Medical Intake / History Review - 2160 Words

Life Care Plan for Mr. Robert Vince Date of Report: December 12, 2014 Source of referral: Department of Veterans Affairs Client: Mr. Robert Vince Date of Birth 11/17/1957 Age: 57 Social security number: 123-45-6789 Date of Injury: May 15, 2014 Medical Intake/History Review Mr. Vince is a 57 year old African American male referred by the Department of Veterans Affairs. The referral is in reference to the development of a Life Care Plan and required home modifications that addresses the patient’s lifetime disability medical needs secondary to a motorcycle accident that resulted in paraplegia due to T7 thoracic injury. Mr. Vince has prior military experience, but was not service connected to any†¦show more content†¦Unfortunately, the room is too small for a clinitron bed to fit in it and other medical equipment needed to care for the patient. There is only a half bath downstairs; therefore, the spouse has to use a basin to give her husband a bed bath. Her desire is for her husband (patient) to be able to maneuver in the house utilizing his wheelchair. Chief Complaint and Subjective History by Patient Patient incurred a T7 thoracic injury and has no lower extremity functional ability. At present the patient has a stage two sacral decubitus, urinary tract infection, and muscle spasms in his lower extremities. The sacral ulcer was caused from the lack of frequent position changes while in bed and improper seating in the wheelchair. The wound requires daily dressing changes and more frequent if soiled from urinary and fecal contamination. The urinary tract occurred from the patient intermittently cauterizing himself with a straight catheter every four hours. The patient has also been experiencing spontaneous uncontrolled spasticity in the lower extremities. Mr. Vince states he was 56 years old on the date of his motorcycle accident; he lost control of the motorcycle when a vehicle cut in front of him. The patient was pinned between his motorcycle and the guard rail on the highway. When EMS arrived, the patient was reported to need

Differences Between Men And Women, And The Classism And...

Destiny, a black girl, always talks about how much trouble she got into during high school. She received many detentions and suspensions just because she likes to speak what is on her mind. She admits that she may have gone a little too far at times, but sometimes it just was not fair for the things she was being punished for. During middle school, she found a program called Whyld Girls. This program helps girls in poverty to be more aware of their surroundings. Destiny learned about birth control, how to survive high school, and how to apply and get into college. After joining this program, Destiny started getting better grades in school and receiving fewer detentions. Black girls do tend to have more of an outspoken attitude but that does not mean they should be suspended from learning. This essay will be discussing the sexism between men and women, and the classism and privileges between white and black people. The lives of black girls do matter and more people within our societi es need to be aware and take a stance on how these girls are being treated on a daily basis. Black girls are treated worse than white girls, white boys, and even black boys. Crenshaw includes in her article studies from the African American Policy Forum (AAPF) that show that 3 times more black boys are suspended compared to white boys nationwide, while black girls are 6 times more likely to be suspended than white girls. This shows that in today’s world, black boys are treated better than blackShow MoreRelatedMovies Control: Sex and Violence1436 Words   |  6 Pagesbelieves and accepts. Research shows that the amount and realism of violence and sex in movies has skyrocketed, influencing the views of our generation. However, little to no attention is placed on the effects of movies on our views of racism, sexism, classism, and heteronormativity. 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Beautiful Tragic Love (Creative Writing) Free Essays

g Beautiful Tragic Love I never asked my life to be a FAIRY TALE or PERFECT, all I wanted was a normal life, and I didn’t have a very happy childhood living with my parents as an only child. As I was growing up all my life it revolved around men, every time I would fall in love with one, they would leave me after 3 months. I was beginning to feel like a hopeless romantic just like my mum when my dad had left her when I was beginning to experiment with love. We will write a custom essay sample on Beautiful Tragic Love (Creative Writing) or any similar topic only for you Order Now I felt cursed. I kept asking myself â€Å"WHY, WHY DOES THIS KEEP HAPPENING TO ME All men are dogs! I am almost twenty one and I don’t know if the problem lies with me or my family, all I know is that I have given my parents so much problems and so much  pain, I guess my life is a long journey and am finding myself in it everyday. My story began last summer of 2009; I could feel that there was something in the air that day. Birds were chirping, the wind was blowing leaving me shivers down my spine and everything felt so alive. I had been  depressed  for about a year before that day. I was  walking  along  the beach  with my bare feet buried in the sand and the waves of the sea crushing into my feet when my life started to take a turn for the best†¦ From a distance I saw a handsome young man admiring me from far. Our eyes met and it was like nothing I had ever felt before with any of the men I had been with. It was something special. We began  walking  closer together like something out of a movie. I felt on  top of the world for once, my eyes were sparkling and my  stomach  was fluttering with butterflies, as we walked closer and closer to each other. When we became close enough to talk about our personal lives, Will would get on his knee and speak my fluent language, French and say the most  romantic  things. At that point I knew he had my heart. We talked until 2. 00 a. m. The next  morning it turned out that he lives only about ten minutes from where I was living. We started seeing more of each other, Will begin to get serious about us. I fought the depression  that I had and soon I was glowing with life and he was the world to me, he became my anything and everything. We had been going out for about six months when he met my mother. My mother disapproved of Will mainly because she thought I was too young to be in a serious relationship and that I wasn’t ready because this relationship might end up like the rest of my other terrible relationship. Just like any mother she was worried about me but I kept reassuring her that this time it was something different. She soon banned me from seeing him. For a while we went out against her will and had four more months of endless happiness. I had finally met someone whom I loved and wanted to spend the rest of my life with. One day when I finished from work he had texted me to meet him at the same beach we met a year ago. When I got there I saw him standing on one of the big rocks beside the sea, he waved from far and yelled my name â€Å"LAKE, AM OVER HERE! † my heart was beating so fast as if I was in a race. When I got on the rock with him, it was nearly sunset time; he took both of my hands (Oh My God) I screamed quietly inside with excitement hoping that he would say something along the lines of marrying him. He looked at me straight in the eye to show that he was serious, and started saying â€Å"Lake ever since I have laid eyes on you, it’s like you have awaked me from my soul, and I don’t see life without you. He moved on from saying â€Å"Would you like to move in with me? † All I could feel was special, wanted, happy, in love, and emotional all at the same time. Few tears dropped down my cheeks without realizing because I kept repeating what he had just said. No boy had ever said anything like what Will had said. Holding me closer to him I looked him deep in thos e amazing emerald green eyes and answered â€Å"YES!!! † as I fall in to kiss him. Life couldn’t have got any better; we were so madly in love that we couldn’t wait so we got married a few months later. It has been two years since we got married and it feels like it was just yesterday. On our two year  anniversary, I was 4 months pregnant with our first child, so that night he had planned to take me out to a fancy  French Restaurant. As we were leaving we both looked up at the big beautiful moon, it was shinning like a bight, bright light, it was just the perfect moment in my life where I could hold pause forever. When suddenly a man came out of the shadows with a gun, he came took my purse and Will’s wallet. Someone saw the crime taking place and screamed â€Å"STOP† at the man. Everything became a blur as Will threw himself in front of me as the gun went off. I couldn’t believe my eyes, what I hadn’t envisioned in a million years seemed to become a reality. The robber ran off into the night and left Will to die in my arms. I looked down at him and tears started to explode down my cheeks as I screamed â€Å"HELP! † â€Å"SOMEONE CALL THE AMBALANCE! † I held him closely for the longest time as he bled to his death. Right before he died he told me â€Å"We will be  together again†¦ I promise†¦ I love you and the baby†¦and both of you will be always in y heart. † He looked so peaceful and handsome just like the first day I had met him; my heart was torn into pieces as he drew his last breath. He lay there dead in my arms staring at me with his emerald green eyes. I felt helpless as I held him even closer and kept screaming and crying â€Å"NO†¦ NO THIS CAN’T BE HAPPENING†¦NOT TO ME†¦NOT AGAIN!! † He will always be in my heart; whenever the wind blows I can still hear him whispering sweet things in my ear. Sometimes when you find happiness again in your life, it turns into your worst nightmare. How to cite Beautiful Tragic Love (Creative Writing), Essay examples