Patient Swelling And Stiffness

The patient has attended 3 PT sessions for the ankle per daily note dated 04/05/13.

Telephone contact made to the patient. Two patient verifier completed. The patient states that on last Friday, Jan 8. she recieved a small pox vaccination to her left on arm. The patient state a couple day later she starts having pain in her left armpit and to the top of her left breast with very mild swelling. The patient rates her pain level 7/10 and is constant. She denies, lump or mass with palpated. She also denies, reddness, fever, chill, change in deodrant or body wash. The patient states that she has an appt sheduled with he provider on next Tuesday, Jan 19 but like to be seen sooner. Offered the patient an appt with Major Blount for today at 1420 or 1440 but the patient refused due to a meeting. Encourage the patient to keep

The patient is 67-year-old gentleman who was discharged from a nursing home 2 days ago after 3 months stay. The patient had a right ruptured quadriceps tendon which was repaired in a Morris Town hospital and he was in the Atrium of Wayne for rehabilitation and discharged home. Since being discharged home he has presented himself three separate times to the emergency room, the final one being on 6/10 here at St. Joseph's where he was admitted. He presented the previous day and he was discharged. The patient presented because his right leg was collapsing while using a walker. CT done in the ED of his right knee shows that he has severe tricompartmental arthritis and loose bones. The patient is in severe pain and he is unable to ambulate. The patient lives alone in his own home. The decision was made that the safest thing was for him to be admitted acutely inpatient to try to sort through the issues that have led up to this point. No arrangements have been made for him to have any outpatient therapy. or any from the Atrium at Wayne. His medical history is significant for having previous cardiac caths. He developed MRSA infection after a quadriceps rupture in Morristown. He has allergic reactions to Metformin (not quite sure what the reaction is). As previously stated he lives alone in a home in Totowa. Physical therapy evaluation reveals the patient is not safe ambulating with a walker and obviously needs intervention. He will need some type of assistive help in the home or long-term care. After much discussion the Atrium agreed to take the patient back while we work through the issues of how he could be cared for in a

The patient was involved in a single vehicle accident involving his motorcycle and brought to the Emergency Department for left leg injuries, specifically a knee injury. While riding he had

Ever looked at somebody and thought that they were a terrible person? This is probably because they embody at least one of the seven deadly sins. These sins have been around for centuries and have been used over and over again in many stories. Some of the best examples of the deadly sins are found in the characters of The Canterbury Tales by Geoffrey Chaucer. These characters, the pilgrims, vary in profession, personality, and background; most being guilty of at least one of the seven deadly sins. Continuing, Chaucer’s pilgrims will be exposed of their deadly sins that they are guilty of, each with an explanation.

On 5th April 2016 at approximately 05:15 am, the employee approached supervisor, Robert Vincent informing that he is experiencing pain in his heels/feet due to standing with keying at Lane 12. The employee was offered First Aid. Employee accepted first aid. The first aider Abid Hasan

The crew was called to an 80 year old lady with possible Septic Arthritis, who had a home visit by GP this am, suffering with severe, constant pain and progressive swelling of the left knee, over past two days. The GP would like her transported to Accident and Emergency for investigations re any systemic infection or within the knee and other joints.

L.S. is a a 67 year old female patient who is admitted for abdominal aortic aneurysm repair. She is allergic to erythromycin and neomycin. She has a past history of hypercholesterolemia, constipation, numbness on right leg, hypertension, subarachnoid hemorrhage, pulmonary embolism, atrial filbrillation, and urinary tract infection. Her weight is not file and she has no significant family history. She is a widowed, retired principal, and ex-smoker. She lives alone and has one child. During the patient assessment, the first thing that was initiated was the one minute safety check. The bed was in a low position, call bell was within reach, socks were on patient, and the floor was dry and clutter free. The next assessment was the neurological and mental status.

- We found out this week, this patient had been treated in the emergency room previously to coming to the health department. My preceptor had called the ER to conform what the patient told us was true. She had told us the ER gave her one pill and some pain medication, but she did not know what the pill was for. The patient also told us the emergency room had no idea what she had. This is an example of poor communication to the patient and they did not talk to her about decreasing the spread of her infection. The patient was given antibiotic at the health department and emergency room.

The patient is 69-year-old female who was getting out of her car, slipped and fell from a standing position. She was complaining of left hip pain, developed left-sided arm and she was nonverbal on the scene and transferred as a trauma alert. Initially she was nonverbal, but was following commands and then she improved. She was complaining of left hip pain, left rib pain, left hand pain. The patient had a cat scan which was negative, but in the ED she continued to have left lower extremity weakness. The hip x-ray showed no fracture. She was placed in observation for concussive symptoms and pain management in the next day transferred to the medical service. It is to be noted the transferred to medicine within 24 hours there was no inpatient

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

A 42-year-old female by the name of Mrs. Janice checked into the emergency department (ED) for low back pain. Mrs. Janice has a history of chronic back pain from an

D-The patient arrived late to his session, but informed this writer that he was in an car accident today. The patient did in fact dose today. This writer informed the patient that this writer have to report to the Director and Nursing have to assess him today. The patient is willing to comply, but asked if he can assess tomorrow because he has to get to school today and take a test. This writer addressed with the patient about being in car accident and is health is priority. This writer also strongly advised the seek medical attention as the patient complained about having a stiff neck and soreness, which the patient can potentially have a whiplash as he was rear ended on the highway. Please note, this writer shared the patient dilemma through

Although many situations arise throughout a day, one in particular stand out. A 93 year old female, "Jane" was admitted to the rehabilitation floor with right hip pain. The first assessment revealed higher blood pressures running in the 160s/lower 100s, pulse was in the 90s, and respirations 20, the rest of the vitals were unremarkable with no fever and oxygen saturations at 100% on room air. Patient denied headaches, dizziness or nausea, no pain in the chest, just pain in her hip and legs.

1. Patient #11 TEHC Health Care’s PT was contacted by the Administrator and DON to report to the office for immediate counselling. The PT was counseled on the importance of obtaining verbal order start of treatment. All evaluations are to be returned to the office within 48 hours to be faxed to the physician for written order signature if the Plan of Care has already been sent to the physician. The PT was further counseled that until a verbal or written order is obtained no treatment can be provided without orders or consultation with the physician.