D-Met The Patient Case Study

3. Something is missing from the scenario. Based on his history, L.J. should have been taking an important medication. What is it, and why should he be taking it?

D- Client arrived on time with his appointment. When asked by the writer about his morning thus far, he reported his morning is going well. The client appeared to be pleased to meet with his new assigned clinician. During the course of the one hour session, the client was aware about completing his first initial TX plan, at which he was open to discuss and complete. This writer asked the client about his drug of choice and the length of time of his use. The client reported that his only drug of choice is heroin and his length of time is about a year. When asked by the writer about how he was introduced, the client mentioned his significant other, who is also a client at the clinic. His significant other name is Lucy Dannelley. The client mentioned his relationship will not hinder his recovery process because according to the client, he and his significant other want to recover from illicit drugs.

D-This writer met with the patient as she requested to see a Supervisor. According to the patient, she cannot stay to see her assigned counselor, Janice. When questioned as to why she is unable to see her counselor, the patient response was, " My mother is in a wheelchair and left alone with my son.....I have to go home." Supervisor reviewed the patient's alerts as the patient have a scheduled BAC and tested positive on 5/16/2017. This writer questioned the patient about this matter. The patient then says, " I am aware about this and the need to attend the alcohol group. I am willing to do the group session tomorrow." Supervisor called the patient assigned counselor to seek permission about releasing the HOLD on her behalf whereas it can be

Client was invited to introduce herself to the other members of the group, and she did so with genuine enthusiasm. She had just been released the day prior from BCP, after completing her mandatory 5-day sentence and adamantly declared that she will not be doing anything that would jeopardize her freedom again. Also, she explained how her mother, father, and daughter are supportive of her recovery, including that her mom would make her leave if she “slipped.” She was fast and thorough with the assignment in which she elaborated on her three top relapse signs which included working too much, thinking about the past, and avoiding talking about her problems in recovery for which she had solutions for: “slow myself down”, “call somebody to talk to” (in recovery), and talk to people at AA meetings respectively. Client was warned about over excursion and seemingly was open to the feedback

This writer agreed to meet with the patient as she missed group and her scheduled individual session with this writer. The patient apologized to this writer for her absence and then reports about transportation issue. This writer discussed with the patient about her MVA this month on the 18th and the status of obtaining a police report. The patient reports, " I can get the police report by the next appointment. I just have to go to my insurance company that isn't too far from where I live to get a copy of it."

Patient A was then admitted to Hospital A, which is known to be one of the best hospitals in town. Patient A has never been hospitalized before. She is also scared and worried about her surgery. The surgical oncologist communicates effectively about the procedures. Before the surgery, the surgical oncologist held Patient A’s hand and comforted Patient A not to worry too much because she is in good hand. After the surgery, Patient A woke up in the PACU (recovery room). Patient A was then transferred to a hospital room. Patient A said, “the room is clean and have a window with a beautiful view,” (Patient A, personal communication, February 23, 2015). Even though Patient A is still in pain, the nice and beautiful hospital environment makes her feel at ease.

D-This writer met with the patient upon request. Based on the patient attitude, she was clearly upset about not being able to obtain her bottles and she is under Administrative Detox. This writer escorted the patient back to the lobby area to meet with the Clinical Director to address the matter. This writer then escort the patient back to this writer's office and advised the patient that this writer will have to follow up with the clinic's APRN for an explanation for the order, which clearly upset the patient. The patient vented to this writer about her feelings about the clinic; however, this writer informed the patient as she vented as feeling that the clinic is holding her life as a hostage and this writer says, " You are here voluntary

With Patient DW’s symptoms, I believe it is highly likely for her to have organic anterograde amnesia. This diagnosed is due to one of her most prominent symptom, she can’t hold onto any new information. Patients with anterograde amnesia usually could not form new memory and could only hold onto the new information for a few minutes before they forget about it. For example in Leonard from the Hollywood film Memento can only hold on to his memories and forgot about it right after a few minutes (Memento). Patient DW still able to remember her childhood home is in Durango, CO but could not remember where her family is living currently. This is an indication that she is still able to retain her past memory just not the ability to make retain new information. Also because of this, we can eliminate the possibility of

The patient apologized for his behavior yesterday towards this writer and says, " You didn't deserve that at all.....I just had to get to work, Charlene, but I barely made it on time." This writer accepted his apology and addressed the reason for the HOLD. The patient is aware that he needs to produce a copy of his work schedule to this writer by next week. This writer then continue with the conversation with the patient from yesterday conversation about seeking a high level care due to the recent positive BAC. In addition, this writer discussed with the patient about his BAC history as the patient provided an explanation for each. The patient pointed comment in the patient manual that he read last night about the clinic's policy and procedure, which states if a BAC greater than 0.00 two times in 30 days, the patient will be referred to a group at the Center and if it happens 3 times in 30 days, it is recommended that the patient entered an inpatient alcohol detox program.

Patient is a 71 year old Caucasian female living with her grandson and granddaugther in her home Pt was born in Tennesse and moved to Northern California when she was six years old. Patient stated she has 5 brothers and 2 sisters living in NorCali, but has been out of contact with them for many years. Pt stated she was married and had 5 sons and one daughter, who she is in contact with via phone. Pt ambulates well within the home, but does have a rollater and wheelchair when needed. Pt uses her walker during walks and out within the community. Pt reports that her grandchildren assist with cooking meals, washing clothes, housekeeping and transportation to store and medical appointments. Pt's daugther, who just got back from a trip to Alaska,

D-Client arrived on time and alert. The client engaged throughout the session. This writer addressed last week session about seeking employment for the client to combat his boredom. According to the client, he thanks this writer for the list of employer and was able to contact a few. Only one of the employers got the client attention, but the distance of the employer location would be a travel hardship for the client. This writer encourages the client to not feel discourage and continue with his search. Furthermore, the client reported he relapsed again and he knew it wasn’t right for him to use illicit drugs. The client stated, “I’ve been doing this for so long and cannot get it out of my head. When I do not have anything to do, what else

This social worker and Dick met on time at the client’s home on time for a 1 ½ hour session. Dick shares with this social worker his thoughts that Mike’s troubles were due to the going from his Dick’s home and his mother’s home for two years, during their divorce. This social worker and Dick discussed an allowance for Mike’s chores. Dick agreed to the allowance system. Dick goes one to talk about his other children and their drug use. This social worker and Dick talked about his drug use. Dick showed a sense of relief when he uncrossed his arms and turned his body toward this social worker when discussing his drug use. Dick is very positive about staying off drugs and showing Mike that he is capable of being drug free. Dick and this social

D-The patient arrived on time for her appointment to meet with this writer. Reported stable on her dose and deny the need for a dose increase or decrease when offered by this writer. This writer then noticed, a scratch under the patient right eyes and her neck. So this writer immediately addressed with the patient about an allegation of a physical altercation with the patient and another patient at this clinic. According to the patient, it was self defense and patient #308 attacked her first on Sunday. This writer asked the patient, "Why didn't you bring it to my attention yesterday?" Patient reponds was, " I had to go and take care of my basic needs." The patient explanation was not an legitimate reason as to why she did not discuss the matter with this writer

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Recuperation of damages includes expenses for care, and monetary loss. Payment compensations 532 NZD. For refusing to treat consequently detrimental treatment. Failure as regards to the irresponsible attitude to patient. Remuneration because of adverse effects and failure to treat sickness causing educational compromise of tertiary institution. Including pain from mental anguish, trauma, discomfort, humiliation, sickness, anxiety, mental pain, loss influencing, present and future. Recovery for detriment to education. Diminishment, and adverse impacts of illness. Damages for insufficient medicinal administrations. Damages from critical appraisal. The treatment of a patient's symptoms