Creative Writing On Mary Smith Health Record Detail

Personal Health Record

DOB: 6/15/1960 Printed on 4/7/2015
Personal Information
Gender: Female Email:
Blood type: AB+

Insurance

Primary: Blue Cross/Blue Shield
Phone: 1-800-487-7634
Group Number: 49658
Member Number: 99570947
Employer
Employer: Casualty Life Insurance Address: 447 Grover, Amarillo, TX
Phone: 806-474-9667 79110
Emergency Contact
Primary: Frank Smith Secondary: Darla Smith
Relationship: Husband Relationship: Daughter
Phone: 806-694-9475 Phone: 806-4876-5755
Legal
Directive Initiated Date: none
Directive Contact Name: none
Directive Contact Phone: none
Power of Attorney Initiated Date: 4/15/2011
Power of Attorney Contact Name: Frank Smith
Power of Attorney Contact Phone: 806-694-9475
Preference and Special Needs
Preferred Hospital: Amarillo Baptist
Primary Care Provider: Dr. Alan Brickson
Special Needs
I am a senior woman with severe osteoarthritis in both hips, confined to a wheelchair. I live with my husband and daughter in a two-story home, but cannot access the upper floors anymore. I am waiting for insurance approval for two total hip replacements. My husband cares for my needs, but he is still working and I am frequently left alone.

Special Needs 1: Pain Management for osteoarthritis and neuralgia

Medications – Tramadol 50 mg four times daily prn for moderate to severe pain,
Hydrocodone 150 mg four times daily prn for severe pain, Gabapentin (for nerve
pain) 300 mg TID

Warm baths or heating pad

Massage
Elevate feet
Mild to moderate exercise

Special Needs 2: Increased Mobility

Pain management (see above)
Mild to moderate exercise/range of motion

Medications to reduce swelling – Meloxicam 7.5 mg daily

Special Needs 3: Decrease Depression/Isolation
Individual and Family Counseling
Medication: Escitalopram 20 mg daily
Encourage outside activities alone and with family; clubs, shopping, restaurants, movies,
other outings, church, and so on.

Encourage visits by friends and family at least one weekly for coffee or a meal to

maintain friendships and outside interests.

Special Needs 4: Safety

Teach patient how to effectively transfer from wheelchair to furniture and to the car seat.
Encourage installation of hand rails in the bathtub.
Keep cell phone at hand at all times in the event of a fall or other emergency.
Promote elevated toilet seat.
Educate family members on safety needs such as assistance with transfers.
The WebMD website did not exhibit any advertising for products or services. However, the website provided links to information on a variety of health issues for prevention, treatment, and general optimum living. There is a chat line for questions. You are required to register your contact information in order to use the free Personal Health Record template; the information is stored in the website for future access with a password and is printable.

Medical Contacts

Health Alerts

Works Cited

Arthritistoday.org. “Arthritis Lab Test Guide | Arthritis Diagnosis | Arthritis Today”. N.p., 2015.
Web. 8 Apr. 2015.
Drugs.com. “Tramadol Uses, Side Effects, Dosage & Warnings - Drugs.Com”. N.p., 2015. Web.
8 Apr. 2015.
Nanda-nursing.blogspot.com. “NANDA Nursing: Nursing Care Plan For Osteoarthritis”. N.p.,
2015. Web. 8 Apr. 2015.
Webmd.com. “Webmd Health Manager - Personalize And Manage Your Health”. N.p., 2015.
Web. 7 Apr. 2015.