Chd Case Studies

The patient asked this writer if this writer cannot talk to her mother and advocate for the patient to the clinic's TEAM about the urgency of getting her bottles. This writer was willing to talk to the patient mother and will try again, to advocate on the patient behalf to get her bottles. However, addressing the mental health portion, the patient stated she has to figure something out about the transportation barrier as no scheduled has been made with CHR due to her barrier. Please note, the patient is no longer seeing Dr. Kuru as the psychiatrist no longer works for CHR. The patient prescriber for her medication is her

The only concern this writer has is the patient validating his scripts. Please note, the patient did in fact validate few of his scripts, but there's a conflict of his Nexuim. The patient was adamant about validating his scripts to Nursing last month whereas he had given a Nurse the original Rx Script form. It was recommended for the patient to validate his scripts once again. Addressing his prescriber, Ms. Kennedy from Wheeler Clinic, a CS letter was completed last year and will be due again in June of 2017. The patient reports that his prescriber tends to see him once a month before refilling his scipts and provided proof of his appointment card. During the course of the session, the patient appeared to be alert and oriented. No evidence of

Cano, the patient is status post right carnal tunnel release. She has been on physical therapy for the last three weeks. She states she is doing much, much better. Her left hand will be operated on 5/03/16. She complains of severe insomnia. This has been chronic with headaches and chronic depression. She states she is hearing voices, hearing auditory hallucinations with paranoia. This started after the oral steroids. She is psychotic and severely depressed. There is a past history of post-traumatic stress disorder (PTSD), generalized anxiety, and chronic depression. Previous antidepressants included Celexa, BuSpar and Xanax. She states she has been clean. There is no evidence of any type of drugs in her. She brought what she had and had thrown those out and had detoxed a few months

Joshua is a 31-year old who presents from CRU from UPC. He is ACOT for wanting to leave valley hospital against medical advice. He was admitted to Valley Hospital on voluntary basis for increased depression and anxiety. BHR have a hx of OD and hanging. He is allergic to vicodin. Upon admission, his vital signs were within normal limits. He is partially cooperative, he stated, "I just want to go to bed." He will benefit from meeting with the provider and discussing medication management.

The patient is married and lives with his wife in a suburban area. They have two children who are in good health who lives with their families. Patient is well established with family and friends as powerful support system; he experienced little stress. He has a master degree in engineer, and making decent money. He has no financial issues, and has great health insurance coverage. He does see his primary health care physician regularly. Patient lacks of knowledge on his health issues despite his high education in engineer. Patient does comply with his medication regimen and does not know the current resources available to him.

Patient is a 75 year old female who presented to the ED with depressive symptoms and suicidal ideation. Patient reports for the past 3 months she has been treating a UTI. She expressed that she has been complaint with medications, however has been to the hospital 4 to 5 times within the last 2 months for the same. Patient reports since been diagnosed with the shingles last year everything has been going downhill. The patient has been treated for the shingles since. The patient reports multiple stressor including: medical conditions, inability to care for herself, financial concerns, and poor familial support.

At today’s visit, she is accompanied by her caregiver from senior bridges. She is awake, alert and oriented. Affect is flat. She denies pain at this time. She states that she suffers from chronic abdominal, dull, wave like, abdominal pain. She states that she takes her pain pill every other pain because her pain seems to occur every other day. She reports that she is feeling depress because she had an appointment schedule recently to remove skin cancer from her face and her daughter cancel the appointment. The care giver report that the patient has daily agitation, but taking the Ativan helps. The patient reports a fair appetite and having regular bowel movements.

Patient is a 46 year old male who presented to the ED via LEO from Daymark for anxiety and depression over relationship issue, and financial issues.Patient reports a lot going on in his life right now and he went to Daymark seeking outpatient therapy. However, he was agitated that he was brought to the hospital for further evaluation. The patient reports that he was speaking with a worker at Daymark about his experience last year and was told to wait in the waiting room. The patient stated, " I fell like I was tricked into staying until the police came and brought me to the hospital. During the assessment the patient expressed that he has been feeling some anxiety, depressive symptoms, and aggression due to his situation. Further, the patient

In a study published in the Archives of Internal Medicine, it was found that the better a physician communicates with their patient, the more likely that patient is to follow medical protocol (Tarn, 2006). In fact, there was a direct connection to proper use of medications and comprehension of factors such as side effects. This is especially important for physicians to keep in mind when dealing with patients who speak a different language.

Based on the writer's assessment, the patient is able to provide proof of what is going on with his personal. A receipt proofing that is car is in shop and the writer listen to a recording of his employer addressing the patient busy schedule as often the patient tend to have to start work sometimes at 5:30am or even 6am, but I have to find a way to get to HCRC to be medicated. In the past, it was presented for the patient to consider transferring to the Hartford Dispensary in New Britain and at one point the patient was willing to consider it as an option. It was presented again during the session and the patient said, " I like it. I like my sessions with you. I do not want to transfer and start all over again....." No evidence of

The patient lack strong support system. He live with wife who is currently disabled with uncontrolled type 2 diabetes. Their three grown-up children live in a different area. He lacks community socialization due to majority of the population living at the poverty level and barely have emotional or social support since there are no relatives living in their city.

D-The patient arrived a few minutes late to her appointment. Reported stable on her dose and denies the need for a dose increase when offered by this writer. The patient discussed her current living situation as she had recently moved into her appointment in mid-June and was upset that her worker gave her the incorrect information as to what she had to owe for rent. The patient reported, she struggled with paying the rent and had to borrow the money from her grandfather; however, she hopes, it does not happen again. Then the conversation shifted as the patient discussed about her significant other drinking problem as it had affected his employment status and his relationship. The patient also shared that her significant does not see it has

The patient has 54 years and completed the electronic screening. The results were negative for suicide ideation (C-SSRS), mild for depression (CUDOS: 30), moderate for anxiety (CUXOS: 33), positive severe for medication non adherence (MMAS-8: 5.25), positive for tobacco and negative for alcohol and illegal drugs (NIDA ASSIST). The patient agrees with the results and he has previous treatment for depression. Moreover, sometimes he doesn’t take the medication due his financial situation. . Furthermore, the recommendation is continue with his mental health treatment, make a referral to our patient navigator to explore pharmaceuticals programs without cost for the patient, and monitoring the medication adherence in two months. Eunice Malave de

| CONTENT OF THOUGHTNormal for Age/Culture ☐Suicidal Thoughts ☐Suicidal Plans ☐Assaultive Ideas ☐Homicidal Plans ☐Antisocial Attitudes ☐Suspiciousness ☒Poverty of Content ☐Phobias ☐Obsessions/Compulsions ☐Feelings of Unreality ☐Feels Persecuted ☐Thoughts of Running Away ☐Somatic Complaints ☐Ideas of Guilt ☐Ideas of Hopelessness ☐Ideas of Worthlessness ☐Excessive Religiosity ☒Sexual Preoccupation ☐Blames Others ☒Ideas of Reference ☐Magical Thinking ☐Illogical Thinking ☒Illlusions ☐Present ☐Mood –Incongruent ☐Auditory ☒Visual ☒Gustatory ☐Olfactory ☐Somatic ☐Tactile ☐DELUSIONSMood-Congruent ☒Mood-Incongruent ☐Of Persecution ☐of Grandeur ☐of Reference ☐Somatic ☐Systematized ☐Of Being Controlled ☐Bizarre ☒Nihilistic ☐Of Poverty ☐Jealousy ☐INSIGHTAND JUDGMENTNormal for Age/Culture ☐Poor Insight ☒Poor Judgment ☒Unrealistic Regarding ☒Degree of Illness ☒Doesn’t Know Why He is Here ☐Unmotivated for Treatment

People with Chron's disease have an immune system that may react inadequately. Instead of fighting off bad bacteria, their immune system may end up fighting the good bacteria that we need to help us with digestion. With that, the inflammation response can occur and sometimes never stop causing a lot of pain or ulcers.