Being A New Resident At Alaris Health

On 7/11/2015, CM did a visual and had client come to the social service office. CM completed Bi-Weekly ILP Review. In the meeting client appears to be wear out, and tired. She was constantly throbbing her forehead, like if she was having headache. CM inquires what the problem is. Client replies “she doesn’t like the shelter food and sometimes she doesn’t eat” CM advised the client to eat and nourished her body. CM also observed that client is depressed but she continues to refuse medical referral to see a psychiatrist and medical doctor. Client continues to mention her son who is in foster care, and the physical altercation she sustained many months ago here at this shelter. CM mentioned to the client she was a transferred from another shelter due to physical altercation, CM continues to relate to the client she

Adrian is a 24-year-old Caucasian male who presents to CRU from RRC-W. He is ACOT for non-compliance. He is SMI designated. La Frontera is the outpatient treatment agency for Adrian. He also receive DD services from AZ Dept of Development Disabilities. Per amendment letter, client was being aggressive towards group home staff, and admitted to stating that he wanted to jump into traffic. He denies AVH, and DTO. His BP is elevated 139/81, he has a hx of HTN and high cholesterol. He will benefit from meeting the provider to discuss medication

The client?s wife asked him to seek help and made the appointment with a VA psychiatrist as well as myself (LCSW) and took him to his initial appointments.

On 8/7/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting; she was alert, satisfactorily groomed, and casually dressed. In the meeting she was cooperative and friendly. CM inquires how client is doing since the last Bi-Weekly ILP Review. Client reported she is exhausted from running around obtaining relevant documents to be submitted to Lemle & Wolfe, Inc. by 8/3/2015. She continues to reports she has Straight Medicaid and she is searching for a Managed Cared that cover oxygen tanks.

In appointments, I usually helped her with her taxes, provided emotional support, helped with benefit applications, and sometimes helped her with technology. She has a fairly short attention span because of her pain, medications, and depression and needed help with critical thinking in regards to filing her years of tax paperwork. When I was first passed this client, it seemed to come with an attitude of "I am sorry I have to pass this client off to you, she is kind of a pain." After I met with her the first time I was really shocked because I saw her situation from a completely differently. I recognized that she needed help, and even though her concerns were a bit unconventional, we had the resources available to help her. We had months of productive work together, and towards the end of the placement, our receptionist was very forward in telling me that I needed to discontinue working with her because "we did not provide the services she needed help with" and that she was essentially draining our resources. The first time it happened I explained to the receptionist that we have students and volunteers sitting

Client continues to display transferences problems with some residents and staff. Client need to participate in mental health

The client is a Hispanic Male, age 69, who was born in the Dominican Republic. The client communicates solely in Spanish. He has two daughters who both live in the Bronx. The client suffers from Diabetes, Cholesterol and moderate Dementia. The client has tremors in his hands as a result of brain surgery. The client lives in a rented room in Inwood Heights. Initially, the client 's presenting problem included finding adequate housing however, after completing the intake form I became aware that the client was over income for most housing assistance programs. The reason why the client is seeking housing assistance is because according to the the client “he lives with two other men in a single bedroom apartment”. Furthermore, the client informed me that his roommates work overnight shifts which is when the client sleeps. They sort of rotate their sleeping shifts to accommodate each other. My client describes his housing situation as uncomfortable and stressful. Additionally, when the client and I talked more about the reasons he wanted to find housing it became obvious that the client also wants to feel valued by his children. In other words, the client describes the relationship with his daughters as solely for monetary purposes. My client believes his daughters are distant and do not care about his present living situation although they are the ones who monitor my clients finances and pay for the rented he is living in. My client also mentioned wanting to overcome

The client is a Hispanic Male age 69, who was born in the Dominican Republic. The client communicates solely in Spanish. He has two daughters who both live in the Bronx. The client suffers from Diabetes, Cholesterol and moderate Dementia. The client has shakiness in the hands as a result of a surgery he endured in the brain. The client lives in a rented room in Inwood Heights. Initially, the clients presenting problem included finding adequate housing however, after completing the intake form I became aware that the client was over income for most housing assistance programs. When the client and I talked more about the reasons he wanted to find housing it became obvious that the client wants to feel valued by his children. Also the client mentioned wanting to overcome feelings of loneliness and isolation. The client copes with feelings of seclusion and solitude by coming everyday to the senior center. He also tends to use the defense mechanism rationalization and tries to rationalize behaviors for others including his daughter’s absence from his life. My interpretation of the clients functioning in the situation is that although the client is experiencing health impairments and sadness the client is very self-sufficient. He is capable and able to take care of his hygiene, he is able to feed himself and he is able to go to doctor’s appointments on his own. I do however; think he is in need of case management and emotional support.

Upon analysis of my client’s personal health profile and disease risk profile my client demonstrates he is ready to change, and is cleared

for deciding not to treat the client should be explained carefully. This will let the client know that

One client that we had got so angry that we would not assist her that she decided that she would urinate on the floor in the bathroom. Although I cannot prove that the motive was because we denied her assistance, I am sure that it was because she went in the bathroom after we denied her and no one else used it after her and she was very angry. Another client decided that she would argue with one of the staff members because we wouldn’t give her a bus ticket. She said that she was told to come back at the beginning of the month to receive some bus tokens. However when we ask the case manger that the lady said told her this she stated that she never even seen the client before. My thought to this is that that some people just don’t see the big picture, we may not be able to assist you know but you may need us in the future so why would you do something like that.

Client is an 48y/o African American male. He was recently divorced, and has been admitted DTS for psychosis and suicidal ideation. He is oriented x3-4. Displays good insight and sound judgment. Very non-confrontational attitude and behavior. He was admitted after a suicide attempt by his daughter. He has been in this facility for three days after being transferred from the ER after He tried to overdose with pills. When prompted to speak about his family, client became very withdrawn and secretive. When prompted to speak of his experiences, he gladly shares stories. He loves animals especially cats, and to occupy his time he enjoys reading books (the bible) and watching movies. Claims to have no prior history of smoking or substance abuse.

The Concern, Need, or Problem Mr. Lee is 65 yrs. old currently residing at a rehab facility for several weeks, receiving care for a wound and a dislocated shoulder. He has made significant progress however his medical providers at the rehab have insisted that there is more to be done. Currently, Mr. Lee wants to leave the rehab. If Mr. Lee decides to leave the rehab he will be homeless.

The most challenging aspect of this clinical situation was that the client always wants to run away from us as soon as he believes he is doing fine and does not need to be with the nurses. It was hard to deal with a client who loves to seek attention, as soon as he gets a hold of the nurse and gets what he wants, he just wanted to run away from the nurse. Working with a client with such behaviours, I would wonder if I, as a nurse was taking too long to provide the care that he receives every day from other nurses. I wanted to make sure that the client’s condition is stable, as Canadian Nurses Association (2008) stated one of the nursing values and ethical responsibilities is that “[n]urses work with people to enable them to attain their highest possible level of health and well-being” (p. 10). It was my responsibility to make sure my client’s

Conjointly, the value of "Promoting Justice: Nurses uphold principles of justice by safeguarding human rights, equity and fairness and by promoting the public good" was also tainted (Canadian Nursing Association, 2008). Whatever the circumstance or reason behind the nurses partaking in the conversation, the client was still demeaned. There was an open conversation about how nobody wanted to be there because of the client discussed with the client being in the room. I am unsure whether or not it was the fact that the client was in a state of delirium that deemed it acceptable to be discussing that matter; however, that kind of conversation is inappropriate, no matter the circumstance. It demonstrated a poor treatment for those who experience