse and empathy for those that he offends, causes discomfort, scares, or invokes anger in. The veteran did express remorse upon my return to VHN, but he also spoke to his social worker about the incident prior to my

In “"A Less Than Honorable Policy."(2016) , John Rowan, expresses he feels that “the Army continues to deny [the} request for an honorable discharge”(1) for those who were less than honorably discharged for medical reasons. Rowan uses a person narrative to help understand what happen to someone in real life (“Just a few weeks after his unsuccessful suicide attempt, he was issued a liss than honorable discharge for what the Army labeled seriou misconduct.”(1)) this helps the reader understand that there is something that is happening off of the time people are in the military and people who are off duty. The author begs that the current president does what the previous one have done about the veterans and their problems (“ President Gerald

Veteran has four admission and discharges in CAVHS in her record: June 2012 (3K); August 2012 (3K); March 2014 (SICU); July 2014 (3K). She has also received care from Biloxi and Texas VAMC 's in the past. Veteran served in the US Army between October/2004 to March/2004, with an Entry Level Separation (ELS- Medical) discharge and her highest rank were an E-3. Veteran reported she received an injury while

In my opinion, discharging patients from the hospital is a complex process that is fraught with challenges. In this case, 55 years old man is a senior citizen and suffering from a severe disease he should not be discharged for a measurable time limit because it has been observed in the USA that around 20 percent of patients are readmitted within one month after their discharge from hospitals. As the matter of the payment of medical expenses of the old man is concerned, there are always arrangements on behalf of the government in all states of USA.With efforts to decrease the length of stay for hospitalized patients over the past two decades, a reasonable concern has been raised that early discharge, if premature, could increase rates of readmission.