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Nursing Care Case Studies

442 Words2 Pages

DOI: 4/24/2015. Patient is a 40-year-old female ophthalmic assistant who sustained a work-related injury to her low back and bilateral forearms from catching a falling cart. Per ONI entry, she was diagnosed with scoliosis, work aggravated. She is status post right shoulder arthroscopic acromioplasty and distal claviculectomy on 5/13/16.

Urine drug screen obtained on 10/06/16 showed positive for tramadol.
Per the Agreed Medical Re-evaluation report dated 11/17/16, the whole person impairment rating for the right shoulder is 8%. For the lumbar spine, IW is in a DRE Lumbar Category III. Future medical care for the right shoulder includes office visits, nonsteroidal anti-inflammatory drugs (NSAIDS), cortisone injections, home stretching/exercise program, PT/acupuncture and repeat diagnostic studies. For the lumbar spine, a repeat MRI is indicated. …show more content…

Current medications include Norco 5/325 mg 1 tablet daily and Zoloft 50 mg 1 tablet daily. It was noted that the IW has signed a treatment agreement for the prescription of controlled substances. Controlled Substance Utilization Review and Evaluation System (CURES) report checked on 11/29/16 was consistent with prescription history.
Based on the medical report dated 01/13/17, the patient complains of pain to her right shoulder and low back. Pain is described as sharp, stabbing, dull, achy and

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Low Back Pain Case Studies

934 Words | 4 Pages

This is a chronic pain patient and has been on Norco for an extended period of time.12/15/15 progress report described that that patient was on Butrans patch in the past and switched to Norco due to side effects of Butrans. The medications bring his pain to 6/10-scale level from 9/10-scale level. However, there remains little specific information regarding monitoring for diversion, dosage adjustments, functional improvement, attempts to wean and taper, endpoints of treatment and continued efficacy and compliance. Furthermore, there were no UDS or CURES reports available for review. A prior review from 05/08/15 denied Norco due to lack of documentation of continued efficacy, proper use of the medication, compliance; and absence of side effects and aberrant behaviors.

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Lt. Scalzo's Argumentative Essay

174 Words | 1 Pages

When Lieutenant Charles Scalzo from the NYPD visited Manhattan Orthopedic Care, he quickly became one of our dearest friends. He had an appointment with Dr. Armin Tehrany due to an awfully painful condition which limited the range of motions in his left arm and shoulder. The MRI revealed a troublesome rotator cuff tear in Lt. Scalzo’s left shoulder.

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Nursing Case Management Case Studies

1126 Words | 5 Pages

Jean Russell of Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with Flavia Tocco and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING I met Ms. Tocco at the St. John’s physical therapy department. Ms. Tocco was open to providing me information on her current and prior medical history.

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Sample Case Study In Nursing Case 16-125169

410 Words | 2 Pages

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).

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Ehr Referral Case Study

332 Words | 2 Pages

The original referral is sent to EHR. It was determined the patient should be outpatient status. The case is discussed with Dr. Levin and he does not agree, therefore this is second PA referral received on 1/16/2017. The patient is a 68-year-old gentleman who had a fall from a standing position. The history is vague, however he details it better with the neurologist.

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Lumbar Spine Case Summary

592 Words | 3 Pages

Range of motion revealed flexion of 90 degrees, extension of 15 degrees; with forward bending the patient can reach mid shins. Straight leg raise is negative at 70 degrees. Per assessment and plan, patient is a status post left approach L2-3 and L3-4 Lateral lumbar interbody fusion on 7/22/14 and have a chronic mechanical low back pain status post multiple lumbar spine surgeries. Currently, patient has solid fusion at 2-3, 3-4, 5-1 and open L4-5 segment. L4-5 is suspected to be a significant pain generator.

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Left Shoulder Pain Case Summary

478 Words | 2 Pages

Long term goals include a return to his prior level of functioning including full duty work as well as safely perform all activities of daily living. Assessments include cervical spine strain/sprain, rule-out disc herniation and left shoulder strain/sprain. The patient will begin physical therapy three days per week where he will receive moist heat, cold packs, and ultrasound treatment to the cervical paraspinals and left shoulder, electrical stimulation treatment to the left shoulder, massage treatment for the cervical spine, range of motion and strengthening exercises for the cervical spine and left shoulder, with the goals of reducing pain, improving range of motion, and improving overall function.

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Management Of Care Case Study Essay

2012 Words | 9 Pages

Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.

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Nursing Case Study Essay

1118 Words | 5 Pages

Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8?? , has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year.

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Treatment Plan Case Study

2268 Words | 10 Pages

After the evaluation was completed, Ms. Smith result indicates that she has a strong history of alcohol abuse, along with using opioid medications with alcohol (Weshsler Adult Intelligent

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Assignment 1: A Nursing Case Study

137 Words | 1 Pages

On Saturday, January 23, 2016 at approximately 1928 hours Security Officer Brandon Rodriguez was conducting a walk through E.D. the special care unit area when it was observed that E.D. Charge Nurse Jonathan Bacal and Patient Care Tech Tim Phillips were restraining patient Alan Burdick in ED room #39. The patient was combative and attempting to bite the medical staff due to being in a postictal state. Officer Rodriguez immediately responded and helped out nursing staff. He then notified dispatch and informed there would be no need for any additional officers. Officer Rodriguez assisted the medical staff in restraining the patient and after few minutes the patient calmed down and cooperated with medical treatment.

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How Physical Therapy Has Changed My Life

506 Words | 3 Pages

Being eager to help coworkers can be dangerous to your health, this is experience talking. Just reporting to my duty station, being the newest employee I was determined to make new friends and a good impression. So eager in fact, that I leapt to volunteer and assist in the moving of a large piece of furniture down a flight of stairs. During the task the desk slipped and fell, taking myself with it. The desk tumbled down on top of me injuring multiple discs in my lower spine, as a result causing severe nerve damage in my lower extremities.

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Acute Nursing Case Studies

1167 Words | 5 Pages

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.

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Pain Case Study

812 Words | 4 Pages

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Case Study: Florence Nightingale Theory Of Nursing

772 Words | 4 Pages

It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.

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