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Togore101
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Posts posted by Togore101
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@usmcWARdog I put my claim in at the end of October. I had my C&P like 6 months after (Sorry I cant remember the exact date). After that around aug or sept the decision was made. Honestly its all up to the VA if they fill they can make the decision without calling you in for a C&P they will. When I first submitted by stuff for a increase for my PTSD they didnt call me in for a C&P. The second time i submitted it with additional documentation they called me in. Brother it can go either was. I also say "Hope for the best but expect the worst". The completion date thing on ebenefits always go up and down; it will give you one date then when it gets close to that date it will change again.
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@usmcWARdog Brother we all do it you can ask any the guys on my thing here. Try to find something to take up your time; read a book, enroll in school, just try to find something. The suspense is hell but do fall into it.
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@Buck52 it was a huge blessing for me. I have already put in all the paperwork for my exemption, the only thing I haven't done yet is the ChampVA insurance but im in the process of doing it now. @Grumpbox definitely a huge blessing. Didn't think i was going to get it at first but it came through. @usmcWARdog I'm give you the same advice that was giving to me its in now just "let go and wait" I know my biggest thing was checking it all the time and worrying about it. As long as you been going to the doctor you shouldnt have anything to worry about as far as the PTSD. If you go on ebennies you will be able to pull the notes from the C&P by now and see what was written in. that way you will have some ideal of what your rating could be.
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@usmcWARdog Sorry about that I meant to update everyone on my claim. In Aug they rated me 100 percent P & T. They gave me 100% for PTSD, and gave me SMC for erectile dysfunction. The DBQ's are awesome I got my civilian therapist to complete it and everything else fell into place.
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I read over it several times and I seen were they could deny the claim for an increase but im hoping for the best. @Grumpbox I definitely been trying not to pay any attention to it right now but something also tells me to look LOL, but i have gotten better with it. @L @Buck52 @Grumpbox thank you all for taking a look and i appreciate the feedback. I will let you guys know the outcome when i get it. Eben saying it will be between May and July. You all have a good day.
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I was in the Air Force six years. my MOS MP (Security Forces). Depolyed Iraq 2010. My current rating is 90% s/c. Honorable discharge. Going for increase in combat related PTSD. Injuries are below
nequal leg length (acquired) 0% Service Connected 06/04/2014 post traumatic stress disorder with mood disorder NOS Active Psychosis/GW Mental left hip strain, claimed as nonallopathic lesions of pelvic region 10% Service Connected 06/04/2014 congenital foot deformity condition Not Service Connected bilateral hearing loss condition Not Service Connected plantar fasciitis, bilateral feet, claimed as plantar fasciitis, left foot 10% Service Connected 06/04/2014 scar, painful, residuals, right side of nose, claimed as laceration to face condition 10% Service Connected 06/04/2014 right wrist strain, claimed as right wrist pain 10% Service Connected 06/04/2014 scar, facial 0% Service Connected 06/04/2014 intervertebral disc syndrome (IVDS), claimed as low back degenerative disk disorder, nonallopathic lesions of lumbar region and sacral regions 20% Service Connected 06/04/2014 pseudofolliculitis barbae 0% Service Connected 06/04/2014 obstructive sleep apnea (OSA), claimed as sleep apnea with CPAP 50% Service Connected 06/04/2014 chipped toe and toe hallux limitus conditions Not Service Connected PTSD (post traumatic stress disorder) 50% Service Connected PTSD - Combat
07/06/2015 left wrist strain 10% Service Connected 06/04/2014 radiculopathy, involvement of the sciatic nerve, left lower extremity 20% Service Connected 06/04/2014 radiculopathy, involvement of the sciatic nerve, right lower extremity 10% Service Connected 06/04/2014 tinnitus 10% Service Connected 06/04/2014 -
Hello everyone I am new to the site. And I recent submit a the dbq for an increase for my PTSD and I trying to understand it but im just not getting it. So I figured would ask you all. Below is what the examiner put in the record.
Review Post Traumatic Stress Disorder (PTSD)
Disability Benefits Questionnaire
Name of patient/Veteran: =========
Is this DBQ being completed in conjunction with a VA 21-2507, C&P
Examination
Request?
[X] Yes [ ] No
SECTION I:
----------
1. Diagnostic Summary
---------------------
Does the Veteran now have or has he/she ever been diagnosed with PTSD?
[X] Yes [ ] No
ICD Code: F43.1
2. Current Diagnoses
--------------------
a. Mental Disorder Diagnosis #1: PTSD
ICD Code: F43.1
b. Medical diagnoses relevant to the understanding or management of the
Mental Health Disorder (to include TBI):
No response provided.
3. Differentiation of symptoms
------------------------------
a. Does the Veteran have more than one mental disorder diagnosed?
[ ] Yes [X] No
c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?
[ ] Yes [ ] No [X] Not shown in records reviewed
4. Occupational and social impairment
-------------------------------------
a. Which of the following best summarizes the Veteran's level of
occupational
and social impairment with regards to all mental diagnoses? (Check only
one)
[X] Occupational and social impairment with reduced reliability and
productivity
b. For the indicated level of occupational and social impairment, is it
possible to differentiate what portion of the occupational and social
impairment indicated above is caused by each mental disorder?
[ ] Yes [ ] No [X] No other mental disorder has been diagnosed
c. If a diagnosis of TBI exists, is it possible to differentiate what
portion
of the occupational and social impairment indicated above is caused by
the
TBI?
[ ] Yes [ ] No [X] No diagnosis of TBI
SECTION II:
-----------
Clinical Findings:
------------------
1. Evidence Review
------------------
Evidence reviewed (check all that apply):
[X] VA e-folder (VBMS or Virtual VA)
[X] CPRS
Evidence Comments:
MENTAL HEALTH OUTPATIENT FOLLOW UP NOTE [excerpts]
DATE OF NOTE: MAR 05, 2018
AUTHOR: ========,NP NURSE PRACTITIONER
CHIEF COMPLAINT: "same old same old"
INTERVAL HISTORY:
Veteran is here for 6 week follow up for PTSD, Alcohol Use Disorder,
unspecified, episodic. At last appointment, low dose venlafaxine was
added, aripiprazole, prazosin, and melatonin were continued.
He reports symptoms are about the same. His wife is pregnant with twins,
so he is trying to minimize arguments at home. He worries he will not be
able to connect with the babies, because he struggled so much with his
daughter and points to her persistence as the reason they are close now.
He see no change in sleep, remains irritable, and more hypervigilant due
To recent car break ins on his street. He has cut down on drinking, and
denies any binges since last appointment. He continues to have fleeting
SI, but denies intent. He often has thoughts of hurting others, but
strongly denies acting on the thoughts. No recent hallucinations. He
does talk to himself when he is trying to work something out, but denies
hearing voices other than his own. It can be embarrassing as coworkers and wife
have caught him.
ASSESSMENT AND TREATMENT PLAN GOALS:
DSM 5 Diagnostic Impression
PTSD
Alcohol Use Disorder, Unspecified, episodic
Goals:
1. Decrease irritability and anger- does not interfere with home or work
life more than one time per month, ongoing, improving
2. Improve feeling of connection with others- enjoying and developing
relationships, ongoing, no change
3. Decrease avoidance of social situations/crowds- can tolerate Wal Mart,
enjoy outings with family, ongoing, no change
4. Improve sleep- no difficulty falling asleep, sleep 6 to 8 hours
nightly, ongoing, worsening
PLAN AND PROGRESS TOWARDS TREATMENT PLAN GOALS:
reviewed records and discussed options
- increasing venlafaxine to 75 mg
- continuing aripiprazole, prazosin, and melatonin
- suggested individual supportive counseling at the Vet Center after Dr.
Bhatia leaves.
- monitoring labs at next appointment
- Will continue to follow closely. RTC 6 weeks/PRN
2. Recent History (since prior exam)
------------------------------------
a. Relevant Social/Marital/Family history:
Last C&P PTSD DBQ May 2016
Lives in Moncks Corner, SC with wife of 9 years and daughter age 4.
Daily routine: Lay down for bed 2100. Will fall asleep 2300. Wake
frequently. "I have to do certain things to calm down. I need my
gun next to me. I have to check the house make sure its locked. Make sure
the alarm is on. If I hear something, it wakes me right up and I have
to check it out." +Nightmares, night sweats. "Sometimes
I'm swinging and yelling and talking in my sleep, so my wife leaves for a different
room. I wake up and she's not there and it freaks me out."
Prescribed
melatonin for sleep, prazosin for nightmares. Abilify for PTSD.
Diagnosed sleep apnea by sleep study in 2013, prescribed CPAP and is
compliant.
Relationship with wife: "We almost got divorced a few times. She
didn't understand what was going on. She started reading up on it. The whole
reason I went to mental health was because of her."
Relationship with daughter: "She is scared of me. She has seen me
Snap a few times. She is on guard. She doesn't know if I'm going
to be up or down. She is my heart. She is the only thing that makes me feel
normal." Will watch cartoons and read books together.
Hobbies: play basketball, go to gym "but now I just sit in the
House watch TV or just in the room." Likes anime.
Support: father "he's been with me through everything."
And is Veteran
too, wife "but there is a wall there where I don't open
up."
b. Relevant Occupational and Educational history:
Working for passport services for 3 years. "Its rough at times.
There's a lot of people in there. They had to move my seat because I'm
too jumpy. They moved it so I'm not around a lot of people. It is hard
to focus. I have to use sticky notes. They have been pretty supportive.
I've had good supervisors." Was counselled about days missing
for work; "I had a blow up at my co-workers so they spoke to me about
that." Miss 2-3 days per month. "When I get to work, I drive around the
Building and if I see something I don't like, I just go home."
Military history: E4, MP, Separated 2014, Honorable, Served about 6
years.
c. Relevant Mental Health history, to include prescribed medications and
family mental health:
Mental health treatment with prescriber and therapist. No history of
hospitalizations. Was in group therapy "but I didn't like it."
d. Relevant Legal and Behavioral history:
"When I was in Japan I got us into trouble because of my alcohol
abuse. I got into a car accident and hit 3 cars." Was sent to ADAP for
anger and PTSD. A month ago got into a physical altercation with sister's
boyfriend "I laid hands on him. So then I went to a hotel room and stayed there and
then I went on a drink binge."
e. Relevant Substance abuse history:
Alcohol - "I abused it really bad. My PCM said it was affecting
My liver." Was drinking4-5 25 oz beers, drink a bottle of liquor over
The weekend. Now will drink 1-2 beers.
Tobacco - 2-3/day
Denies other substances.
f. Other, if any:
Current reported symptoms:
Anger: "I black out and become very violent. I knock TVs off
walls. My wife was ready to leave me."
Triggers: "foggy day and rain." "Ignorant and stupid
people."
Social avoidance.
"If a car is behind me too long, I start to think he is following
me. There is a particular truck that I know and he gets too close to me. I
got sick of it and one day I followed him home. I didn't do
anything, but I blacked out mad. I knew I needed help."
Flashbacks - "I was shopping with my wife, and this guy had a
turban on his head and I thought I was back there. Its constant, its all the
time."
Hygiene - "My wife got on my because I went a week without washing
And I didn't even realize it."
Suicide - "I thought about driving into traffic at the light. One
Time I sped up and got on railroad tracks when a train was coming. I
thought, what am I doing? I went into store parking lot." Reports
this occurred 2 weeks ago. "I keep a picture of my daughter in the car
to keep me from [doing it]."
3. PTSD Diagnostic Criteria
---------------------------
Please check criteria used for establishing the current PTSD diagnosis. The
diagnostic criteria for PTSD, are from the Diagnostic and Statistical Manual
of Mental Disorders, 5th edition (DSM-5). The stressful event can be due to
combat, personal trauma, other life threatening situations (non-combat
related stressors). Do NOT mark symptoms below that are clearly not
attributable to the Criterion A stressor/PTSD. Instead, overlapping
symptoms clearly attributable to other things should be noted under #6 - "Other
symptoms".
Criterion A: Exposure to actual or threatened a) death, b) serious
injury,
c) sexual violence, in one or more of the following ways:
[X] Directly experiencing the traumatic event(s)
[X] Witnessing, in person, the traumatic event(s) as they
occurred to others
Criterion B: Presence of (one or more) of the following intrusion
Symptoms associated with the traumatic event(s), beginning after the
traumatic event(s) occurred:
[X] Recurrent, involuntary, and intrusive distressing
Memories of the traumatic event(s).
[X] Recurrent distressing dreams in which the content and/or
affect of the dream are related to the traumatic event(s).
[X] Dissociative reactions (e.g., flashbacks) in which the
individual feels or acts as if the traumatic event(s)
were recurring. (Such reactions may occur on a continuum,
with the most extreme expression being a complete loss of
awareness of present surroundings).
[X] Intense or prolonged psychological distress at exposure
To internal or external cues that symbolize or resemble an
aspect of the traumatic event(s).
[X] Marked physiological reactions to internal or external
cues that symbolize or resemble an aspect of the
traumatic
event(s).
Criterion C: Persistent avoidance of stimuli associated with the
Traumatic event(s), beginning after the traumatic events(s) occurred,
as evidenced by one or both of the following:
[X] Avoidance of or efforts to avoid distressing memories,
thoughts, or feelings about or closely associated with
the traumatic event(s).
[X] Avoidance of or efforts to avoid external reminders
(people, places, conversations, activities, objects,
situations) that arouse distressing memories, thoughts,
or feelings about or closely associated with the traumatic
event(s).
Criterion D: Negative alterations in cognitions and mood associated with
the traumatic event(s), beginning or worsening after the
traumatic event(s) occurred, as evidenced by two (or more)
of
the following:
[X] Persistent and exaggerated negative beliefs or
expectations about oneself, others, or the world (e.g.,
"I
am bad,: "No one can be trusted,: "The world is
completely
dangerous,: "My whole nervous system is permanently
ruined").
[X] Persistent, distorted cognitions about the cause or
consequences of the traumatic event(s) that lead the
individual to blame himself/herself or others.
[X] Persistent negative emotional state (e.g., fear, horror,
anger, guilt, or shame).
[X] Markedly diminished interest or participation in
significant activities.
[X] Feelings of detachment or estrangement from others.
[X] Persistent inability to experience positive emotions
(e.g., inability to experience happiness, satisfaction,
or
loving feelings.)
Criterion E: Marked alterations in arousal and reactivity associated with
the traumatic event(s), beginning or worsening after the
traumatic event(s) occurred, as evidenced by two (or more)
of
the following:
[X] Irritable behavior and angry outbursts (with little or no
provocation) typically expressed as verbal or physical
aggression toward people or objects.
[X] Reckless or self-destructive behavior.
[X] Hypervigilance.
[X] Exaggerated startle response.
[X] Problems with concentration.
[X] Sleep disturbance (e.g., difficulty falling or staying
asleep or restless sleep).
Criterion F:
[X] The duration of the symptoms described above in Criteria
B, C, and D are more than 1 month.
Criterion G:
[X] The PTSD symptoms described above cause clinically
significant distress or impairment in social,
occupational, or other important areas of functioning.
Criterion H:
[X] The disturbance is not attributable to the physiological
effects of a substance (e.g., medication, alcohol) or
another medical condition.
4. Symptoms
-----------
For VA rating purposes, check all symptoms that actively apply to the
Veteran's diagnoses:
[X] Depressed mood
[X] Anxiety
[X] Suspiciousness
[X] Chronic sleep impairment
[X] Mild memory loss, such as forgetting names, directions or recent
events
[X] Flattened affect
[X] Impaired judgment
[X] Disturbances of motivation and mood
[X] Difficulty in adapting to stressful circumstances, including work or
a
worklike setting
[X] Suicidal ideation
[X] Impaired impulse control, such as unprovoked irritability with
periods
of violence
[X] Neglect of personal appearance and hygiene
5. Behavioral observations
--------------------------
Veteran was open and forthright with no evidence of exaggeration or
feigning symptoms. Affect blunted. Minimal eye contact. Speech regular
rate, tone, volume. Thought process linear, logical, goal directed.
Thought content absent for delusions, hallucinations, paranoia or HI.
Endorses SI with no active plan, but drove car onto train tracks last
week. Discussed safety, crisis line, Veteran has MHC appointment next
week. Veteran reports safety to return home today.
6. Other symptoms
-----------------
Does the Veteran have any other symptoms attributable to PTSD (and other
mental disorders) that are not listed above?
[ ] Yes [X] No
7. Competency
-------------
Is the Veteran capable of managing his or her financial affairs?
[X] Yes [ ] No
8. Remarks, (including any testing results) if any:
---------------------------------------------------
PCL-5 score 72, indicating probable diagnosis of PTSD.
Veteran continues to meet criteria for PTSD. He reports social
withdrawal, sleep problems, memory problems, irritability, anger that is both verbal
and physical, suicidal thoughts. He has work accommodations because of
his PTSD symptoms. He misses several days of work a month because of his
symptoms.
Caregiver appt
in VA Caregiver Benefits
Posted
My wife recently applied to be my caregiver. The process was easy once the form was completed and sent off that call us up, and schedule the evaul. Overall the evaul seem to go well, but this is new territory for me and would like input on the notes that the MD put in eben. Below are the notes. Any one with any insight on this program are welcome to comment and let me know your thoughts.
Household makeup: Veteran, wife and three minor children aged 4 and 3
month old twins
Employment:
Veteran: WOrks in Federal Department of State in passport
division
Caregiver: Not working at this time
Education:
Veteran: Masters in Organizational Management
Caregiver: Computer towards a Masters in business
Hobbies:
Veteran: None
Caregiver: None
Substance Use:
Veteran: Denies
Caregiver: Denies
ADL Screen - Katz Index of Independence in Activities of Daily Living
Record INDEX of ADL.
Score = 15
1. Bathing: either sponge bath, tub bath or shower.
Receives assistance in bathing only one part of body (such as back
or leg).
2. Dressing: gets clothes from closets and drawers, including
under-clothes, outer garments and using fasteners (including braces
if worn).
Receives assistance in getting clothes, or dressing, or stays partly
or completely undressed.
3. Toileting: going to the "toilet room" for bowel and urine
elimination; cleaning self after elimination and arranging clothes.
(May use cane, walker, or wheelchair, and manage bedpan or commode,
emptying same next morning).
No assistance needed.
4. Transfer:
Moves in and out of bed, or chair, without assistance (may use
support object like cane or walker).
5. Continence:
Controls urination and bowel movement completely by self.
6. Feeding:
Feeds self without assistance.
SUPERVISION/PROTECTION SCORING:
Delusions/Hallucinations:
Is there the presence of delusions/hallucinations?
Has there been reckless, impulsive or otherwise potentially harmful
behavior that poses a risk to Veteran in the presence of
hallucinations/delusions? E.g. hearing voices that tell Veteran to
harm him/herself or others; driving in unsafe conditions to escape
belief that that Veteran is being watched in his/her home; jumping off
roof of building due to beliefs that flight is possible, etc.
1 Mild behavorial risk Auditory hallucinations interferes with
veteran's sleep and he sometimes leaves house to investigate
Affective/Behavioral Dysregulation (Self-regulation):
Is the Veteran able to regulate behaviors without exhibiting any of
the following behaviors:
* Aggressive/combative with self or others * Verbally
disruptive including yelling, threatening and excessive
profanity
* Disruptive behavior
* Infantile behavior
* Socially inappropriate behavior
3 Veteran displays one or more of the behaviors (described
above) SEVERAL TIMES A WEEK requiring caregiver
supervision/intervention: Veteran gets into vebal confrontations
with co-workers which need intervention from supervisor.
Impairment of Recent Memory:
Is the Veteran able to remember recent events and learn new
information? Assessed by:
* "How is your memory?" * Provide me with some examples
of
recent troubles you've had/the
Veteran has had with your/his/her memory." (Common responses
include: difficulty remembering appointment dates/time,
difficulty remembering recent conversations, difficulty
remembering driving directions, misplacing common objects,
difficulty remembering what he/she just read, walking into a
room
and forgetting why he/she entered, etc.)
* "What measure do you take to assist you with your memory
troubles?" (E.g. writing down things, using electronic
devices,
having caregiver remind of tasks, etc.)
* "How much of the time is your memory a problem for you?"
AND/OR
"In a typical day how often do your or your caregiver notice
trouble with your memory?"
3 Veteran is able to recall 25-49% of recent information and
requires the supervision/assistance of the Caregiver to remember
to perform necessary day-to-day activities: Veteran needs
assistance with medications, appointments
Sleep:
Is the Veteran able to regulate sleep?
Assessed by:
* Do you (does the Veteran) require support from your caregiver
in
order to sleep well?
*If yes, "How so?" (e.g. reminds Veteran to go to bed at a
regular time, reminds VEteran not to use caffeine before bed,
reminds Veteran to use relaxation techniques, sits with
Veteran
Until they fall asleep, etc.)
* "How often are you able to sleep through the night?"
* "Are you having nightmares?"
*If yes, "How often? Do you (does the Veteran) require
support
from your caregiver in order to calm down following a
nightmare?"
4 Veteran is unable to sleep at night, prone to wandering and
requires overnight safety precautions such as locked doors and
constant overnight supervision by caregiver: Veteran unable to
sleep through the night, has left home to investigate noises but
does not wander.
Safety:
Is the Veteran able to maintain safety with self and others (i.e.
Veteran poses no risk to self or other and/or is without risk of
falling or wandering, crosses street safely and safely uses electrical
appliances, stove top or oven)?
Assessed by:
* "Are you/is the Veteran able to leave the home
independently/safely ?"
*If No, "How often are you having troubles of this kind?"
* "Are you/is the Veteran able to utilize household appliances
independently/safely?"
*If No, "How often are you having troubles of this kind?"
3 Veteran is able to leave the home independently 25-49% OF THE
TIME or use electrical or cooking appliances with direct
supervision: Veteran does not leave home independently apparently
by choice.
Planning and Organizing:
Is the Veteran able to plan and organize as manifested by the
following tasks:
* Food preparation
* Grocery shopping
* Laundry
* Managing medications
* Arranging transportation
* scheduling and keeping appointments
* Organizing and manifesting important papers
Assessed by:
* "How often do you independently _____________?"
4 Veteran is unable to initiate and complete tasks. Veteran
requires caregiver assistance to motivate to initiate a task and
requires assistance and cueing throughout a task to structure and
complete it: Veteran does not perform any tasks, caregiver does
not seem to motivate him. He does not drive due to physical
problems, won't ride in a taxi, etc.
Physical Exam
GENERAL: Alert, no distress
HEENT: TM's clear, eyes photophobic, throat clear
Lungs:
clear
CV: RRR
Abd: Soft, non-tender
Back:
Appearance: Normal
Palpation: tender
ROM: only to 45 degrees flexion
Extremities:
Appearance: Normal
Palpation: Normal
ROM: Diminished for hips and knees
Neuro: Strenght normal, reflexes symmetric
Pertinent Imaging: Lumbar spine, knees, wrists, hands
Current Medications: See Below
Active Outpatient Medications (excluding Supplies):
Active Outpatient Medications Status
======================================================================
===
1) ARIPIPRAZOLE 20MG TAB TAKE ONE TABLET BY MOUTH AT ACTIVE (S)
BEDTIME
2) DOXAZOSIN MESYLATE 4MG TAB TAKE TWO AND ONE-HALF ACTIVE (S)
TABLETS BY MOUTH AT BEDTIME FOR SLEEP AND
NIGHTMARES
3) MELATONIN 3MG CAP/TAB TAKE 2 CAPSULES OR TABLETS BY ACTIVE
MOUTH AT BEDTIME IF NEEDED FOR SLEEP. MAY TAKE UP
TO 3 CAPSULES NIGHTLY ONE HOUR BEFORE BEDTIME
4) VARENICLINE 1MG TAB TAKE ONE TABLET BY MOUTH TWICE A ACTIVE
DAY AFTER MEALS THEREAFTER FOR 12 WEEKS. TAKE WITH
A FULL GLASS OF WATER. REPORT MOOD AND BEHAVIOR
CHANGES TO MD. (FOR SMOKING CESSATION)
5) VENLAFAXINE HCL 150MG 24HR SA CAP TAKE ONE CAPSULE BY ACTIVE (S)
MOUTH EVERY DAY WITH BREAKFAST FOR MOOD. DO NOT
STOP TAKING ABRUPTLY WITHOUT THE ADVICE OF
PROVIDER. SWALLOW CAPSULE WHOLE. DO NOT DIVIDE,
CRUSH, CHEW, OR DISSOLVE IN WATER.
6) VENLAFAXINE HCL 75MG 24HR SA CAP TAKE ONE CAPSULE BY ACTIVE
MOUTH EVERY DAY WITH BREAKFAST FOR MOOD. DO NOT
STOP TAKING ABRUPTLY WITHOUT THE ADVICE OF
PROVIDER. SWALLOW CAPSULE WHOLE. DO NOT DIVIDE,
CRUSH, CHEW, OR DISSOLVE IN WATER. TAKE WITH 150
MG CAPSULE FOR TOTAL DOSE OF 225 MG EVERY DAY
Pending Outpatient Medications Status
======================================================================
===
1) CHOLECALCIFEROL (VIT D3) 1,000UNIT TAB TAKE TWO PENDING
TABLETS BY MOUTH ONCE A DAY FOR VITAMIN-D
SUPPLEMENT
2) THIAMINE HCL 100MG TAB TAKE ONE TABLET BY MOUTH ONCE PENDING
A DAY FOR THIAMINE SUPPLEMENTATION
8 Total Medications
Veterans Interview: In regards to your service connections, Why do you
need caregiver support? Caregiver drives him to work, appointments,
pays the bills, cooks, manages medications, physically he can't
accomplish certain tasks, CG keeps an eye on his drinking.
Caregiver Interview: As pertains to ADL's CG says about 3 or 4 times
a month she has to help him shower washing back,legs, feet.
Concommitantly she will have to help him get dressed, get out of bed
and help him off comode. She has noticed some soiled undergarments
believes it is due to difficulty wiping. As per the IADL's She has
noticed veteran's auditory hallucinations, co-wokers help calm him at
work, he forgets more than half of recent information, Nightmares
disrupt sleep 2 or 3 times a week. Veteran does not leave home alone.
Does not let him cook even with supervision. In regards to Veteran's
service connections, Why do you feel Veteran needs caregiver support?
Veteran is mentally unable to respond to things appropriately,angers
easily, difficulty communicating, reckless spending would put assets
at risk, physically unable to care for himself at times, needs to
have medications managed, unable to drive as a result of road rage.
Additional Comments: Appears veteran is able to hold down this job
with reasonable accommodations.