[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-135704-105":59,"doc-detail-135704-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","project-echo-sunflower-health-plan-case-presentation-social-isolation","Project ECHO - Sunflower Health Plan Case Presentation - Social Isolation","","Case presentation for Deb Rear in the Project ECHO, Sunflower Health Plan, focusing on social isolation. The 51-year-old male has schizophrenia, major depressive disorder, COPD, schizoaffective disorder (bipolar type), anxiety disorders, and hypothyroidism, with constipation, movement disorders, and acute pain related to hip fracture and spine/leg pain. Strengths include self-advocacy, goal orientation, religious engagement, strong memory, and music and outdoor interests. History includes institutional living for seven years, barriers to small-town/community services, reports of childhood sexual abuse, and tobacco use with excessive coffee/energy drinks; supports include peer support, case management, and group 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is the main focus of this case presentation?","Question",{"text":112,"@type":113},"The presentation focuses on social isolation and care access barriers for Deb Rear as he transitions between settings and seeks to return to the community.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which diagnoses and key symptoms are listed?",{"text":117,"@type":113},"The document lists schizophrenia, major depressive disorder, COPD, schizoaffective disorder (bipolar type), specified anxiety disorders, hypothyroidism, constipation, extrapyramidal/movement disorder, and pain related to hip fracture with thoracic spine and leg pain.",{"name":119,"@type":110,"acceptedAnswer":120},"What medications are included in the medication summary?",{"text":121,"@type":113},"The medication summary includes buspirone, fluphenazine (AM and PM dosing), gabapentin, lamotrigine, levothyroxine, pantoprazole, trazodone, ziprasidone, and PRN acetaminophen, ibuprofen, Advair, albuterol, and 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\nPatient Information  \nGender: ☒ Male ☐ Female  \nAge: 51  \nRace:  \n☐ American Indian/Alaskan Native Asian ☐ Native Hawaiian/Pacific Islander ☐ Multi-racial Other  \n☐ Black/African American ☒ White/Caucasian ☐ Prefer not to say  \nEthnicity:  \n☐ Hispanic/ Latino ☒ Not Hispanic/Latino ☐ Prefer not to say  \n| Strengths and Preferences (goals, motivators, preferences, Important to the individual) |\n| --- |\n| Goal is to live to at least his 90s\u003Cbr>While at the facility enjoyed “socials,” Bingo, karaoke and smoking outside\u003Cbr>Advocates for himself-knows his rights\u003Cbr>Knows how to seek help/assistance when he needs it, and will do it\u003Cbr>Prefers small towns/communities\u003Cbr>Enjoys listening to favorite music (heavy metal), going outside for a walk, playing basketball, drawing, food related activities (parties)\u003Cbr>Strong religious beliefs (which he can get overly verbal about at times, tends to change beliefs often) Enjoys talking to peers about world events- loves to talk and tell stories\u003Cbr>Great memory-remembers events, people, his finances (how much he spent on things)\u003Cbr>Manages his money well-has an ATM card now to continue working on doing this more independently Very resourceful\u003Cbr>Likes to play guitar and work on cars\u003Cbr>Others would say he is a determined person, the one to get things done |\n| Relevant Social and Trauma History (Current living situation, employment status, pertinent legal history, level of education, relationship status, children, support system, etc.) |\n| Member was referred to Sunflower for assistance with a transition to the community from a Nursing Facility for Mental Health (NFMH) . He had been in an institutional setting for the past seven years. He transitioned to the community with wraparound supports from the local community mental health center, including peer support, case management and twice a week group therapy. Member’s preference was to live in a small town, this became a barrier for the member to receive services through the CMHC. Member struggled with social isolation due to these barriers. This lead to the member moving to a group home, then back to the NFMH. He is again wanting to move back to the community.\u003Cbr>Not very forthcoming with historical information, so much that is known is from current. He has voiced in the past experiencing sexual abuse as a child.\u003Cbr>Still in touch with his mother and he will call her occasionally, she lives in a long term care facility. Dad is reported to be deceased.\u003Cbr>In the community, reported working at the mall. At the facility, has worked as a dietary aid. |\n\nProject ECHO: Sunflower Health Plan Case Presentation  \n\n| Relevant Medical History (Diagnosis, conditions, etc.) | Medication Summary (Name, dose, frequency, route) |\n| --- | --- |\n| Schizophrenia\u003Cbr>Major Depressive disorder\u003Cbr>COPD\u003Cbr>Schizoaffective disorder-bipolar type\u003Cbr>other specified anxiety disorders\u003Cbr>Acute pain related to muscle spasms (history of hip fracture), pain in thoracic spine and leg Constipation\u003Cbr>Extrapyramidal and movement disorder Hypothyroidism | Buspirone 15mg 3x/day\u003Cbr>Fluphenazine 25mg PM, 15mg in the AM Gabapentin 300mg 3x/day Lamotrigine 50 mg\u003Cbr>Levothyroxine 25MCG Pantoprazole Trazodone 50mg PM Ziprasidone 60mg 2x/day\u003Cbr>Acetaminophen PRN Ibuprofen PRNAdvair PRNAlbuterol PRNLorazepam PRN |\n| Lab Summary (Test, result, date, etc.) | Toxicology Summary (Test, result, date, etc.) |\n| None available | None available |\n| Substance Use History (Substance, age of first use, age where use became problematic, longest period of sobriety, how sobriety was achieved, method of use) |  |\n| No history reported of drug or alcohol use\u003Cbr>Smokes, states this is something he wants to continue doing Facility reports excessive use of coffee and energy drinks |  |\n| Psychiatric History (Age of first mental health contact","cbCaivXLCIyVE8B8","https://ap.wps.com/l/cbCaivXLCIyVE8B8","pdf",267323,"English","# Strengths and Preferences\n# Relevant Social and Trauma History\n# Relevant Medical History\n## Medication Summary\n# Barriers to Treatment","[{\"question\":\"What is the main focus of this case presentation?\",\"answer\":\"The presentation focuses on social isolation and care access barriers for Deb Rear as he transitions between settings and seeks to return to the community.\"},{\"question\":\"Which diagnoses and key symptoms are listed?\",\"answer\":\"The document lists schizophrenia, major depressive disorder, COPD, schizoaffective disorder (bipolar type), specified anxiety disorders, hypothyroidism, constipation, extrapyramidal/movement disorder, and pain related to hip fracture with thoracic spine and leg pain.\"},{\"question\":\"What medications are included in the medication summary?\",\"answer\":\"The medication summary includes buspirone, fluphenazine (AM and PM dosing), gabapentin, lamotrigine, levothyroxine, pantoprazole, trazodone, ziprasidone, and PRN acetaminophen, ibuprofen, Advair, albuterol, and lorazepam.\"}]","Project ECHO - Sunflower Health Plan Case Presentation - Social Isolation | PDF"]