The Medical Team, Inc. - 1040 Words

The Medical Team,Inc. is privately owned company established in 1978 and the headquarter is located at Reston,Virgnia. It provides personal care services and catastrophic care solution. The company has more than 35 nurses most of LPN and a lot of nursing aid workers. From my discussion I came to understand that most of their patients are senior citizens and with a lot of medical complications. Medicare mostly covers their insurance and the main focuses of the home health care are to reduce hospital readmission rate with in thirty days of patient discharge. Most of the challenge is patient’s dependency on nurse aids for their day-to-day life and some of them also lucks family support. This situation put them in vulnerable stage for their†¦show more content†¦As part of the requirement for completion of this course I will focus on one my patient’s health status and clinical care experience. Assessment My patient is a sixty-four years old Caucasian woman with history of diabetes’s mellitus, vascular disease, left lower extremity stent, coronary artery disease, hypertension, gout, cardiac valve replacement, and dyslipidemia. She was diagnosed with CHF and ascites. She was alerted, oriented and very compliant to her medications. She lives with her younger brother and depends on his assistance for her day-to-day life. Medicare covers her medical treatment and she also got small financial assistance from Loudon county. She uses wheel chair for her mobility and has been under medical Team Inc. team care for few weeks. On the arrival to the house I was given my first assignment, which was head to toe assessment. it was a wonderful experience. The following findings were the main ones. Vital signs: Temp 97.1,PR:77, BP 117/57, RR 18 and O2 sat 97 %. Lungs: loud crackles ( in both sides) lower quadrants. Extremities: she has ischemic ulceration measured around 1.5 cm * 1.25 cm. Lower foot edema 2+ in both sides. Weak pulses and gangrenous left foot. Dehydrated and poor skin turgor. Erythema and discharge noticed on dressing. Planning: The care plan focuses mainly on †¢ Daily weights: Performed on the same scale, the same time of day, and in clothing of the same/similar weight †¢ Capillary refill: Press down on nail bed.