Delmer Marvin ============= Race: White Ethnicity: Non-Hispanic Gender: M Age: 18 Birth Date: 2004-04-13 Marital Status: S -------------------------------------------------------------------------------- ALLERGIES: No Known Allergies -------------------------------------------------------------------------------- MEDICATIONS: 2022-10-16[CURRENT] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule 2022-06-07[CURRENT] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2022-05-19[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet -------------------------------------------------------------------------------- CONDITIONS: 2022-10-01 - : Concussion with no loss of consciousness 2022-06-07 - : Full-time employment (finding) 2022-06-07 - : Received certificate of high school equivalency (finding) 2022-05-19 - : Chronic neck pain (finding) 2022-05-19 - : Chronic low back pain (finding) 2021-06-01 - : Risk activity involvement (finding) -------------------------------------------------------------------------------- CARE PLANS: 2022-10-16[CURRENT] : Therapy (regime/therapy) Activity: Physical therapy procedure (regime/therapy) Activity: Cognitive and behavioral therapy (regime/therapy) 2022-10-01[CURRENT] : Head injury rehabilitation Reason: Concussion with no loss of consciousness Activity: Recommendation to rest Activity: Alcohol-free diet 2022-05-19[STOPPED] : Therapy (regime/therapy) Activity: Physical therapy procedure (regime/therapy) Activity: Cognitive and behavior therapy -------------------------------------------------------------------------------- REPORTS: 2022-06-07 : Humiliation, Afraid, Rape, and Kick questionnaire [HARK] - Total score [HARK] 0.0 {score} 2021-06-01 : Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen] - Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} -------------------------------------------------------------------------------- OBSERVATIONS: 2022-10-16 : Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale - What number best describes how, during the past week, pain has interfered with your general activity? 8.4 {score} - What number best describes how, during the past week, pain has interfered with your enjoyment of life? 7.9 {score} - What number best describes your pain on average in the past week? 2.3 {score} 2022-07-19 : Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale - What number best describes how, during the past week, pain has interfered with your general activity? 9.7 {score} - What number best describes how, during the past week, pain has interfered with your enjoyment of life? 8.9 {score} - What number best describes your pain on average in the past week? 1.4 {score} 2022-07-19 : Drugs of abuse 5 panel - Urine by Screen method Positive (qualifier value) n/a 2022-06-19 : Pain severity - Reported 8.8 {score} 2022-06-16 : Pain severity - Reported 6.3 {score} 2022-06-07 : Total score [HARK] 0.0 {score} 2022-06-07 : Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] - In the past year, have you been afraid of your partner or ex-partner? No - Do you feel physically and emotionally safe where you currently live? Yes - Are you a refugee? No - In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility? No - Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you? Not at all - How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)? 5 or more times a week - Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? No - In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? Other, Please write - During the past year, what was the total combined income for you and the family members you live with? This information will help us determine if you are eligible for any benefits. 38501 /a - What is your main insurance? Private insurance - What is your current work situation? Full-time work - What is the highest level of school that you have finished? High school diploma or GED - What address do you live at? 835 Cummings Road - Are you worried about losing your housing? No - What is your housing situation today? I have housing - How many family members, including yourself, do you currently live with? 7.0 {#} - What language are you most comfortable speaking? English - Have you been discharged from the armed forces of the United States? No - At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income? No - Which race(s) are you? White - Are you Hispanic or Latino? No 2022-06-13 : Pain severity - Reported 1.1 {score} 2022-06-09 : Pain severity - Reported 1.1 {score} 2022-06-07 : Tobacco smoking status Never smoked tobacco (finding) 2022-06-07 : Respiratory rate 14.0 /min 2022-06-07 : Heart rate 94.0 /min 2022-06-07 : Blood Pressure - Diastolic Blood Pressure 88.0 mm[Hg] - Systolic Blood Pressure 107.0 mm[Hg] 2022-06-07 : Body mass index (BMI) [Percentile] Per age and gender 45.7 % 2022-06-07 : Body Mass Index 21.6 kg/m2 2022-06-07 : Body Weight 65.1 kg 2022-06-07 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} 2022-06-07 : Body Height 173.5 cm 2022-06-06 : Pain severity - Reported 8.4 {score} 2022-06-03 : Pain severity - Reported 2.5 {score} 2022-05-31 : Pain severity - Reported 6.8 {score} 2022-05-28 : Pain severity - Reported 7.4 {score} 2022-05-25 : Pain severity - Reported 9.9 {score} 2022-05-22 : Pain severity - Reported 7.8 {score} 2022-05-19 : Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale - What number best describes how, during the past week, pain has interfered with your general activity? 3.7 {score} - What number best describes how, during the past week, pain has interfered with your enjoyment of life? 3.1 {score} - What number best describes your pain on average in the past week? 7.5 {score} 2021-06-01 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} 2021-06-01 : Tobacco smoking status Never smoked tobacco (finding) 2021-06-01 : Respiratory rate 14.0 /min 2021-06-01 : Heart rate 93.0 /min 2021-06-01 : Blood Pressure - Diastolic Blood Pressure 90.0 mm[Hg] - Systolic Blood Pressure 109.0 mm[Hg] 2021-06-01 : Body mass index (BMI) [Percentile] Per age and gender 63.7 % 2021-06-01 : Body Mass Index 22.4 kg/m2 2021-06-01 : Body Weight 66.6 kg 2021-06-01 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score} 2021-06-01 : Body Height 172.6 cm -------------------------------------------------------------------------------- PROCEDURES: 2022-06-19 : Movement therapy (regime/therapy) 2022-06-16 : Movement therapy (regime/therapy) 2022-06-07 : Screening for domestic abuse (procedure) 2022-06-12 : Movement therapy (regime/therapy) 2022-06-09 : Movement therapy (regime/therapy) 2022-06-07 : Medication Reconciliation (procedure) 2022-06-07 : Assessment of health and social care needs (procedure) 2022-06-06 : Movement therapy (regime/therapy) 2022-06-03 : Movement therapy (regime/therapy) 2022-05-31 : Movement therapy (regime/therapy) 2022-05-28 : Movement therapy (regime/therapy) 2022-05-25 : Movement therapy (regime/therapy) 2022-05-22 : Movement therapy (regime/therapy) 2021-06-01 : Health risks education (procedure) for Risk activity involvement (finding) 2021-06-01 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) 2021-06-01 : Assessment of substance use (procedure) 2021-06-01 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) 2021-06-01 : Medication Reconciliation (procedure) 2021-06-01 : Depression screening (procedure) -------------------------------------------------------------------------------- IMMUNIZATIONS: 2022-06-07 : Influenza, seasonal, injectable, preservative free 2021-06-01 : Influenza, seasonal, injectable, preservative free -------------------------------------------------------------------------------- ENCOUNTERS: 2022-10-16 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-10-01 (Dr. Maude Veum) : Encounter at KINDRED AT HOME 2022-07-19 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-06-19 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-06-16 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-06-12 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-06-09 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-06-06 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-06-03 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-05-31 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-06-07 (Dr. Cody Ratke) : Encounter at HEALTHFIRST FAMILY CARE CENTER INC 2022-05-28 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-05-25 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-05-22 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2022-05-19 (Dr. Ollie Dooley) : Encounter at DR JOHN C CORRIGAN MENTAL HEALTH CENTER 2021-06-01 (Dr. Cody Ratke) : Encounter at HEALTHFIRST FAMILY CARE CENTER INC -------------------------------------------------------------------------------- IMAGING STUDIES: --------------------------------------------------------------------------------