Charles Kraxner Case Study

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Yvetta Coates of Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with Charles Kraxner and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 10/13/16 I met Mr. Kraxner at the office of Dr. Morse Orthopedic surgeon. Mr. Kraxner is alert and oriented. He is willing to provide medical history and to work with a nurse case manager. MEDICAL FACTORS Mr. Kraxner said he was at work and was unloading a truck. He said he was lifting a package weighing about 150 pounds when he had immediate pain to the right shoulder. He reported the injury to his employer and was sent to McLaren Occupational Health on the day…show more content…
Kraxner said he is independent with his personal care. He is not able to lift or carry with the right arm. MEDICAL/SURGICAL HISTORY Mr. Kraxner denied any prior medical or surgical history. Mr. Kraxner said he uses smokeless tobacco, he drinks alcohol socially and denied drug use. EDUCATIONAL HISTORY Mr. Kraxner graduated from high school in 1977. He served in the military. EMPLOYMENT HISTORY 1. Place of Employment: Headshot, Inc. • Job Title: deliver person • Start date: 5/2/16 Stop date: current • Hours per week: 40 hours • Job requirements and physical demands: drive, lift, carry, stairs, bend twist and reach. 2. Place of Employment: • Job Title: • Start date: Stop date: • Hours per week: • Job requirements and physical demands: (duties, specific physical demands that impact injury) 3. Place of Employment: • Job Title: • Start date: Stop date: • Hours per week: • Job requirements and physical demands: (duties, specific physical demands that impact injury) CURRENT EMPLOYER CONTACT INFORMATION On 10/7/16 and 10/13/16 I contacted employer Doug Hagnvnd with update on current medical and work status. WORKERS’ COMPENSATION…show more content…
Kraxner denied prior work injuries. FAMILY/SOCIAL/FINANCIAL FACTORS Mr. Kraxner lives with his wife. He reports he is able to maneuver in and out of his home. Emergency Contact –Mrs. Kraxner 989-329-8745 PHYSICAL DESCRIPTION Height: 6 foot Weight: 220 pounds Hair: Eyes: Dominant hand: CLIENT’S FUTURE PLANS Mr. Kraxner said he wants to return to work. CONSENT/EXPLANATION OF CASE MANAGEMENT I explained my role as medical case manager and Mr. Kraxner verbalized understanding. He read and willingly signed the Authorization for Release of Medical Information form. ATTORNEY N/A IMPRESSIONS Mr. Kraxner said his health is good. He avoids any narcotic medications and prefers a more holistic medical approach. He is very motivated to have the shoulder repaired to return to work. The Official Disability Guidelines for a surgical repair to the rotator cuff is 56 to 180 days. PLAN/ RECOMMENDATIONS 1. Contact Mr. Kraxner every 2 to 4 weeks for and obtain a medical status update. 2. Attend the follow up appointment with Dr. Morse when made after surgery. 3. Update the employer after each medical
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