BP Case Study: Substance Abuse

She came to the clinic last week for symptoms of fatigue, dry and thinning hair, constipation, feeling of being cold all the time, recurrent depressive mood, joint pain in her hands, feeling of a “lump” in her throat, and weight gain of 14 lbs. over the past year. She denies fever, cough, sore throat, and suicidal ideation. She has a history of benign hypertension, hyperlipidemia, seasonal allergies, obesity, pacemaker insertion, cesarean section, postmenopausal, and colon polyps. She has a family history of hypertension and diabetes mellitus type I. Her primary language is English. She is married, employed as a radiology technician, and is of the Baptist faith. She denies use of alcohol, tobacco, and illicit substances. She is currently taking the following medications: Hyzaar 100-12.5mg daily, Lipitor 40mg daily, Flonase 1 spray bid to each nostril, Zyrtec 10mg daily, Lutein 20mg daily, and aspirin 81mg daily. She has no known allergies to

There are many assessment processes that are used to identify substance abuse as well as many other disorders that are addictive. These processes include the SBIRT, AUDIT (Alcohol Use Disorders Identification Test), NIDAMED, CAGE AID (which is used frequently within the counseling foundation), AUDIT-C, and also the DAST-10 which is an assessment process used to evaluate drug abuse within the patients. These are many different processes that are currently used to identify these addictions in clients. The activity of identifying these processes can be over a period of time or can be evaluated in that same day or after the evaluation is completed.

When looking at the issue of substance abuse, one might ask why it seems that many people tend to struggle with overcoming substance use disorders. It often seems like patients in this particular field of healthcare tend to use substance abuse treatment facilities like revolving doors, but why is this? If one were to look into the amount of research done on substance abuse, studies can be found that date back to the 1800’s, and probably even further if they dug deep enough. If there has been hundreds of years worth of research done on this topic, why hasn’t there been an effective treatment found that works? What causes patients to remain in the so-called “system” of substance use, abuse, and

“The patient is Adam Rudd, a 78 y/o white male with a history of hypertension. He has been diagnosed with hypertension past 15 years and is on anti-hypertensive medications and aspirin. He is very weak and short of breath. He is accompanied with his longtime friend Jennifer, who reports that Rudd was looking very weak and was complaining of severe headache and blurred vision before coming to the hospital. He is 5’9” and weighs 270 lb. Vital signs recorded were: oral temperature 98.20 F, BP 224/120 mm Hg with a heart rate of 102 beats/minute and respiration of 24 breaths per minute. The pulse oximetry reading was 94% on room air. He is complaining of severe headache and blurred vision. Rudd said that he did not take his antihypertensive medication or aspirin since he ran out of pills. He has not been taking his medication for past 15 days. He reports no known allergies to any medications or other substances.”

Reported heroin use in the United States is rising. Recent data suggest that almost 700,000 Americans consumed heroin last year, which represents an almost 40% increase from 2007 (Substance Abuse and Mental Health Association, 2014; Substance Abuse and Mental Health Association, 2008). An overwhelming increase in the dependence on prescription opioid analgesics over the last two decades combined with a supply heavy market of high quality-low cost heroin imported from South America may be concurrent factors driving this trend (Cicero, Ellis, Surratt, & Kurtz, 2014; Mars, Bourgois, Karandinos, Montero & Ciccarone, 2014; Lankaneau et al., 2011).

This is 35 year old WM. Patient was seen at UAB ED for UTI and kidney stone on 3/30/2016. Patient was discharged with roboxin and ibuprofen. Patient has a history of Hep C, was told about 12 years ago, and was retested at UAB and HVC was positive. Patient is a current resident at the Villige. Patient has a history of substance abuse, denies current use, last use about 10 days ago. Patient is a current tobacco user, denies use of alcohol or illicit drugs. Patient reports some depressive moods, denies thoughts of suicide or

Maine, located in the northeasternmost are of the nation, includes beautiful parks and a rocky coastline. Unfortunately, the state’s beauty doesn’t make it immune to the ugliness of substance abuse. There is help out there for addiction sufferers, though. The following are just a few of the best in Maine:

Each 16 bed facility houses female patients with substance use disorders who may also have co-occurring mental health disorders. The primary focus of treatment is on substance use at three of the four sites. One house is a co-occurring disorder focus house. The women are mothers who either have their children under age 5 placed there, they are awaiting placement, are pregnant, or are trying to regain custody of their children. All of these conditions may apply to one mother.

This is 27 year old AAF Patient reports lower back pain, 10/10. Patient states this is a chronic issue for her, but for the past 2 weeks pain has increased where it is affecting her ADL. Patient denies chest pain,SOB, N/V/D, or fever. Patient denies any other medical conditions. Including DM, HTN. Patient reports some depressive moods related to her current illness (back pain. Patient denies use of tobacco, alcohol or illicit drug

The patient arrived on time for his counseling session. Reported stability on his current dose and denies the need for a dose increase when offered. Please note, the patient accepted a dose decrease about a week ago and reported that he is adjusting fine with the change. During the course of the session, the patient discuss about the philosphy of Alan Watts-Zen and Buddhism. The patient reflects about his life and his current practice of such religion as it reflects of who he is as a person and about

This is 58 year old AAM. Patient reports he was told several times, by nurses at the health fairs, that he has HTN. Patient is here today to discuses and start on his BP meds. Patient reports intermittent headache at times and blurred vision, denies chest pain, SOB, N/V/ D, or fever. Patient is a current tobacco (1 pack/day) and alcohol user (1 -2 beers at bed time), denies use of illegal drugs.

Patient's BP is well managed, denies chest pain, SOB, N/V? D, or fever. Patient reports some depressive moods, denies thoughts of suicide or homicide.

As a result of meeting with my client Susan, I was well-informed about her history of headaches and how she struggled with drug abuse. Susan mentioned that she began seeking help for her headaches in 1971, which also appeared to be the same time that her family disowned her. The reason being is that she decided to move in with her boyfriend while attending college. Her parents did not approve of her decision. Susan had a long history of drug addiction, which included prescription drugs and Valium. This is what caused her to be hospitalized for drug abuse in 1981.

The patient is home bound related to her inability to leave home without the assitance of one or more person and the usage of a modality such as a Walker , the patient respirations are even and unlabored, the patient has tub grips in place to bbel, the patient also has legs elevated is recliner chair, the patient stated that she has occassional pounding of her chest and elevated blood pressure, the pateint caregiver stated that the patient. Blood pressure systolic was over 210 on last night, the patient blood pressure elevated at this time , the skilled nurse. Called Dr. Druhva and spoke with Levon ad informed her of the Patient elevated blood pressure for several days and the patient elevated

My name is Diane Porché; I am in the Clinical Mental Health course. I live in Denver, been here for 45 years. I hold a Bachelor's of Fine Arts degree in painting. I have a daughter, La Shell who is 35, and a grandson Da Vajaé, who is nine going to the fourth grade, that keeps my spirit alive.