Amber's Case Study

been more proactive. As a teacher with a focus on such a small group of girls I would hope that I would have noticed and responded more aggressively to the red flags that were apparent. For example, why is this 16 year old girl illiterate? What is going on her family that has allowed this to happen? Why is Precious so obese? Does she have an eating disorder, if so what could be the

2/10/2016, 1600, Vital Signs: BP 140/85 P132 RR32 Temp 102.2 SpO2 85% on 2 liter by nasal cannula. Jacquline Catanzaro is 45 years old female on disability admitted to Medical Unit Hospital. Sister with patient. Reason to admit is can’t breathe. Diagnosis is 30 year of asthma exacerbation, psychiatric schizophrenia, obesity, pneumonia and herniated disc. Smokes 40 packs year. Drinks 2 pots of coffee a day. Drinks 3 beers each day. Frequency ED visits and hospitalization dependence on rescue inhaler. Patient refuses wear nasal cannula because of worry that it contains poison. Patient has a long history of stopping taking psychiatric medication and asthma medications. Patient has isolated herself from others. Sister is only caregiver. Neuro

When I first met Amber, she was quite conversational and lively. In spite of her inherent predicament she was engaging. She could eat and drink on her own, watched TV and sometimes with the help of the staff and her kids she walked some distance and back to her bed. But, as time went on, she declined from some of these activities due to body weakness. She could not eat or drink without being helped. She hardly sat up, or moved her legs or arms; her condition kept deteriorating gradually until everything finally shut down on December 24th, 2009.

No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,

History of Present Illness: Mr. Olson is a very pleasant 57-year-old gentleman with multiple medical problems to include severe COPD, who is here today for an initial consultation for his shortness of breath. He is followed by a pulmonologist Dr. William Goodman, at the Veteran Affairs Administration. His last evaluation there was in February 2015. Mr. Olson states he has had ongoing dyspnea on exertion over the last two years. He complains of minimal cough. He does note some sinus problems for which he is on Flovent. In the past, he has had pulmonary function testing that did demonstrate reversible airflow obstruction, therefore he likely has some component of asthma overlay. He states that occasionally has chest tightness and chest heaviness. He has gained about 25 pounds over the last year. He is currently using Spiriva, albuterol as needed as well as Symbicort. He is also using supplemental oxygen at 2.5L per minute at night as well as on an as needed basis during the day. Mr. Olson admits to continued tobacco use with about a half pack to a pack a day. He states that when he is feeling depressed, he will smoke more.

Tiffany Rascon grew up in Gilbert, Arizona and is currently studying at the W.P Carey School of Business for her Economics major. Her decision to come to Arizona State University is credited to the fact that her older sister and brother both came to Arizona State University as well. So far, she enjoys the overall experience that Arizona State is offering her. The diversity the campus has within its student body is one of her favorites. She loves meeting people from all different walks of life.

Cari was diagnosed with chronic smoker’s cough due the fact that the cilia were irritated, however, they were paralyzed and

UCM:CPSW called Robyn Smith from Cedar Creek Community School once the release form was received. CPSW told Ms. Robyn that there is no legal documents indicating guardianship. The child is currently living with his grandparents due to mother being homeless and completing her referrals. Also, this worker called the previous CPSW from Anoka. This writer spoke with Elisa Becher from Anoka. She stated that there is no legal documentions indicating guardianship as well. The worker reported that Ms. Kress has legal custody of Glenn and grandparents are helping Ms. Kress until she founds a home and takes care of her mental health referrals. Goal 1-2

Sharon is a 17 year old young women, her mother noticed that Sharon had lost a significant amount of weight, and she looked pale and had dark circles under her eyes. Sharon was complaining of severe diarrhea, stomach cramps, and after battling this for weeks she was extremely tired. Her doctor conducted a standard physical exam, and interviewed Sharon about her general health, diet, family history, and environment.

An Amber Alert was issued in Tennessee for 15-year-old Mary Catherine Elizabeth Thomas of Columbia, Tennessee. The girl has not been seen since Monday, March 13, after being dropped off by a friend at Shoney’s in Columbia, Tennessee.

Amber Heard is the face for the December issue of Marie Claire magazine. While posing for the mag the 29 year old actress, who wed Johnny Depp in February admitted that her marriage with the actor was hounded by negative rumors. But though they were surrounded by the gossips she said she doesn't let it haze her and she is just thankful of being a stepmom to the actor's two children- Lily Rose, 16 year old and 13 year old Jack.

She reports a history of back pain, ovarian cysts excision, and breast tumor. She denies chest pain, shortness of breath, or palpitations. Patient reports that her immunizations and preventive care are up to

V.S’s mother died in 2011, at the age of 73 from a myocardial infarction, and her father died at the age of 89, from complications from Alzheimer’s. Her husband passed in 2008; he lived through a ruptured aortic aneurysm, and then died from sepsis following a hernia surgery. She has 8 siblings, all living. She has three children (ages 30, 40, and 42) who are all healthy. She has five grandchildren, and one great grandchild. There is no known family history of hypertension, diabetes, or cancer. See genogram that follows…

Precious, my willingness to a 2nd Alberta meeting is to develop a Plan B, that didn't entail a lethal threshold. My mission is to avoid the risk of loss of his housing and decompensation. Both of which, have been persistent problems.

The killer didn't bother responding to the woman's final message, and instead, continued on with his initial research. It didn't take long for the killer to discover more information on Vivian, her date and place of birth, hopsital records, previous residences, schooling exams, college application and employment history, and the more he discovered the more he was encouraged that indeed she was who and what she said she was. The most interesting discovery was her medical records, and the man's eyes furrowed in an expression of curiosity as he scrolled through the list of her prescriptions, and then eventually came to her diagosis. Unlike Pete Norris, who was perfectly sane, and completely aware of the inhumanity of his acts, but perpetrated them anyway because he enjoyed it, it appeared that was another driver behind Vivian's cravings. That didn't concern Pete, as long as she was sane and normal, in his terminolohy, when they eventually met. Which he was now more confident of that they would.