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Case Study Of Up Home Health Care

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Initially we had difficulty obtaining his discharge orders as the hospital care manager replied she had forwarded the documentation, but neither I nor Mrs. Bianco had received a copy. Mrs. Bianco made a visit to Mills Creek and met with Mr. Smith at that time she was made aware of an appointment that Mr. Smith attended. Mr. Smith attended a physician appointment on June 28, 2017 with Dr. Leonard, Orthopedic trauma. Mills Creek assisted with the transportation and a mobile x-ray unit was coordinated to obtain x-rays of the femur at the facility as Mr. Smith didn’t bring his slide board to the appointment and couldn’t get onto the radiology table.
Per the report obtained Mr. Smith had good alignment of both ankles and his hardware was in …show more content…

During one of Mrs. Bianco visit on July 17, 2017 there were some concerns on his bathing schedule and that his CAM boots were not being taken off. Mrs. Bianco also noted that he had some skin breakdown at the CAM boot line and felt the dressing wasn’t being changed. His medication of Norco had also been increased from 1 to 2 tablets at night for reported minimal discomfort to 2 Norco’s 7.5 mg/325 every 4 hours. This was a concerned due to his addiction history. It was reported by the staff that they had found Mr. Stanley sitting on the side of his bed at 6 a.m. struggling to get his Cam boots off but when Mrs. Bianco inquired about this he had no memory of this occurring. A written correspondence regarding the medication concern was forwarded by Mills Creek to the in-house physician to address. The medication was addressed and Mr. Smith was decreased back down to one tablet every 6 hours. It was reported that Mr. Smith has declined to remove his Cam boots and to allow the staff to perform daily blood pressure. After I spoke with him regarding this and the Memory Care manger also spoke with him regarding this including the encouragement of Mrs. Bianco. Mr. Smith was more compliant.

I have spoken with the home care nurse regarding the wound and the physical therapist and occupational therapist. The physical therapist recommended a front wheeled walker as his weight bearing activity was progressing, including his transfers and more independence. The occupational

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