Mr. Phillips, this is Ms. Daniels from Memorial Hospital. I am calling to confirm that the request for the medical records for Ms. Munstrom has been reviewed and approved. The request meets the standards set forth by Georgia State Statute 24-9-40; which requires signed authorization from the patient for the release of medical records unless there is a court order. Since the request doesn’t specify the type or subject of the information needed. (FindLaw)…
On 11/3/2015 S/S EMT Salamy requested S/O EMT Perez up at VP-106. S/O EMT Perez had treated the resident earlier and the resident, a Mrs. Miriam Donovan had been discharged by Laurel Hospital and was confused and agitated upon arrival back to her apartment. SO EMT Perez arrived at the apartment and was told by S/S EMT Salamy that the son, a Mr. John Donovan was on his way to the apartment with an ETA of about an hour. Mrs. Donovan was confused on why she could not be with her husband in Arbor Ridge and that she believed that she was being brought in to some sort of “ruse”. SO EMT Perez attempted to explain the situation several times but due to Mrs. Donovan’s hard of hearing and mental status it was all for not. SO EMT Perez sympathized with Mrs. Donovan and calmed her down as best he could while assuring her that her son was on his way and that he would not leave her side until he arrives.…
9:00-9:47AM. SC received an email from OLTL noting approval for increase in PAS hours. SC made required changes in SAMS and Oracle. SC contacted the provider Home Health Care on 12/31/2015 at 9:19 and spoke with Ferline an after hour’s receptionist. SC left detail message stating reason for calling and contact information. Ferline states that the office will be opened at 9:30 and she forward SC message. SC thanks Ferline and end call. SC place call to Pa caregiver Caroline and informed her of service approval. Caroline was pleased to hear stated that she Pa’s current DCW ( Ruddy) is no longer available to provide care to Pa in the same manner he was able before and she is in search for a replacement. SC suggest Caroline use an agency aide until she finds a suitable replacement because Pa’s needs are high and bot having adequate help can leave her burned out and Pa at risk greater declined.…
Circumstance: Ayden will maintain contact with medical team monthly. MS. Smalls (MHP) and Mrs. Wigfall (MHS) review and sign the current Individual Plan of Care (IPOC)…
HOSPITAL COURSE: This 57-year-old Cuban female was admitted from my office for treatment of severe stomatitis and mild volume depletion secondary to poor fluid and food intake. Initially, the possibility of erythema multiforme-like picture was raised because she did have some skin lesions. However, dermatology consultation with Dr. Kato suggested this was most likely methotrexate related. She was given intravenous leucovorin and high dose prednisone treatment. This along with her intravenous fluids stabilized her condition. At the time of discharge her oral ulcers had markedly decreased; she could sallow without difficulty and her p.o. intake was adequate.…
1.) Documentation pertaining to his case history-Cherron was told by the senior counselor that during the active chart review, the senior counselor have noticed that Cherron would schedule his patient next appointment, but it does not reflect on the patient case history. For instance, Cherron scheduled Patient #3112 on September 7 to be seen again on 09/15/2017; however, no documentation in the case history as to whether or not the appointment was reschedule, cancel, and/or no show for the 15 of September.…
Laboratory results and vital signs were telephoned to her physician. Her physician order’s included the following:…
In the Matter of Annette B., the father made periodic and insignificant efforts to find his child once his confinement was over with. There was inadequate evidence to disprove a conclusion of abandonment. There was very little the dad could do while incarcerated. The grandmother of the child either could not or would not help locate the mother, and the Department of Social Services in New York wouldn’t help the grandmother. Not one thing in records the records recommends that the father had been notified of the facts that the mother had moved to Orange County, New York, or that his daughter was in the custody of the State. However, it still should have encouraged the father to one way or another try to track down his daughter to keep contact with her.…
Dr. Green and Dr. Carter were nearing the end of the first year of their medical residency in the emergency department of County General Hospital. It had been a long year and a long week. They had been on duty for the last 12 hours and things were not slowing down.…
On the surface Edna seems to have it all, the perfect life as it would be perceived by society. She has two children and a doctor for a husband. However, Edna doesn’t feel as if this completes her; instead, she enters a phase of self-discovery and a sense of finding passion again. Edna is trying to break traditional ties that claim that she should be a good mother-woman. This ultimately leads to her awakening or freedom from the life that she believes restricts her. Edna’s sense of awakening happens in stages with different aspects leading up to the final awakening. Her awakening is a cycle that is completed with many different events synching together to form a better understanding of Edna Pontellier.…
Edna’s first awaking happens in response to her being around people of Cajun descent who openly communicate and touch. While spending time on the beach with a Cajun women Edna is touched, this touch is not in a sexual way, but is outside the norm and starts Edna’s journey towards what she will accept versus what is socially acceptable. Edna says that mother-women “created the embodiment of every womanly grace and charm” {Baym 567). Edna does not consider herself to be a motherly-women. Edna’s second awakening occurs when she pushes the bounds of her immortality by swimming out farther than she thought that she could, but still makes it back to shore. This leads her to try new thing even to the point of speaking back to her husband. To speak…
In the novel, The Awakening by Kate Chopin, Edna is a married woman who abandons her family to achieve her goal of having freedom. The first part of the novel takes place in the Grand Isle, where she meets friends like Adele Ratignolle, Mademoiselle Reisz, and Robert. While at the Grand Isle Edna awakens to the fact that nobody can posses her while she was swimming. Robert and Edna have a very close relationship where the two of them are hanging around each other for a long period of time. Robert leaves for Mexico which causes Edna to become depressed. She returns home where she meets Arobin, who she had an affair with. She sent the children away and Adele was telling Edna not to act like a child. Robert comes back from Mexico and tells her that he loved her and wants to marry her. Robert leaves Edna because he loves her and that causes Edna to commit suicide. “Edna’s suicide represents her final attempt to escape -to escape her children, her lovers, and most important, time and change. For only by complete isolation of self can Edna be truthful to her inner life”(Susan Rosowski). Nobody what Edna did to try and escape her responsibilities never worked which led her to commit suicide. She can’t take…
District nurses. Normally these come on a weekly basis and it’s important that we keep communication with them. If anything changes in an individual, then we will know what care is needed and on the other hand if we notice anything that raises a concern it’s important that we communicate with them promptly in order for the individual to receive the correct treatment as quickly as possible.…
Secondly, there is the issue of the family, and their inability and lack of understanding to adequately care for the patient at this time. The team would discuss the concerns regarding the patient’s family support, and their understanding of what Mr. Trosack’s discharge needs would be. As the patient and his son have been distant and unable to really unite, a social worker referral may be needed to help bring the family together.…
My first day with my preceptor this week (Wednesday October 26, 2011) was cut short due to a school obligation and personal situation. Although I only spent five hours on my unit, I did my best to make them count. I was particularly excited for my patient assignment today because I was caring for two infants which is truly my passion. My first patient was the same patient I had cared for the previous week, a now 21-day-old baby boy admitted with a positive urine culture and blood culture. I was glad to have this patient again because I was able to further build on my relationship with the patient’s Mother and reinforce the education I had provided previously. While caring for this patient I think I demonstrated the clinical competency of evaluating the effectiveness of the patient’s plan of care utilizing critical thinking and the nursing process and revising the patient’s plan of care. For example, this patient was responding well to his antibiotic treatment every six hours, as well as consistently taking in adequate amounts of formula with each feeding. While calculating the intake and output I noticed that the patient was urinating excessive amounts. After assessing the hydration status of the infant, I questioned the primary physician regarding the need for the client to be receiving maintenance fluid at a rate of 10ml/hr. The doctor agreed that this was excessive for such a small infant and requested the…