Case Study: Ms. Mcginnis

* Mother attended her community drug and alcohol team (CDAT) were she was on a methadone programme. Referral was made by her key worker stated concerns that she may be pregnant and concealing it

Julie Mialaret is my mother and she is 53 years old. My mother exercises very rarely because of her intense work schedule. She says it is hard for her to have the energy everyday to work out after long work hours. She has never smoked in her life because she does not find it appealing. Mrs. Mialaret eats a very low-fat diet and eats very small portions. My mother eats very healthy and is able to maintain her weight without exercise. She faces no barriers when it comes to eating healthy because growing up she ate little portions and couldn't afford fast food. I would like to change my eating habits to better reflect my mom's diet however, I would like to incorporate some sort of exercise into my daily routine. My mom hopes to start exercising

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

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.

There was a mention that the claimant underwent random urine drug screening. However, the official report was not submitted for

D-The patient reports nothing has changed since his last encounter with this writer. The patient reports he is stable on his current dose, completed his Methadone Stabilization today, and looking forward to his take home bottle, at which is pending for determination by the clinic's TEAM. During the course of the session, this writer discussed topics that was addressed in group and what he have learned.

The client for this paper is a twenty-seven-year-old single mother to a six-year-old son. The client was raised in a hardworking middle class family in which her father built a successful business. Her parents divorced when she was ten years old, and she reports she never heard them argue before they announced to the family they were separating. The client describes the divorce as “ugly.” She started smoking marijuana with her friends at the age of fourteen which led to her opioid intravenous addiction by the age of eighteen. The client’s drug of choice is hydrocodone. She admits she has never tried to abstain from her drug use and has been arrested over twelve times as a result of her addiction. Her last drug charge resulted in a six-year prison sentence at the age of twenty-three. The client is currently court ordered to successfully complete an in-patient drug treatment program for up to eighteen months. If she successfully completes the program, she will be released two years early from her sentence. The client has been diagnosed with 304.00 (F11.20) Opioid Use Disorder – Severe which continues to make her eligible for treatment. Client is Hepatitis C positive.

He began raising questions after his mother was sedated without her consent at a nursing home in the city, “It’s very, very convenient for staff at care homes to conceal drugs in the food and drink of residents, not for therapeutic problems but to make the residents easier to manage.”

McCullough is currently processing her Medicaid approval and intends to transfer Hannah to a Children's Hospital in

Pt. has been participating in the AMS program since 6/17/14. As the Pt. has participated in the AMS Program, he has maintained his full commitment to abstinence and his last 34 UDS results indicated no evidence of ongoing opiate abuse. Pt. demonstrated treatment maturity and high sense of responsibility by reporting weekly to receive health sustaining medication services, achieving dosing stabilization, sustaining pattern of abstinence, supporting his family. Patient remains an active participant in group discussion and has found the birth of his new daughter an intrinsic motivator for sustained recovery plan. He maintains a 0 balance and remains off of administrative taper for financial non-compliance. Pt. has been able to maintain full-time

Ms. Clemmons worked on the following contracts: Wells Lamont (assembling clips with buckles and rings and using machine to cut out pieces for gloves), Star Herald (collating inserts), and Anthony's Syrup (labeling and packing containers). She also did janitorial work at two churches and an office building. The instructor noted the some limitations such as too many absences and fluctuations in daily work levels (moves too slowly at times). Also, she had four absences within a 3-to-4 week period. She was also late on March 10, 2017. There are times, she cannot provide a valid excuse for absenteeism or lateness. However, she did provide an excuse from the dentist on March 03, 2017 for her lateness.

Mr. Robinson substance abuse problem is alcohol. Thus, he does have an uncontrollable opiate dependence due to chronic pain problems of his illnesses. According to clinical screening his mental status/mood is depressed and his memory is impaired short and long term. Ms. Lewis the case manager states when interviewing Mr. Robinson, he stated, “I do not do drugs but I drink and I am tired of alcohol because life has passed me by and if I could get help what would I do with my life, my legs, ankle and foot are damaged and my memory is lost”. “My family hates me and my children disrespects me”. Mr. Robinsons mother said, “she knows her son has seizures convulsions and high blood pressure, mental illness, however he will not stop drinking”.

Julia Beynon is a graduate of the University Of Utah College Of Nursing and began her nursing career at University of Utah Health where she continues to this day. After 19 years as a critical care nurse, Julia accepted the position of Nurse Manager for the SICU; a position she was proud to hold for seven years. During this time, Julia also opened, staffed, and managed a 12 bed Intermediate Care Unit and the Huntsman Cancer Hospital’s 16 bed Intensive Care unit. In 2012, Julia accepted the position of Operations Director for Critical Care, AirMed and Emergency nursing with responsibility for 4 adult ICUs, a flight program consisting of 2 fixed winged aircraft and 6 helicopters, in addition to a level 1 trauma emergency department. Along with

2. Obtain the individual multiple or ratio of the firm’s price to their financial data, such as EBITDA.

While waiting for Mr. Sides to finish bible study, worker spoke with Ms. Kristy Turner, financial coordinator. According to Ms. Turner, the sponsor has provided everything needed for the Medicaid application. The NH is waiting on approval.