- The document provides discharge instructions for patient Mark Hilbert who was admitted to Adventist GlenOaks Hospital for a psychiatric evaluation. It includes information about his attending physician, tests performed during his visit, medication and follow-up instructions, and educational materials provided about affective disorders. - Mr. Hilbert was instructed to follow-up with his primary care provider and to call or return to the emergency department if his condition worsens. He was also provided information about depression, bipolar disorder, and the causes of affective disorders. - The document outlines the treatment and care Mr. Hilbert received during his hospital visit and ensures he has the appropriate follow-up care and understands his condition and instructions.

1. Document info
Result type: ED Pat Edu
Result date: May 15, 2015, 04:27 p.m.
Result status: altered
Performed by: Suzanne Manisack
Verified by: Suzanne Manisack
ED Pat Edu
Patient: MARK HILBERT DOB: Aug 22, 1969
Adventist GlenOaks Hospital
701 Winthrop Ave., Glendale Heights, IL 60139
(630)545-8000
Your Discharge Instructions
Name: HILBERT, MARK DOB: 8/22/1969 12:00 AM
MRN#: 391369 Visit Date: 5/14/2015 8:40 PM
Primary Care Provider:
Name:
Phone:
Inpatient Care Providers:
Attending Physician: MAYOR MD, MPH, DAVID L
Adventist GlenOaks Hospital would like to thank you for allowing us to assist you with
your healthcare needs.
Visit Reason Psychiatric Evaluation
Tests Performed:
General
Order Type Status Stop Time Provider
Discharge (CPOE)
Admit/Trans/DC -
Patient Care
Ordered 05/15/2015 16:20
PANKAU MD,
WILLIAM J
Consult Physician Consult MD Ordered 05/15/2015 00:53
MAYOR MD, MPH,
DAVID L

2. Consult Physician Consult MD Ordered 05/15/2015 06:45
MAYOR MD, MPH,
DAVID L
Admit to Venue Icon Discern Rule Order Ordered 05/15/2015 08:19 SYSTEM
Diet
Nutritional Services
Diet
Ordered 05/15/2015 05:45
MAYOR MD, MPH,
DAVID L
Provider Order Patient Care Ordered 05/14/2015 20:42
MAYOR MD, MPH,
DAVID L
Provider Order Patient Care Ordered 05/14/2015 20:42
MAYOR MD, MPH,
DAVID L
Provider Order Patient Care Ordered 05/14/2015 20:42
MAYOR MD, MPH,
DAVID L
Laboratory
Order Type Status Stop Time Provider
Acetamin General Lab Completed
MAYOR MD, MPH,
DAVID L
Alcohol General Lab Completed
MAYOR MD, MPH,
DAVID L
Auto Diff General Lab Completed
MAYOR MD, MPH,
DAVID L
CBC/Diff General Lab Completed
MAYOR MD, MPH,
DAVID L
CMP General Lab Completed
MAYOR MD, MPH,
DAVID L
Dr Urine General Lab Completed
MAYOR MD, MPH,
DAVID L
Renal Funct Index General Lab Completed
MAYOR MD, MPH,
DAVID L
Salicylate General Lab Completed
MAYOR MD, MPH,
DAVID L
Diagnostic
Your Follow-up Instructions
HILBERT, MARK has been given these follow-up instructions:
Medication Instruction(s)
Acknowledgement Form
HILBERT, MARK has been given the following list of patient education materials and
follow-up instructions:
Patient Education Material(s), appropriate to treatment and follow-up
Medication Education Material(s), appropriate to treatment and follow-up
Valuables/Belongings:

3. I, HILBERT, MARK, understand the treatment I received and also understand that
further treatment may be necessary. I have been given a copy of the above instructions
and I will arrange for follow-up care as outlined above. If my condition worsens, I will call
my doctor or go to the Emergency Department.
_______________________
Patient Signature
__________/____________
Date Time
_______________________
Clinician Signature
__________/____________
Date Time
Please note: If you had any cultures or x-rays performed during your visit, your final
reports will be reviewed. You will be contacted if any further instructions are needed.
Detailed Patient Education/Medication Material
HILBERT, MARK has been given the following patient education materials:
If you have any question(s), contact your physician
Understanding Affective (Mood) Disorders
Most people have mood changes now and then. One day they may feel cranky and the
next day, they feel great. But with an affective disorder, mood changes aren't so simple.
These disorders can cause great emotional pain, and can greatly disrupt your life.
Affective disorders can be treated. Talk to your health care provider or a mental health
professional. He or she can help.

4. What Are Affective Disorders?
Affective disorders are illnesses that affect the way you think and feel. The symptoms
may be quite severe, and in most cases, they won't go away on their own. The most
common affective disorders are depression and bipolar disorder.
Depression
The main symptom of depression is a feeling of deep sadness. You may also feel
hopeless, or that life isn't worth living. At times, you may have thoughts of suicide or
death. Most people have some sadness in their lives. These feelings often lessen with
time. But people with severe depression may not get better without treatment.
Bipolar Disorder
Bipolar disorder is sometimes called manic-depressive illness. That's because it causes
extreme mood swings. At times you may feel intensely happy and full of energy. These
episodes are often followed by great despair. In some cases, you may have both
extremes at once. It’’s likely that you'll have phases when your mood shifts back and
forth. You may have these mood swings just once in a while, or they may happen
several times a year. Without treatment, they will likely recur throughout your life.
What Causes Affective Disorders?
No one knows just what causes affective disorders. It is known they run in families.
Changes in certain chemicals in your brain also may play a role. These disorders affect
both men and women. They also may strike people of every age, race, and income
level.

5. © 2000-2013 Krames StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as
a substitute for professional medical care. Always follow your healthcare professional's instructions.