notification.
notification.
Social History: Married, has one daughter. Patient works as a substitute teacher. Smokes one-pack of cigarettes on a daily basis. Denies ETOH, smoked Marihuana last night. No IV drug abuse.…
Presenting Problem: Currently at Poplar Springs Hospital as a TDOafter running away from home following Chesapeake Police involvement. She verbalized suicidal ideations and stated she was homicidal wanting to stab her family and kill them.…
1. Veterans Services: QA identified 2 errors - the effective date of combined SC% is missing.…
Prior to this, Yommala only had 11 left to complete. The concerns are that based on her caseload, many of her patient’s were missing treatment plan since 2015 and 2016. Senior Counselor questioned Yommala as to how this could have happened when in 2016, Counselors had three months to ensure treatment plans were current due to “ Smart” not populating the treatment plans. According to Yommala, there were mutliple changes within the clinic, referring to the treatment plans-At one point, treatment plans were completed every three months and than changed to 6 months. Yommala reported about inputting the treatment but may have just overlooked with regards to the several treatment plans accidentally. The Senior discuss strategies with Yommala in the hope to be current with her services…
SOCIAL HISTORY: Patient admits to alcohol ingestion nightly and on weekends. Denies tobacco use. Denies illicit drug use. He is married.…
On 12-3-16 during QBS training, Karlie Eis failed to demonstrate a willingness to provide the standard of care that is needed for working with an at risk population in the CPRS program. Per the Recipient Rights Handbook a recipient of mental health services has the right: “to be, free from abuse and neglect, and treated with dignity and respect”.…
D-The patient arrived on time for her counseling session. Reported that the she is unstable on her dose and requested for an increase of 5mg to due to withdrawals symptoms: sweats, nausea, body aches, and also, craving. This writer completed the dose change request form. Alternatives were then discussed about her recent relapse- Heroin-1/2 bundle by inhalation & Cocaine-1-2 lines by inhalation. This writer addressed the patient recent hospitalization as she define as the worst and unethical experience. The patient felt Rockville Hospital did a poor job with assessing the patient's well-being and judged her for receiving methadone and, as an addict. Please note, the patient provided her discharge summary and it's documented in the record by…
SOCIAL HISTORY: Patient admits to drinking beer on the weekends, some tobacco use, but no illicit drug use. Divorced with 4 children, is a long-haul truck driver. Lives with his fiancé.…
SC contacted Pa PCP and requested Rx for grab bars installation. SC made an ordered OT evaluation from DME provider All Care Medical and several others SC was unsuccessful in obtaining an appt because the DME provider does not have OT or PT on staff. SC called Pa and informed her. SC informed Pa to get another Rx from her PCP to send an OT to her home to complete the evolution and then have the result faxed to SC. SC informed Pa that once SC receives the OT evaluation; SC will complete service order in oracle and faxed referral and script to ALL Care Medical for equipment and installation. Pa reported that she will call her PCP and get things started she is looking forward to getting the grab bars install. 3:47-3:35 on 1/05/16.…
Since the last plan, this writer haven't meet this patient as she still remained at Touch Point-higher level of care. The patient methadone continues to be transported to the facility for ongoing treatment. Please note that the patient was hospitalized in December of 2015 due to Pneumonia, HTN--then Delirium-Schzophrenia then transferred to IOL on 12/19/2015 then eventually to Touch Point. At this time, the patient is seldomly decreasing her methadone and may consider to relocate to Ohio to seek treatment at a suboxone clinic. However, no plans have been inititated for the transition as the patient appeared to be worrisome about the notion of moving to Ohio and residing with her sister. HCRC medical team will continue to coordinate care…
Patients who are discharged from Wichita Co. will be set up with an appointment at Helen Farabee or a private Psychiatrist to be assessed and to continue their treatment. Patients from other counties will be discharged to the local MHMR. Other resources that are often used include nursing homes, assisted living, group homes, food bank, county jails and much more. Challenges occasionally arise when dealing with outside agencies and patients. Once patients are discharged some may be non-compliant with their treatment. Miscommunications and the lack of communications with outside agencies can also present a challenge. A challenge that the Wichita Falls Campus is concerned with is limited bed space. With increasing awareness of mental illnesses the number of patients seeking medical treatment is rising. As well as population growth in general giving rise to mental illness manifesting in younger people the need for larger facilities is greater. There are also more rare mental illnesses being diagnosed at earlier stages due to an increase in medical research requiring longer treatment and placement…
treatment, payment or operations or disclosures to family or others involved in the enrolled person 's…
From SUMMERS. Fundamentals of Case Management Practice, 4E. © 2012 Wadsworth, a part of Cengage Learning, Inc.…
Due to an increase in depressive symptoms, suicidal attempt, history of attempts, harm to self, patient does meet criteria for IVC and inpatient hospitalization. TACT consulted with Dr. Snyder and it was recommended to refer for inpatient hospitalization for safety and stabilization. TACT assisted the ED doctor in completing IVC paperwork. TACT will search for appropriate…
Patient is a young female, between 20-30 years of age, with history of schizoaffective disorder who has been hospitalized for about 3 months in an acute facility for acute mania with psychosis and disorganized/combative behavior. At first, patient refused to take medication, so a hearing was held and was deemed with an involuntary treatment commitment. Initial medications were found to be ineffective, which called for further treatment. Over the past few months, medication regimens were balanced out, patient seems to be doing much better. Patient has recently been transferred to a stepdown facility while she is waiting for placement to the State Hospital.…