Case Study: Resident

Resident’s highest level of education is Standard II, which is equivalent to middle school in the U.S. Resident stated that he could not complete high school due to his father passing away. Resident said that he assumed the role as the man of the house and started working on a farm to support his family. The resident was able to buy and own the farm he worked on. Since the resident’s arrival in the United States, he worked in a warehouse in the Brooklyn Navy Yard. The resident’s most recent line of work was building furniture for a company. Resident stated he has no military history. Resident is currently receiving Medicare, Medicaid, and Social Security.
Psychiatric, Substance/ Alcohol Abuse, Incarceration, Medical History and Abuse to
Self or Others (Physical, Verbal, or Sexual):
Resident reports not having a psychiatric history. He also reported that he does not have a history of substance and alcohol abuse. Resident also reported that he does not have a history of incarceration. Resident reported that he had surgery to have his leg amputated. Resident reported that he does not have a history of physical, verbal, or sexual abuse to himself or others.
Nursing Home Admission:
Resident was admitted to Brooklyn Center for Rehabilitation and Healthcare on 01/06/2017 from Flushing Hospital.
He was admitted to Flushing Hospital on 12/18/2016 with primary diagnoses of Infected Left Toe, Cellulitis, LT LE and RUE Gangrene, Osteomyelitis, and secondary diagnoses of S/P Partial 4th & 5th Ray Amputation, LLE Angioplasty, S/P RUE Angioplasty, ESRD ON HD ~ RT AVF – M/W/F, PAD/PVD S/P RT BKA W Prosthetic, HTN, DM W Neuropathy, and HLD. Resident is alert and oriented x3 and able to make all needs known. Resident uses a wheelchair to ambulate.
Housing/ Level of Functioning:
Prior to his hospitalization resident resided at Brooklyn Adult Care Center Assisted Living located at
2830 Pitkin Ave, Brooklyn, NY 11208. Before Living at Brooklyn Adult Care Center Assisted Living, resident was staying at Highland Care Center located at 91-31 175th St, Jamaica, NY 11432. Prior to going to Highland Care Center, the resident was living with his wife at home situated at 137 Linwood Street, Brooklyn, NY, 11208. Resident stated that he was living at home with his wife up until having his leg amputated.
Hobbies:
Resident stated that his favorite thing to do is work. Resident reported that his favorite hobby is being able to provide for his
family.
Advanced Directives:
Resident’s family was educated on Advanced Directives. MOLST-CPR order was initiated.
Discharge Plans:
Resident was admitted to Brooklyn Center for Rehabilitation and Healthcare for short term care. Upon completion of treatment, resident and family plans on being discharged back to the community.
Goals/ Plans:
Social Worker will continue to establish rapport with resident. Social Worker will monitor resident’s moods and changes in overall status. Social Worker will maintain communication with resident regarding his plan of care. Resident will adjust to environment, participate in plan of care, and verbalize all needs and concerns as needed.