A Case Study Of A Female Patient

Last year 23 September 2012. I had a resident called “Mrs X” she was a 72year-old widowed living at ---, a Nursing Care Home. She’s not a religious type of person as she was Atheist. She has lived in the home for the past two years, and during that time I was assigned as her key worker. Mrs X had One Son and 3 grand daughters they are all regular visitors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her “time comes” she wants to be able to stay at Belmont House, and “go quietly”. She has stated that she does not want any treatment that will prolong her life. This means

During my psychiatric clinical rotation at Carney Hospital I had the opportunity to help run group therapy’s where I was able to understand some of the patients better. During this time I was also able to learn more about my patient F.S. The patient is a fifty-two-year-old divorced Chinese woman with a lengthy history of bipolar disorder and a persistent associative history of schizophrenia and attempts at suicide. The patient has one daughter that is 24 years old who noticed F.S. was throwing her pills down the toilet and hiding them in her pockets so she didn’t have to take them. . During her admission, the patient displayed increased levels of incredible energy and mood activities, an approach that was thought to have been instigated by the worsening of her health condition.

The participant is a 49 year old African American male who began using substances at the age of 13. He was diagnosed with severe alcohol, cocaine, and opioid use. The participant has been incarcerated over the past 32 years. He was recently paroled after completing eight years of a sixteen year sentence in the Illinois Department of Corrections for burglary and theft. The participant is on medications to treat HIV/AIDS and has been diagnosed with Major Depressive Disorder. He was referred to Healthcare Alternative Systems residential program through TASC as a condition of his probation.

The counselor met with the patient for her scheduled Addiction Severity Index assessment. The patient is a 54 year old black male. The patient states he is single with no children. He report currently lives with sister in law of his decease brother. The patient reports having a 14 years of education however no degree. The patient report receiving disability for mental health disorder. The patient reports he is currently not on probation. The patient reports he last use Cannabis 7/17/15 and started using at the age of 13 and smokes 3 to 4 times a week at least 2 joints. He also report using Alcohol 7/20/15 a 40oz beer and usually drank a couple a day. The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Monday, July 27, 2015 at 02:30p

Rosa Cunningham (full name is Rosa Lee) is a 53 year old African American female client of average height, slight build, and is appropriately groomed. She has 8 children, 2 of them being female and 6 males, all adults. Rosa is a widow and reached this status after being separated from her deceased husband for many years. Rosa is currently hospitalized for pneumonia, and has been hospitalized several times in her life for diferent illnesses. Rosa’s medical history as self-reported is HIV and seizures. Rosa is a heroin addict and has been this way for several years. Rosa is involved with the local methadone clinic and receives 55mg of methadone daily. Even by receiving this daily dose of methadone, Rosa continues to use heroin. Rosa has several legal and health issues that are present also, despite which she continues to use heroin. Rosa has a lengthy criminal history to include arrests for prostitution, larceny, and selling drugs. The reason for today’s assessment is a referral made by the social worker at the hospital in which Rosa is a patient at and discharge planning is to be made for aftercare.

Client was considered to be in semi-compliance with treatment during this reporting period. Client attended two secheduled groups with two absences. UA were negative for all tested substances. Client reported participating in self-help meeting regularly; verification was provided. Treatment attendance needs to be improved in 30 days.

The client has high motivation for treatment within MRFH. The client was diagnosed with Alcohol Use Disorder: Severe and Cocaine Use Disorder (crack): Moderate. The client sought treatment at MRFH when he realized he had lost control of using alcohol and crack cocaine. The client stated he attended the MRFH program in the 1980 's but does not remember the exact date of attendance. The client stated he was diagnosed with Mild Depression by a primary care physician when he was 56-years-old. The client reports he has no history of suicidal or homicidal attempts, and currently denies having any suicidal ideations or homicidal ideations. The client stated one to two times per week he experiences muscle tension and worrying about things that he often realizes have no significance. The client stated prior to the age of 18-years-old, "I would knock over my neighbors mailboxes and destroy their gardens, because they would make my parents aware of my wrong doings and that was way of getting them back." The client stated, there was one time that I started a fire and blamed it on my brother. I would break things as well and blame someone else. The client stated if there was an event taking place that he wanted to participate in, he would rush and complete what he was doing so he could become involved in other events taking place around him. The client stated, "I started using drugs and alcohol without thinking about what the consequences. The client appeared to be oriented to the

On April 221, 2017, at 1602hrs, VA police received a Duress alarm in 2F511. Investigation revealed that the Veteran was upset needing an appointment to get transition lenses. VA Police made contact with the Veteran at the Woman’s Clinic to obtain his side off the story. The Veteran became standoffish with officer and kept stating there was no problem. Officer’s obtained his information and remained in the area. While talking to the staff the Veteran walked by and stated “fucking pussies”, several time. VA police attempted to get voluntary compliance from the veteran to leave the facility. The Veteran went down stairs and went to Desk A and talked to an RN. Officers attempted to get the Veteran to leave at this point. While one officer talked

History of Present Illness: The patient has been seen in this clinic since 2016. She is diagnosed to have ADHD, Bipolar II disorder, Generalized Anxiety disorder, Alcohol and Cannabis use dependence. The patient has struggled with separation from an abusive ex-husband, who is currently

She used meth and alcohol that night and decided that seeing him was a bad idea, and completely cut him off. A few weeks passed, and she started seeing another ex-girlfriend, and was almost pulled back into the life of addiction. She was able to walk away due to having regained custody of her children, and not wanting to let them down again.

A female anesthesiologist works in a metropolitan hospital. One day, a patient who scheduled for an operation, requested a female anesthesiologist. The hospital granted her request and provided a female anesthesiologist for her. However, when the name of the anesthesiologist was given to her, she wondered if the anesthesiologist was African-American. When she was told that the anesthesiologist is African-American, she then demanded a white anesthesiologist. It was too early to contact the hospital lawyers or the ethics board. Should they have rescheduled the operation, or go ahead and grant the patient’s request?

A female child, under 16 years of age, has been dealing with a number of health issues for several years. Among them are STDs, bipolar, pregnancy/miscarriage, suicide attempts, and newly discovered cervical cancer. She has a history of drugs and alcohol and is about 4 weeks into another pregnancy. She has been expelled from school and is suppose to have home-schooling three times a week. These are canceled most of the time because she is either not at home, or is not able to function that day. This child has decided not to have any treatment for the cervical cancer as this would prevent her from being able to become pregnant in the future. She has also decided to have the baby. Apparently she does not understand the ramifications involved if she does not have the cancer surgery/treatment with regard to the safety and health of the child she is carrying as well as her own. There have been numerous professional people involved in the ongoing care of this child. Various doctors, psychiatrists, Social Services, Child Protective Advocates, the courts, a mentor and school councilors have been looking out for the welfare of this child for at least 3 years. In spite of the fact that she has a history of drugs and alcohol, and has anger management issues and suicide attempts, nobody has taken these red flags seriously enough to protect her from herself. The parents of this child are divorced. They are also dysfunctional. Problems have existed in this family from the beginning. An

Abdominal: mass in LLQ upon palpation, no lesion noted, abdomen soft and distended, tender to palpitation, no guarding or rebound tenderness. No splenomegaly.

It is hard to believe that it is the merry month of May and we are nearing the end of another wonderful and exciting year at The Woman’s Club.

During my first semester student clinical rotation, I was introduced to patient, 76 year old AB who was being treated at an assisted living facility. She was a wonderful patient and someone I immediately connected with. AB had been medically diagnosed with COPD and displayed all the classic physical signs of the disease such as wheezing, deliberate breathing, severe shortness of breath and nutritional deficit. She was my first patient as a student nurse and the first person I was able to complete a health assessment and nursing care plan for. I recognized early on that AB was special and someone who would be a great person to communicate with. With the initial assessment she was a little scared, but