Dk Case Interview

On 6/30/2015, client attended to her ILP meeting with her youngest son Keury. Child was well dress for the weather. Cm observed child very anxiety and he was telling client that he wanted to go to his unit because wanted to watch cartoon.

An interprofessional team consisting of Medical student, Pharmacist student, Nursing student and social work student met with Patient (A.O.) to perform a collaborative family assessment in a home visit. A.O. went to foster care for two months, but his father gained custody in July 2012. The father mentioned the foster care had an effect on A.O. A.O. lives with his father and his grandmother. The father works at a thrift store. A.O.’s Mother has Neurofibromatosis Type I too. The father mentioned that A.O. had a speech delay. A.J.’s father mentioned that they received assistance from the government. A.O.’s grandmother and father reported that he eats a good variety of food as he eats fruits and vegetables. A.O. reported liking pizza and McDonalds

V.S’s mother died in 2011, at the age of 73 from a myocardial infarction, and her father died at the age of 89, from complications from Alzheimer’s. Her husband passed in 2008; he lived through a ruptured aortic aneurysm, and then died from sepsis following a hernia surgery. She has 8 siblings, all living. She has three children (ages 30, 40, and 42) who are all healthy. She has five grandchildren, and one great grandchild. There is no known family history of hypertension, diabetes, or cancer. See genogram that follows…

Leukemia broadly describes conditions that affect erythropoiesis in the bone marrow, lymphatic system, and spleen. As with all other cancers, leukemia begins from the mutation of DNA in certain cells. Classifications of leukemias are based on the age of onset and the leukocyte involved (Lewis et al. 2014, 665). The most common leukemia is chronic lymphocytic leukemia (CLL), accounting for approximately 30% of cases in the United States (Copstead and Banasik 2013, 222). The normal function of the bone marrow, spleen, and liver becomes interrupted by the invasion of malignant lymphocytes (B cells); since the B cells are functionally inactive, a patient becomes more susceptible to infections. The sluggish progression of CLL unfortunately leads to late diagnoses and poor prognosis (Lewis et al. 2014, 665). Patients that become symptomatic in later stages will experience fatigue, weight loss, anorexia, and an increased susceptibility to infection, due to abnormal antibody production. Patient specific factors such as age, disease progression, and medication side effects will determine the course of treatment (Copstead and Banasik 2013, 223). The fragile state of patients with CLL requires continuous examination of drug therapy and interventions to prevent further complications.

It was September 2014; our family received some depressing news. My uncle was in his mid- seventies and he has been on many of different medications for the past twenty years. He has had some minor issues before but nothing to this extent. He was experiencing stomach pains and wasn’t feeling right. Little did we know that this time he would be spending more than a couple days in the hospital.

P.M is 4 years. She has sore throat and cough but her rapid strep culture is negative. Strep is a bacteria infection and this means that P.M’s sore throat and cough is not a bacteria infection. Her test results are Hemoglobin 9.2, Hematocrit 28, platelets 100,000 and a total WBC of 24,000. WBC differential indicates an elevated lymphocyte count (right shift) which indicates viral/fungal infection while the RBC and platelets counts are below normal. Acute lymphocytic leukemia is a cancer that starts from early version of white blood cells in the bone marrow. Leukemia cells usually invade the blood quickly and spread to other parts of the body, including the lymph nodes, liver, spleen, central nervous system, and testicles. P.M has elevated

I interviewed Jeffery Knowlton. He is my dad. Jeffery was born on December 23, 1968. He was born in Sandusky, Ohio. His parents names are Deroy Knowlton and Rose Hurd. His siblings names are Deroy, Marla, and Scott. His step-mom’s name is Gretta. His step-siblings names are Lisa, Donnie, and Guy. In Ohio he has lived in: Vickery, Fremont, Clyde, and Bowling Green. He has lived in Jacksonville, North Carolina and Pearl Harbor Hawaii. The schools that my dad has attended is Townsend Elementary, Croghan Elementary, Fremont Junior High, Fremont Ross High School, Coastal Carolina College (1 semester), and Marine Corps Schooling. My dad is 5’8, brown hair, brown eyes, slender build, facial hair.

This is Hugh. Hugh is a 5yr old boy full of curiosity and energy. He loves race cars, rocket ships and building Lego. And like most 5-year-old children he sees his mommy and daddy as his super heroes. But Hugh hasn’t been able to live the typical life of a 5-year-old. A year ago his parents brought him in to SickKids after he had numerous migraines which then caused vomiting. Hugh was diagnosed with a brain tumour and it was discovered as cancerous.

I will be interviewing Kunal Savkur, a writer, director, and production crew member of several different film productions. He has written and directed two short films – “The Happy Man’s Pants” and “One More Coffee.” He has produced six episodes of the TV show “Cold Justice”, along with three short films. He has also worked as part of the production crew for the TV show “Grey’s Anatomy.”

They are often vague by the influenza or other common diseases. They are including fever, shortness of breath, excessive bleeding, Petechiae, weakness, tiredness, loss of appetite, and loss of weight. If not treated, overtime, AML can be more distinctive with signs of enlargement of the spleen, swelling of the gums because of infiltration of leukemic cells into the gum tissue, and. Tumor or mass outside the bone marrow is rarely seen in AML due to its rapid, abrupt onset that the disease are often detected through routine blood check.

ELIH should not refuse the test because he still has to get evaluated. ELIH has the capacity but he forgets things. I am not sure if ELIH is competent because the clinical study does not mention an age. Autonomy is there however he can forget who he is being told once the Alzheimer kicks in and that will be when he forgets his thinking of memory but will only remember things being told to him the moment he is there.

The couple that I interviewed has been together for almost 9 years and originally first met at the Renaissance Faire in Minnesota. The husband is the owner of an iron forge and is well known in the Renaissance Faire and BDSM community for his iron work. They both currently work together attending events and Faires across the United States in order to make a living. They are both raising her son with autism and working hard to balance their lives, their family business, and their son’s needs. He is 43 years old and she is 29. They identify as both polyamorous and kinky. He identifies as a kinkster and she identifies as a brat. The husband is the Master and owner of his wife.

Acute myeloid leukemia (AML) accounts for half of leukemia cases diagnosed in teenagers and in people in their 20s. It is the most common acute leukemia in adults. AML occurs when primitive blood-forming cells called myeloblasts reproduce without developing into normal blood cells. Immature myeloblasts crowd the bone marrow and interfere with the production of normal blood cells. This leads to anemia, a condition in which a person does not have enough red blood cells. It can also lead to bleeding and bruising (due to a lack of blood platelets, which help the blood to clot) and frequent infections (due to a lack of protective white blood cells).

My patient’s initials were C, J C, and he is a Caucasian male who worked in the construction field for 35 years. He is 76 years old. He told me that his father and mother were born in Germany and Sweden respectively. They met each other in Hawaii, where they gave birth to him. He displayed a level of wisdom that he developed over the years and looked at life with success. When he was 20 years old, he met his future wife who was 16 years old at the time. They dated for a couple of months before she went to boarding school. On her graduation ceremony, she introduced her best friend to him. As time went on he started seeing her best friend, and they got married, and had a child. After 10 years of marriage, they divorced and he was single for a while. He started to get in contact with his ex-wife’s friend through the mail. They connected, and got married. Unfortunately, they did not have any children together, but he looked at his life with the feeling of fulfillment because he had two grandchildren whom he loved. When he saw those children, he had a feeling of accomplishment because he was happy, and amused to be around them. He fostered an environment for his grandchildren, becoming a good loving father-figure and exemplifying wisdom.

In efforts to devise an appropriate diagnosis, let’s first consider what we know. Steven comes from a diverse and multicultural background with substantial family dynamics, had a significant shift in societal demographics (i.e., moved cross country), has expectations of being a first time father and, perceived financial responsibilities, combined with the thought he’s living an altered life that people don’t know about. Taken together, Steven’s unremitting worry and constant anticipation of failure, noted by his primary care physician, has warranted his need for therapy. For these reasons, it’s important to determine an accurate clinical diagnosis and formulate a treatment plan for Steven; to help prevent his symptoms from worsening or becoming