The victim is an amputee and has one leg and one arm on either side of his body, he is bed bound, wears diapers, and requires 24-hour care. At this time the victim lives alone and is in need of placement. The reporter has contacted Medicaid and was told because it's been less than five years since the victim transferred property into his niece's name there was nothing they could do. According to the rpeorter, Mr. Nichols transferred his home into his niece's name and she took out a loan against it. Ms. Gordan used the loan to do work on the home and make it accessible for the victim. But since Mr. Nichols' health has declined he's in need of someone at the home around the clock. The reporter stated she's worked with the family since the end
of June, 2015 but nothing has changed. Ms. Gordon is over the victim's social security and has the deed of his home; Ms. Gordon makes sure all her uncle's basic needs are met. At this time Mr. Nichols does not have the family support he needs, even though he has family living near by. The reporter stated hospice care is at the home Monday-Friday and have asked the victim's niece and sister if they would make sure he's cared for Saturday-Sunday but they have not followed through. On the weekend of 09/19/15, Ms. Gordon went to LA and left her uncle in the home alone. When hospice arrived at the home, the victim was found lying in his bed, soaked in urine and feces. Mr. Nichols also had severe skin breakdown. Mr. Nichols constantly falls and makes calls afterwards to 911 and the fire department for help getting up. The reporter stated at this time it is unsafe for the victim to be at the home alone and he needs a full time caretaker in the home at all time.
Think about all the physical feats your body can do and how you use your body every day. There are many people across the globe who do not have this privilege.
Alameda has had a hard life as a young girl growing up, both of her parents were alcoholics. Alameda was a 16 year old minor who had a baby and dropped out of school, and then was unable to care for the infant. A case manager by the name of Barbara LaRosa was assigned to Alameda case. Barbara took on Alameda as her client and made a visit to her parents’ home, while making the visit she found Alameda dad incompetent, and could not get any information from him to help with his daughter well-being.
BM is a 63-year-old women born in St. Joseph Missouri. She sustained a right cerebrovascular accident 3 years ago responsible for her left hemiplegia. Since her stroke BM has not been able to independently live on her own, work or care for herself. Due to her health condition she is completely wheelchair bound and is dependent on the caregivers at the assisted living facility where she resides. BM feels that she has lost her independence since her stroke and it has greatly impacted her ability to
Intro: Christopher Reeve is known for playing superman but, in 1995 he had an accident that led him paralyzed. Also at this time they were trying to pass the Americans With Disabilities Act. So in 1996 he went and spoke at the national Democratic Convention lets see what all he said.
Charles is a 21 year-old Caucasian single male currently residing with his mother and stepfather whom also is Charles’s uncle. Charles graduated high school and due to his illness he receives social security benefits. During a two year period Charles had nine visits to the emergency room resulting in admission to the psychiatric unit. On two admissions Charles left against medical advice, five admissions required a higher level of care resulting in admission to the state psychiatric hospital and two Charles was transferred to the adult crisis unit. Charles also has a misdemeanor history mainly public nuisance due to substance abuse mainly marijuana and cocaine. Charles was evicted after a psychotic episode and destroying his apartment.
The cerebral hemorrhage occurred in the left side of the brain which caused a significant bleed and brain damage. She has expressive aphasia and right-side hemiparesis a result of the hemorrhage. The expressive aphasia created a communication barrier. I learned about who the patient was through pictures, family and use of pen, paper and the white board. I learned she worked nights full-time for Walmart, as a freight hauler, lives alone in a one story home in Schenectady, NY. Divorced with 4 grown children who are unable to assist with care. The support systems in place are coworkers and a sister from Old Forge, NY.
Ms. Conner maintains familiarity with all DHSS administrative policies, procedures and applicable rules and regulations. Ms. Conner understands and demonstrates knowledge of agency programs and willingly explains the goals/mission of the division, including services and programs. She adhered to HIPPA and applied her knowledge independently in her case work and conferred with her supervisor as needed. She provided resources to reported adults and those professionals and family members who want to assist them. She is familiar guardianship procedures and has advised reported adults and their families as well as VA staff on the guardianship process. She has informed them of and has obtained medical and psychological evaluations determining competency and decisional capacity to obtaining legal counsel in a financially affordable way. However, Ms. Conner has not completed any guardianship during this rating period. Ms. Conner also demonstrated technical program knowledge and has found ways to ease the Case Compass process by looking at tasks in the investigation plan and sorting out how to make
Mr. and Mrs. Jacques moved to the Unites States, with Samuel, from the Bahamas, approximately eleven years ago. She stated that Samuel was a child from a sexual assault and she had him due to her religious beliefs. Mr. Jacques had promised to accept him as his own. She is currently the mother of five children, who are all displaying different behavioral issues. Her husband is abusing alcohol, using drugs and is emotionally abusive. He was diagnosed as bipolar with psychotic symptoms. He does not take his medication on a consistent basis which causes problematic behavior. They have had periods of good times where Mr. Jacques was working and providing for the family. They have lived in their own home and were evicted due to Mr. Jacques inability to provide for the family due to his alcohol and substance abuse. The family was displaced into homeless shelters, due to their eviction, and were placed in transitional housing. Following placement in transitional housing Mrs. Jacques’ problems becam...
Patients seek medical attention from the nursing homes. There nursing homes get a large amount of financial aid on behalf of the government. The financial assistance is given in order to ensure that all the necessary health care facilities are available at the nursing homes. There are few fraud cases that have seemed to occur in the nursing homes. One of the fraud cases that is becoming very common in nursing homes is that the patients are charged wrong amounts for the services that they acquire from the nursing home. The patient generally comes with some disease to seek medical attention. The nursing home raises fraud cases by advising unnecessary tests and procedures to be done on the patients. These tests or procedures may not be required for the patient. As the patient is limited in knowledge, the tests and procedures are done on the patient while charging the patient with a heavy amount of bill. (LLP, 2016) The nursing homes does not cater the specific problems that ha been raised by the patient rather they start to encounter on more details that are unnecessary and not even needed by the patient. The case is about a nursing home in Washington that charges heavy amounts to the patient for unnecessary treatments and procedures. (PEAR,
The family lives in a public housing subsidy tenement and received public assistance from the State. Her first child, who she called "Mongo", because she was born with a disease called Down syndrome lived with her grandmother, but on days the social worker would visit the grandmother would bring the child by to visit. Though the grandmother was very much aware of the abuse that was taking place in the home, she turned a blind eye. I personally think she was one of the contributor to the dysfunction, though it never show her hurt or abusing precious the fact that she pretend like everything was okay and would help the mother lie to the social worker, so she could continue to receive benefits from the state for her daughter and granddaughter show how e...
R/s Marshall Cobun is a diabetic with high blood sugar. Mr. Cobun has a pace maker, he has cancer in his left eye and a cancerous tumor in his left arm. R/s physically Mr. Cobun can’t cook for himself nor can he bathe himself. R/s Mr. Cobun has to use a walker to get around. R/s Mr. Cobun lives in a trailer with his son Harold. R/s the trailer has no electricity, no water, no stove, no refrigerator, no washer &dryer, and the hot water heater has not been installed. R/s the family is using an extension cord to get power from Mr. Cobun’s daughter home. R/s there are holes in the trailer. R/s the home is not accessible for a handicapped person. R/s Mr. Cobun was supposed to receive meals from Meal on Wheels but they don’t come. R/s Harold will
al., 2010, p. 103-104). In medicine, beneficence is the foundation of every encounter a clinician has with their patient, they are there to help alleviate symptoms and diseases in order to do good for them. In the case of Ms. R, respecting her decision to live alone will violate this premise of beneficence and go against all the medical advice she has been given. However, like with all decisions in medicine, a patient is presented with options and if the patient is mentally capable of making their own healthcare decisions, their decision should be respected no matter what it is. Nonetheless, just because Ms. R made a decision to live alone and accepts her potential risks, doesn’t mean that her daughter along with the medical team should let her put herself in harm 's way. There are other means of beneficence and nonmaleficence in this case that can be achieved while still respecting Ms. R’s autonomy. Firstly, Ms. R’s daughter can move in with her and be by her side everyday, or if she cannot move in, she can come visit her mom on the days the home health aid is not scheduled, that way someone will be always there to monitor her. Additionally, due to Ms. R’s increased risk of falling along with her other medical risks, the social working can help arrange for Ms. R to receive a
The two controversial topics discussed below share a single goal: to enhance the quality of life of a human individual. The first topic, transhumanism, is a largely theoretical movement that involves the advancement of the human body through scientific augmentations of existing human systems. This includes a wide variety of applications, such as neuropharmacology to enhance the function of the human brain, biomechanical interfaces to allow the human muscles to vastly out-perform their unmodified colleagues, and numerous attempts to greatly extend, perhaps indefinitely, the human lifespan. While transhumanist discussion is predominantly a thinking exercise, it brings up many important ethical dilemmas that may face human society much sooner than the advancements transhumanism desires to bring into reality. The second topic, elective removal of healthy limbs at the request of the patient, carries much more immediate gravity. Sufferers of a mental condition known as Body Integrity Identity Disorder seek to put to rest the disturbing disconnect between their internal body image and their external body composition. This issue is often clouded by sensationalism and controversy in the media, and is therefore rarely discussed in a productive manner (Bridy). This lack of discussion halts progress and potentially limits citizens' rights, as legislation is enacted without sufficient research. The primary arguments against each topic are surprisingly similar; an expansion on both transhumanism and elective amputation follows, along with a discussion of the merit of those arguments. The reader will see how limits placed on both transhumanism and elective amputation cause more harm to whole of human society than good.
The year this took place was in the 1980s. The social services system was not adequate enough or had the resources to help her. Back than woman could not go to social services and ask for help, with finances, food, or support, because the head of the household had the financial obligation to maintain the home( which tends to be a male).
A wannabe amputee is a person who says they need to remove a healthy appendage to become an amputee to satisfy their desired self-perception. Bayne and Levy go into the psychological aspect of this desire. Bayne and Levy express that wannabe amputees experience the ill effects of at least one of the accompanying mental issue; Body Dysmorphic Disorder, apotemnophilia, and Body Integrity Identity Disorder. Body Dysmorphic Disorder is a mental issue in which a person ends up fixated on nonexistent imperfections in their appearance. Apotemnophilia is the point at which a person is sexually excited by amputees and the prospect of turning into an amputee themselves. Body Integrity Identity Disorder is the point at which a person feels as though one of their appendages isn't really theirs and wishes to expel it from their body. With BIID comes two variations that would-be amputees experience the ill effects of; body schema and body image. Body schema is the collection of processes that registers the posture of one’s body parts. For instance how you put your foot down when you walk or gripping an object you’re picking up. Body image is the psychological picture of one's own body. The one that Bayne and Levy surmise that wannabe amputees don't suffer from body schemas