INTRODUCTION. she has filled 32 prescriptions for eight

INTRODUCTION.

Disability is considered an impairment that may be

Lucinda, is a 37-year-old overweight
Mexican-American female referred for integrated case management by insurance
reviewers specifically looking for patients who use many health services. She
came to their attention because a request was being made for approval to remove
a gangrenous toe. Lucinda has had numerous procedures, hospitalizations, and
emergency room visits in the past 2 years. During the past 12 months, she has
filled 32 prescriptions for eight different medications from six independent
physicians, one of whom is a diabetic specialist, one a psychiatrist (for
diazepam), and one a surgeon (for a pain medication). Three prescribers are
primary care physicians. Lucinda has four other physicians who have submitted
medical charges for her care in the past year. Her last ad-mission was 2 weeks
earlier for 2 days and she has been to the emergency room three times in the
last month. During her hospitalization, at that time, she had blood sugar
levels of 400+, a gangrenous toe, and a fever of 104 degrees Fahrenheit. Her
last HbA1c was 9.2.

THE
TREATMENT GOALS AND OBJECTIVES YOU WOULD PROPOSE  TO HELP WITH

 LUCINDA.

Majority of the reports of limb loss worldwide
usually occur on individuals who have diabetes. Gangrenous toe is a condition that
usually occurs when blood tissue dies. It is usually caused by by a loss of
blood supply due to an underlying illness, injury or infection. Blood plays an
important role in humans body system by transporting blood, it also transports
nutrients which is needed to feed the cells in the human body.

I would recommend the treatment  of geangreuos through the removal of the dead
tissues to prevent the the spread of infection this can be achieved through
surgery or introduction of maggots in the body they are tasked with consumption
of eating the dead tissues without harming the living tissues. Once gangrene is
treated perfectly and the patient has healed measures will be put to stop it
from re occurring.

Lucinda should also work out and eat a healthy foods
so as to watch her weight. She should put it under control so as to be able to
prevent having difficulties in breathing. I recommend her to exercise daily.

ROBERT

Depression is a state of mind producing a serious,
long term lowering of enjoyment of life or inability to visualize a happy
future. This disease cuts across all races, countries and continents and
therefore should be taken seriously. Depression has been the cause of most
people ending their life pre maturely.

Depression is a risky health issue that needs to be
addressed as we are losing a lot of people through suicides which can be
preventable, also such attacks such as panic attacks and anxiety also lead to
more suicide deaths in the world. Awareness to depression and showering people
with love and affection can come in handy when dealing with depression. He should
also be on put on medications to control his mild anxiety and depressions.

Robert ought to reduce the amount of cigarettes he
smokes on a daily basis 2 packets are too much as it too much for his health
and might lead to lung problems.

PAUL

Paul ought to start being tutored at home so as to
be able to catch up academically with his peers. Medical management consists of
water pills and heart strengthening medications which he ought to be used on following
the prescribed prescription. He should use the oxygen mask while sleeping and
to be convinced so as he will be able to get over his anxiousness.  Cardiac cathernaziation is the insertion of a
Cather in the vessel of the heart. The parents ought to have confidence with
the process and believe it will be successful.

CONCLUSION

The 3 study cases ought to follow the recommended
objectives so as to prolong their life on earth.

 

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