INTERVIEW SETTING
On 12/5/16 I met Mr. Maitland at the office of Dr. Kang surgeon. Mr. Maitland arrived to the appointment late. He ambulates without a limp. He is alert and oriented. Mr. Maitland was willing to sign consents forms and have allowed me to come back into the exam room.
MEDICAL FACTORS
Mr. Maitland reported while at work he slipped and fell off of a trailer hitting the ground and a bar to the left upper leg. He had a large hematoma and was taken to Genesys hospital. He also had …show more content…
Maitland reports he has a history of high cholesterol, high blood pressure and cardiac. Mr. Maitland had a cardiac catheter.
Mr. Maitland reports he smokes and drinks socially, he denied drug use.
EDUCATIONAL HISTORY
Graduate from Kersley High School.
EMPLOYMENT HISTORY
1. Place of Employment: Genesee County Road Commission
• Job Title: Equipment operator
• Start date: 9/16/14 Stop date: current
• Hours per week: 40+
• Job requirements and physical demands: sit, stand, walk ,push, pull, lift, and climb
CURRENT EMPLOYER CONTACT INFORMATION
On 11/29/16 I called Ms. Cherry and left a voice message of introduction. I requested a job description. My contact information was left. On 12/5/16 I emailed an update along with a current work status to Ms. Grant.
WORKERS’ COMPENSATION HISTORY
Mr. Maitland denied any prior work injury.
FAMILY/SOCIAL/FINANCIAL FACTORS
Mr. Maitland is single. He lives alone. He has limited steps to enter his home.
Emergency Contact –Deanna Maitland mother, 810-516-8432
PHYSICAL DESCRIPTION
Height: 419 pounds
Weight: 6 foot
Hair: brown
Eyes: brown
Dominant hand: right
CLIENT’S FUTURE