Nursing Case Management Case Studies

Mary L Walsh is a 84 y.o. female who presented on 5/6/2017 with chief complaint of back pain and leg pain after a fall. Mary was tearful and reported feeling sad. Mary reported she was in significant pain and requested I asked her nurse for more pain medication. Mary reported she fell at home on Saturday but did not tell anyone until her son David came to the home later that day. Mary reported "I am just getting old and having lots of problems".

This also could have included shooting pain in both the arms and legs. I had the doctor confirm that he never received a history from the claimant of the discrete incident on 12/15/16. I tried to push the doctor off of his opinion on causal relationship, pointing out that there were two different histories of work related injuries but the doctor was insistent that it really did not matter because he felt this was really due to the claimant’s job. He said there might have been an incident that aggravated symptoms but he felt it was part of the heavy duty work the claimant was doing. The doctor did confirm that the claimant was released to return to work without any restrictions on 06/05/17 as he had an excellent result from his surgery.

QEP Scripts for Two Recordings – Audio for Musculoskeletal System; “OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral

I wanted to give you the respect of a face to face explanation of the issues I found in your medical records, which I believe will make it impossible to recover substantial compensation in this matter. Since we have not been able to meet in person, I will briefly explain why I do not want to pursue this case. The UMDNJ hosptial record for your ER visit on April 7, 2015 indicates “patient states he is using crutches at home secondary to a previous left hip replacement that is recalled and he is waiting for surgery, he missed his step on a loose floor board in the house tonight and fell onto his left side.” You “complained of pain in the left shoulder and unable to fully abduct his arm and also has pain in the left hip area and left

This supplement is a record of my actions in cases 16-125169 (April10, 2016) and 16-125698 (April 12, 2016). On April 12, 2016 I was assigned case 16-125169 which involves Ms. Mya Navia a fourteen year old Francis Hammond School Student. On April 13, 2016, I was assigned a second case which was 16-125698 involving the same juvenile. On April 13, 2016 I touched base with Arrosa Kanwai (mother) who had previously denied me access to her daughter (16-119375).

The claimant in this matter is a teacher who at the time of her alleged injury was out of work on a non work related shoulder injury. She appeared on school grounds and alleges that she fell off of a sidewalk injuring her right fifth metacarpal. Apparently, she suffered a minor non displaced fracture of the right fifth metacarpal. When questioned as to why she was on the school premises she told the building principal, Mary Beth Hammond, she was there to do her grades. Ms. Hammond reminded her that she could complete her grading at home and she seemed to be aware of that.

Also, she was seeing the neurologist for a workup of her episodes of loss of consciousness. She is seeing me today for followup after a concussion. She is from Florida and is expecting to go back in two weeks. The patient does have several episodes of loss of consciousness. She states she usually loses consciousness while she is lying down, but sometimes she will find herself on the floor and not knowing how she got there.

In this case, Brunner failed to persuade the ALJ that her disability was the natural and proximate result of her fall on December 10, 2003. The ALJ was free to find Draper’s opinions more credible than Fanchetti’s “conclusory” assessment. Draper’s testimony that Brunner’s disability was the result of preexisting degenerative disc disease constitutes substantial evidence supporting the ALJ’s finding. Moreover, Draper’s testimony was supported by medical records originating before the alleged fall.

Mildred Pasek, my friend and colleague died on August 8th 2017 following an anterior approached back surgery on July 28th at the New England Baptist Hospital. Before you read on, my goal is not to criticize the orthopedic or vascular surgeon’s professionalism, immense skill or personal care of Mildred as these cases affects all providers on a deep emotional and professional level. My concern is for the post-operative care of patients, like Mildred, who have comorbidities, are not necessarily in the ideal condition going into surgery, or at a critical time can advocate for themselves. As well as the debilitating arthritis, she had hypertension required three antihypertensive medications to control. Those meds were held pre surgery, and never resumed.

She seemed like a lady that was very unhappy and had a different way of seeing things in life. She had been suffering from unbearable back pain for the last 13 months. This happened after her fall when she had fallen and fractured her pelvis, coccyx, right elbow and three ribs. She had daily narcotic medication that only moderately helped her. She said that the doctors said that she could go back to work but she said that the doctors did not see what she was going through and that they

Case study of Mrs. A thought her admission to a acute ward, demonstrated the skills that are needed to care for her. 21312829 This assignment is a case study looking at a patient who has been admitted to an acute hospital following a fall. It will look at why the patient has been admitted and what skills are needed to deliver appropriate care.

The patient is a 52 year old female who presented to the ED via EMS with bizarre behaviors. Per documentation neighbors found the patient screaming in her house. Per documentation LEO found the patient attempting to drink a closed bottle of alcohol hand sanitizer fluid. Patient presents with disorganized thoughts and irrelevant subject matter when asked questions about behavior upon arrival. Nursing staff was asked about status before the assessment and reports improvements in the patient bizarre behavior.

18. In his letter of 29 May 2002, her local General Practioner (GP), Dr John O'Dowd described her as a very sprightly 80-year old that had a history of increasing intermittent claudication to her right calf. When advised that it was unlikely that anything could be done at that stage to improve her symptoms, she requested a specialist review.

This PTA has more than ten years of experience working as a physical therapist assistant at outpatient rehab clinics. The PTA has previous treated numerous patient with those specific diagnoses that she is now

Her primary mode of getting around was scooting on her butt until she was three years old. She flailed her arms which reminded me of characteristics of autism, but I was told that was her way to be in touch with her senses, as well as pulling her hair. I enjoyed watching the children interact because it was a nice change from the sports related conditions I was used to seeing. Aside from the younger patients I observed, I also observed older patients. One was an older lady with multiple sclerosis who was wheelchair bound.