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Pa's Home: A Case Study

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SC met w/ Pa, for scheduled HV in Pa’s home on 1/27/2016. Pa was appeared clean, appropriately dressed in PJ’s clothes and sitting on the side of her hospital bed after letting SC in the home. Pa appeared weak and tired with red eyes. The SC asked Pa if she slept through the night and Pa respond “no I am not a good sleeper especially when I’m in pain”. SC asked Pa is that’s why her eyes are right and appears tired; the Pa said it’s possible. Pa's home was somewhat tidy and clutter free and has working utilities, heating and cooling systems. SC reported that she was hospitalized 12/14/2015 to 12/22/2015; she was d/c to PowerBack rehab from 12/22/15-1/22/2016. Since discharged to Pa reported that she receiving skilled nursing from Millennium Home Health Care, Inc. Pa’s RN Rich is providing medication management, and health education twice a week for 4 …show more content…
Pa has an OT and PT twice a week for 4 weeks both aims to increase Pa’s mobility and function. Pa said she experiences unsteady gait frequently, but her cousin Linda has been helping her around the house and meeting all of her ADL/IADL needs since her dtrs/DCW quite. Pa said she has a post-hospital follow up visit her PCP Dr. Heisenberg to ensure that she's continuing to heal properly and regains her strength since the Hernia operation. Pa reported several medication changes OxyContin 10 mg; Percocet 325mg one prn for pain; Gabapentin 300mg caps daily; Amitriptyline 10 mg daily, Calcium 600mg + D3 600mg; Clonidine 0.2mg; Colace 100 mg; Pa had four other medication written on the script but SC was unable to read the Do’s hand writing. P reported one fall on 1/24/2016 Pa said she fell in her bathroom and his her hips. Pa did not go to the ER or seek medical treatment because she didn’t think it was necessary. Pa reported no changes in

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