A-Base Narrative

He prescribes methadone to patients for their opiate dependencies but states that it “does little for the emotional aguish compressed in every heartbeat of these driven souls.” (Maté 288) Methadone staves off withdrawal symptoms but does not create any kind of high for the patient. The patients lack what

D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for

When concerning the patient situations there are some important facts that need to be reviewed. The important facts about this case is the patient was a 16 years old guy that got in an automobile accident. The patient stated that he was in a methadone treatment program. A methadone are drugs approved for use in treating opioid dependence patient such as

Methadone is a synthetic opioid drug which was first used in World War II for the treatment of pain. Since then, methadone has become a popular choice for treating those addicted to other opioid drugs such as heroin, oxycodone, morphine, and hydrocodone. It is used to reduce dependency and the treatment should help them become clean. Even though, the policy of giving methadone to drug addicts is not a cure, it is a good one. Fortunately, the Methadone Maintenance Treatment (MMT) is a reliable way for those with an opioid addiction to stop and not restart the use of opioids. For many, methadone treatment provides an opportunity to regain balance in both lifestyle and priorities. (“Opiate Addiction and Treatment Resource”). Everyone deserves

This project will focus on using Methadone as a pharmacological treatment strategy as well as the normal non-pharmacological treatment strategies to

A psychiatrist in a methadone clinic in Northeast Washington, D.C. works with patients who are addicted to drugs. Some of her patients suffering from addiction

D-The patient arrived on time for her appointment. Reported stable on her new current dose. Deny craving and withdrawals. According to the patient, her weekend was good and again, happy to have her take home bottles. Then the patient reported, she continues to keep all appointments with her mental health provider and its going very well. This writer then discussed with the patient about the next step to her recovery. The patient reported, she wants to continue with her methadone until she's ready to start tapering off on the methadone. The patient has some fears to tapering off on her methadone because she does not want to experience any craving and have a relapse.

The main threats identified in the study fall under the historical category. The study began with 175 participants beginning treatment, but only 131 women finished the study; 28 women on buprenorphine and 16 women on methadone dropped out of the study, showing distinctly different rates of attrition. As a result, the outcomes of the study could have shown bias in favor of the buprenorphine group. However, statistically, there were no significant between-group differences in women who completed the study and those who did not, suggesting that the differences in attrition rates are unlikely to explain the outcomes. The authors of the study explicitly addressed this concern and stated that the results should, “Be considered in light of the markedly different rates of attrition” (Jones, et al, 2010, p. 2330). They also discussed possible reasons for the differences in attrition rates and said that the rates should not matter as the final analysis conducted excluded women who were on over 100 mg of methadone, removing 19% of the sample. In terms of subject maturation, testing, and instrumentation, there are no

Met with the patient as directed by the Clinical Director. According to the patient, he requested for a dose decrease of 1mgs per day until he reaches 0mgs. Based on the patient's order, he is indeed decreasing his methadone of 1mgs; however, the order stated that it will stop at 53mgs, not 0mgs. The patient informed this writer about a discussion he had with his assigned counselor Cherron about the importance of this due to the need to get off on the methadone as he wants to obtain his CDL but cannot do so if he is prescribed with methadone. This writer reviewed the patient's record and there are no AMA taper signed and no medical consultation documented. This writer then addresses this matter with the clinic's medical doctor, who was told

D-According to the patient, she is excited to be admitted to the take home bottle group today. The patient thanks this writer in a joyful manner. During the course of the session, this writer commends the patient as she's been compliant with treatment, mental health services, and maintaining a negative UDS result. In addition, this writer and the patient completed the first take home application. This writer advised the patient that this writer will be monitoring her mental health services every quarter to ensure the patient is maintaining compliance with her mental health treatment.

D-The patient arrived on time for her appointment. Reports stable on her dose and wants to continue to voluntary taper dose until she reaches 10mgs. The patient is going through some financial difficulties as her significant other lost his employment and the family is surviving on savings, which will end by the end of the July. This writer provided the patient with a list of temp. agencies and also, information about CT works for further assistance.

D-The patient arrived on time for her appointment and this writer apologized for meeting with the patient late as this writer was meeting with another patient prior, which interefere with this patient appointment time. The patient was clearly understanding and waited patiently. Reports stable on her dose. Denies cravings/withdrawals. However, the patient is still actively using and reported, it has nothing to do with withdrawals or cravings. The patient is unable to provide a proper reason for her use, besides shrugging her shoulder as she says, " i do not know why." Patient last used was yesterday, cocaine- $40 worth. The patient then reported, she only uses cocaine less then once a month. This writer addressed alternatives.

Counselor met with Pt. for a scheduled individual session. Counselor and Pt. discussed his progress, current recovery progress, any personal concern and his treatment plan update. Pt. reported that he has no serious mental health issue and reported not experiencing suicidal thoughts. Pt is financially stable and he is taking his methadone as prescribed by AMS Doctor. Pt. explained that his current prescribed dosage of methadone isn’t working because around 3 pm he gets tired, start sweating and experiencing hot flashes and cravings. Counselor helped Pt. to discuss and complete an AMS Dose Evaluation form. Counselor asked him, “How do you currently see yourself and are you happy with what you see?” Pt. was expected to answer the question and

D-The patient arrived on time for her scheduled appointment. According to the patient, she wants to increase on her dose, but needs more time to think about it without feeling pressured. The patient reports that she hasn't used any cocaine or THC for the past four days, at which this writer commends the patient for her effort to not using any drugs. The patient appeared to be very emotional discussing her husband's death and struggle with coping with the loss. This writer and the patient discussed coping skills whereas the patient is coping by being a grandmother to her grandchildren. The patient then discussed briefly about how her husband's death affected the family to the point that her son, who lives in Kenturky attempted to suicide at least 4 times. The patient tends to stay in communication with her son to ensure of his safety and well-being. As for the patient's daughter, the patient was again emotional discussing her daughter using heroin and being influenced by her boyfriend. The patient reports about talking to her daughter about her lifestyle, but nothing has prevail. This writer discussed with the patient about continuing to be a supportive mother and reaching out to her daughter to abstain from illicit drugs. This writer learned that the patient lives with the daughter in the home.

D-Patient met with her cardiologist two weeks and the results are that the patient will have to get two stems on both legs as both legs are blocked. The patient is scheduled to meet with the surgeon on 04/04/2016 pertaining to the surgery. In addition, the patient's PCP will be prescribing her with C-PAP for her sleep apnea; however, the barrier is obtaining the reports of the patient sleep study. Furthermore, the patient conducted a biopsy with her dermatologist to see whether or not the patient has severe eczema or something else. Reports being stable on her dose and haven't engaged in any illicit drugs. Lastly, the patient have not communicated with her daughters. Te patient continues to reach out to her children by via text as it is better