{"history": [{"sno": "new", "year": "2025", "answer": [{"options": {"value": "BRENDA L HOLLAND", "optionId": "u4v"}, "questionId": "K-lowx"}, {"options": {"value": "NH016939800", "optionId": "vvv"}, "questionId": "B-lowx"}, {"options": {"value": "1963-06-22", "optionId": "tdb"}, "questionId": "M-iz6p"}, {"options": {"value": "2025-06-23T10:58"}, "questionId": "W-iz6p"}, {"options": {"value": "6038030057", "optionId": "uphno"}, "questionId": "U-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "b4v"}, "questionId": "Q-lowx"}, {"options": {"value": "Focus Care", "optionId": "p4v"}, "questionId": "X-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "q4v"}, "questionId": "N-lowx"}, {"options": {"value": "Diabetes, HTN, Other, SDOH, Behavioral Health", "optionId": ["ul5", "uz0", "epq", "sdo", "bhd"]}, "questionId": "U-w165"}, {"options": {"value": "Medication regimen, Elevated blood pressure, uncontrolled diabetes, food disparities, undiagnosed ADHD, worsening depression, polypharmacy, member loss and expressive aphasia, need for occupational therapy, ", "optionId": "C-MV65"}, "questionId": "C-MV65"}, {"options": {"value": "804-874-5660", "optionId": "i4v"}, "questionId": "S-lowx"}, {"options": {"value": "Yes", "optionId": "su8"}, "questionId": "Q-jtcz"}, {"options": {"value": "No", "optionId": "l6B"}, "questionId": "A-que"}, {"options": {"value": "No", "optionId": "l6D"}, "questionId": "B-que"}, {"options": {"value": "Referral:<br>- We need to see if we are able to get the member's medications placed into pill packs.  She has had a stroke and this has effected her ability to be able to fill her medications properly and take her medications.  Also, discussed with member that she needs to speak with her PCP about the medications that she is currently on if they are giving her unwanted side effects.  Member has been known to stop taking medications if she perceives them as making her feel a certain way.  Explained to member that this is dangerous and she needs to speak with her provider to properly step down her medications if warranted. <br>-Member does have issues with polypharmacy and she is receiving her medications from 2 different places.  Walmart 603-336-5548 and Cornerstone Health Solutions 781-805-8220.   She does not know which medications she is actually supposed to be taking or the reasoning for it.  <br>-Member is having issues with not having enough money for food.  <br>She would definitely benefit from having a home health nurse or CNA to come assist with follow up on her taking medications or to assist her with setting up her medication.  Also, member seems to exhibit symptoms of undiagnosed ADHD that seemed to effect her prior to her stroke and now post stroke it has gotten worse.  Member needs a proper evaluation.  <br>She was just in the hospital a few weeks ago due to her blood sugar being over 400, and her medication list was not updated at her follow up appointment. <br>Her boyfriend recently purchased her a 28 day meal plan type 2 diabetes cookbook, however she still needs assistance with following a heart healthy/diabetic diet because she in not getting the proper nutritional intake.   <br>- Sometimes she just wants to go in her room and just stay there. Member states that she has had history of forgetfulness especially since her stroke.  She has a very hard time with spelling and numbers.  Currently she does not have a counselor or mental health therapist.  She would definitely like this as well as someone to evaluate her medications.<br>-member states that she has been having vaginal dryness.  <br>- Member needs to have her sleep study rescheduled since this was missed due to her hospital visit.  <br>- possible need for occupational therapy or speech therapy to assist with expressive aphasia that is residual from member's stroke. <br>Member is being treated for HTN but does not have the proper equipment to even take her blood pressure.  ", "optionId": "l6l"}, "questionId": "P-gbms"}], "clientId": "client_013", "memberId": "NH016939800", "referralId": "vu8", "submittedBy": "chembrick", "sentToQADate": "2025-06-23T15:13:27.374Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}], "last_updated": "06-23-2025 11:13:27"}