Collaboration: A Case Study Of A Patient's Psycho

The two words most often used, ”cooperative and collaboration,” can easily be both applicable to the United States of America and other countries today, and are still often used to describe contract negotiations for the United States of America as well as other countries. (Barnardin & Russell, 2013).

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

Pt. is a 10 y/o African American female presented at NNBHC with a dx of Oppsitonal Defiant Disorder, Mood Disorder NOS and ADHD, who have demonstrated out of control behaviors that are assaultive towards family members in home.

McManus had red glassy blood shot eyes, constricted pupils and a low raspy speech. I requested McManus to exit the vehicle and submit to a series of psychophysical divided attention test some of which he could not successfully complete. McManus placed in the rear of my patrol vehicle and I requested him to submit to a drug evaluation at the Shenandoah Police Department which he agreed on.

Mr. Saunders is a 60 year old male who presented to the ED via LEO under petition by his niece, Rachelle, for allegedly putting a gun into his mouth, him putting a gun in another individuals mouth called "legs", and increasing alcohol consumption. At the time of the assessment Mr. Saunders is calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Saunders reports he has been depressed for several months and has been binge drinking alcohol. He reports relational issues with his wife has been the primary stressor contributing to his distress. He express feelings of hopelessness, worthlessness, irritability, and isolation. He does admit to informing a friend, William, he see no reason to leave if he can not be with his wife. Patient does not appear to be exhibiting signs of agitation,

The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag

The writer inquired from the patient about what will work for him for the sake of the patient to take his recovery serious. According to the patient, he did not have a logic answer, besides the clinical intervention that was already implemented. The patient reported that he haven't used for nearly a month; however, his recent UA dated on 9/25/2017 was positive for opiates and cocaine. The patient deny relapsing, but the writer shared with the patient with regard to his past UA results as to how this result is incorrect. No response from the patient besides, " I am

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

Mr. Stevens is a 39 year old male who presented to the ED via LEO under IVC for alleged threatens towards others, recent delusions, and substance abuse issues. At the time of the assessment Mr. Stevens was calm and cooperative. He reports having a history of misuse of his medications. Mr. Stevens reports recently snoring prescribed medications and taking over the recommended amount. He states, "I have tripped out (referring to experiencing symptoms of psychosis) in the past taking my Adderall." Mr. Stevens reports for the past 6 months he has suspected his wife of having an affair with various people, however most recent his neighbor. Mr. Stevens reports he has stopped using his prescribed Adderall 4 months ago. He states, "Sometimes I would take em and get paranoid, my cousin put me on, and they would make me feel high." Mr. Stevens reports for the daily use of Adderall for the past 2 years. According to Mr. Stevens a Dr. Bill prescribed them to him after he told him he had a history of ADHD as a child. According to Mr. Steven for the

D-Met with the patient as she placed on HOLD due to recent concern of her overall well-being reported by Nurse Frank as he reported to this writer yesterday of his concerns that the patient's boyfriend is refusing her to increase on her methadone due to an agreement and the patient tends to appear emotional. Upon meeting with the patient, the patient immediately knew why she is meeting with her and started to get emotional. Denies feeling SI/HI. According to the patient, she had an agreement with her boyfriend of which she agreed to increase her dose up to 55mgs as her boyfriend will closely monitor her recovery. The patient does not feel unsafe around her boyfriend as she reported. This writer strongly advised the patient that she has rights to her own recovery process because it's her in the recovery and seeking treatment, at which the patient agreed. But says, "I am fine with my current

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

Organizations must respond to their internal and external environment. Therefore, organizational success heavily relies on leaderships ability to manage change. Unfortunately, many leaders struggle to effectively lead change initiatives. In fact, Ashkenas (2013, para. 1) reported 60 – 70% of organizational change initiatives fail to meet their objectives.

Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by

Clarification and agreement around the client’s goals represents a starting point for collaborative exploration of multiple ways in which these goals can be attained. Goal setting offers a platform for both therapist and client to resolve any differences through collaborative dialogue which reflects their mutual intentions and understandings (Clark, 1996) Goals can be defined as immediate, those which help to achieve longer term goals, goals to be worked on in therapy and long term or life goals (Hanley, Sefi & Ersahin, 2016) A client may formulate life goals including non-specific, contradictory, avoidant, unattainable or no life goals, which can then be broken down into therapeutic goals and the therapist will have her own goals as well

I would collaborate with the unit manager to design the team. We will select diverse champions with different backgrounds, experiences, skills and qualifications. After forming the team, using the similar assessment tools, I will assess the members. This is to evaluate their strengths and weaknesses. I would provide the team with the clear idea about the project, purposes, activities included, goals and the timeline to achieve the goals. Depending on the strengths and weaknesses of the members, I will assign the job to the team. The purpose of the activities planned is to make sure the staff are in compliance with the existing policies and protocols of the unit. The team will do chart audits and tracking of the staff activities to ensure the