{"sno": "new", "year": "2025", "answer": [{"options": {"value": "SCOTT F GORMLEY", "optionId": "u4v"}, "questionId": "K-lowx"}, {"options": {"value": 60000665300, "optionId": "vvv"}, "questionId": "B-lowx"}, {"options": {"value": "1962-08-15", "optionId": "tdb"}, "questionId": "M-iz6p"}, {"options": {"value": "2025-05-22T17:45"}, "questionId": "W-iz6p"}, {"options": {"value": "6033500879", "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": "HTN, Other, SDOH, Behavioral Health", "optionId": ["uz0", "epq", "sdo", "bhd"]}, "questionId": "U-w165"}, {"options": {"value": "pain management, trachobronchomalacia evaluation, PHQ9 of 21, physical therapy, ETOH abuse, tobacco use, advanced care planning", "optionId": "C-MV65"}, "questionId": "C-MV65"}, {"options": {"value": "8048745660", "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>member feels that they are sufficiently handling their mental health issues.  He feels that his problems are his own and he does not need to speak with any therapist or counselors at this time.  Discussed with the member that his PHQ9 score is very elevated at this time and he would benefit from a medication evaluation as well as therapy.  Member has been experiencing chronic pain for so long that it has caused him to spiral into a depressive state as well as increased his alcohol consumption.  He states that the pain is always there.  His diagnosis of tracheobronchomalacia increased this and being placed on continuous oxygen because he was told that there was nothing more that can be done has truly put him in a negative space.  The member does want assistance for his pain but feels that he does not need any assistance with his depression, or alcohol consumption.  Advised member that his health providers are there to help with his health and at this time his mental health and pain management will definitely be a positive change to his life.  Will send referral for follow up with member he may or may not accept assistance.  <br>Member definitely needs pain management, the member was told that he needed a hip replacement, bilateral knee replacements and spinal evaluation.  However, he was told that due to his poor dental health he would not be able to get the procedure performed.  When went to the dentist they did his evaluation and found that he did not have any infections that would prevent him from getting surgery but he would need to pay $8000 to restore his dental health.  This has caused him to be even more saddened.  The member recently had an ultrasound of his kidneys due to the present of a cyst.  At the time of assessment member was having back pain and was using a container of peanuts to assist with comfort.  Suggested possible pain management and PT as well.  ", "optionId": "l6l"}, "questionId": "P-gbms"}], "clientId": "client_013", "memberId": 60000665300, "referralId": "vu8", "submittedBy": "chembrick", "sentToQADate": "2025-05-22T21:53:15.774Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}