Franklin/Grand Isle
Community Addiction Workshops
Workshop Patient Inject Update #1
Patient #1 Micheal Test: Oct. 24, 2019
Hx: Oct. 24, 2019: Michael continues to work at the brewery. He had to lift several kegs of beer and in doing so worsened the pain in his back. He now has severe pain in his back and hip, that radiates down his entire right leg. He has difficulty walking. He went to Dr. Bones, the orthopedist, who ordered an MRI of his back. He was given a note to be off of work, referred to physical therapy, and given a prescription for a muscle relaxer and Dilaudid, a stronger opioid medication for pain. He is very limited in his activity, and is basically at home, resting, and using a cane when he needs to go out.
BIO/ PSYCHO/ SOCIAL/ SPIRITUAL MATRIX
A. Required Program Elements:
* ALCOHOL / DRUG COUNSELING:
* URINE TESTING:
* PCP / MEDICAL / ED VISITS: Oct. 24, 2019: Michael lifting some heavy kegs of beer at work and reinjured his back. He went to Dr. Bones, the orthopedist, who ordered an MRI of his back. He was given a note to be off of work, referred to physical therapy, and given a prescription for a muscle relaxer and Dilaudid, a stronger opioid medication for pain. He is very limited in his activity, and is basically at home, resting, and using a cane when he needs to go out.
* VPMS:
Life Elements
1. TRANSPORTATION:
2. HOUSING: Oct. 24, 2019: Michael reinjured his back at work, and is longer to work. This has put more pressure on his girlfriend, Celeste to keep up with the rent, and other payments.
3. EMPLOYMENT: Oct. 24, 2019: Michael reinjured his back lifting some heavy kegs at work. He is no longer able to work at the brewery for now. He has no income until he returns to work.
4. FINANCES: Oct. 24, 2019: Michael reinjured his back lifting some heavy kegs at work. He is no longer able to work at the brewery for now. He has no income until he returns to work.
6. INSURANCE:
7. LEGAL / CRIMINAL JUSTICE STATUS / DCF:
8. EDUCATION:
9. DIET / FOOD / NUTRITION:
10. CLOTHING:
11. PERSONAL ACTIVITIES / EXERCISE / PLEASURE:
12. MENTAL HEALTH STATUS / COUNSELING:
13. SPIRITUAL AFFILIATION / ACTIVITY:
14. PROGRAM ACTIVITIES:
15. DENTAL NEEDS: