Case Study Medical Case Management

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Pages: 4

Brandy Eberly of Mackinaw Administrators Insurance Company referred this file for medical case management. Instructions were given to meet with George Maitland and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery.

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
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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