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Walker Baptist Medical Center: Case Study

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APS Supervisor Matthew Mitchell made face to face contact with Mr. Charles Hamilton at the Intermediate Care Unit of Walker Baptist Medical Center on 7/17/15 at roughly 10:30 AM. Before visiting with Mr. Hamilton in his room, Mitchell spoke with Ginger Kilgore, RN Case Manager, in her office. She stated that Mr. Hamilton was ready for discharge. She admitted that the hospital was aware Mr. Hamilton’s home in Carbon Hill was currently without electricity and water, but that no alternative placement could be found, nor would Mr. Hamilton agree to discharge anywhere but his residence. Ms. Kilgore also mentioned that Dr. Claude Osula admitted Mr. Hamilton into their care a few days ago due to low potassium levels. He noted in his discharge summary …show more content…

Charles Hamilton in private in his room at Walker Baptist. Mr. Hamilton was dressed appropriately. He was wearing a red polo shirt, blue jeans, boots, and a hat. Mr. Hamilton had his wooden cane beside him. A tray of food was nearby, and it was evident that Mr. Hamilton had eaten the majority of his breakfast. Mr. Hamilton greeted Mitchell upon seeing him enter the room. Mitchell explained who he was and the purpose of his visit. Mitchell reminded Mr. Hamilton that he had worked with him prior to his case being transferred to Jamie Gaines. Mr. Hamilton claimed that he remembered this. Mitchell asked Mr. Hamilton how he was doing. He immediately reported that he wanted to leave the hospital and go home. He went on to say that he can’t stay in the hospital any longer because he feels as if he is in prison. His chief complaint was being unable to smoke a cigarette. Mitchell asked him about his electricity being cut off. He stated that it was currently shut off, but that DHR would pay to have it turned back on. Mitchell explained that the Department could not pay his power bill without someone else stepping in to manage his financial resources, as recommended by Dr. Osula. Mr. Hamilton then explained that he would pay for it with his next Social Security check, which does not come until the 3rd of August. Mitchell asked what he would do at his home until then. Mr. Hamilton replied that he didn’t know, but that he’d rather be at home than anywhere …show more content…

Mr. Hamilton was interested in this scenario only if the facility was Walker Rehab in Carbon Hill, and if he could leave the facility to walk around the neighborhood whenever he pleases. After a discussion with Ms. Ginger Kilgore, Mr. Hamilton was informed that Walker Rehab does not accept his Medicare Advantage plan, and no facility would be receptive to the idea of Mr. Hamilton walking off premises. Ms. Kilgore stated that Mr. Hamilton can remain in the hospital until Monday, at which point his referral may be accepted by a local nursing home and he can transfer to their facility. Mitchell explained to Mr. Hamilton that if he agrees to this plan, he will remain in an air-conditioned environment and fed three meals a day until at least Monday, thereby avoiding the possibility of being outside in likely the hottest weekend of the year. Mr. Hamilton again refused to stay in the hospital for another day. Ms. Kilgore stated that there was nothing they could do to keep Mr. Hamilton there. He has no behaviors to warrant a psych hold, and he is medically fit for

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