Head Lice Case Summary

No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,

Client’s last medical appointment was in June 2014 and her latest dental appointment was September 2014.

issues with behavioral as well as not being punctual for her arrival to work. client was diagnosed with

At 0824 this clinician met with the patient who reports her weekend was not unpleasant. She reports she is continuing to have problems locating housing. She reports her family members continue to refuse to allow her to live with them specifically her father and her uncle. She reports she has one friend who is considering allotting her the capability to reside with her under the condition that she speak with her Child Protective Services (CPS) caseworker first. She reports she does not want to reside in a homeless shelter with her son as she has done this before and the experience was not up to her standards.

condition causes her stress which results in high healthcare costs that she can’t cover. Legal factors

Her other past history includes mastoid surgery when she was forty. She has several environmental allergies and is also allergic to Sulfa, Slow-K, Ranitidine and Zinc. She doesn't smoke.

Client appears to be decompensating. She is losing weight and she was refer to take a urine test to rule out toxicology. CM assessed client needs: client must maintain PA case active, client must meet with CM every Friday and the Client must maintain all off-site medical appointments and medication regiment. CM reviewed Bi-Weekly ILP. Client agreed and

She reports that a lot of current medical condition stem from riding horses for 30 years and a lot of physical labor. The patient has 2 children-females. The patient does not get along with her oldest child due to conflicts with her patient's father and the patient was upset that her daughter sold one of her horses for profit. The patient does in fact get along with her youngest child, who is 25 years. The patient discussed the marital issues with her ex-husband. The patient was married for 18 years and divorced her husband in 2003 due to verbal, physical, mental, and fiancial abuse. The patient reports she is happy that she left her marriage; however, her husband had caused a lot fiancial issues in her life by fraudlant acts. The patient had attempted to go after her husband for the frauds he did by using the alimony and her name, but the patient reports she had a conflict with her attorney. Till this day, the action was

Jones had the following childhood illnesses that included mumps, measles, and chicken pox. He also was vaccinated for whooping cough, diphtheria, polio, and rheumatic fever. He stated he had no serious illnesses as a child but did break his arm from a fall from a tree. At the age of thirty, he had his appendix and gallbladder removed. He was hospitalized three years ago for what he felt was chest pressure but was determined to be acid reflux. Client states that he had tetanus shot three years ago and had both the flu and pneumonia vaccines last September. Client denies any skin problems, difficulty swallowing, or weight changes. He denies any urinary or bowel difficulties but states that since he has been taking diuretics his urine output has increased. Last set of labs drawn were within normal limits but his pulmonary function test (PFT) was abnormal. Spirometry (PFT) is a test of how well your lungs work and diagnose COPD ((Vestbo, Hurd, & Rodriguez‐Roisin, 2012).Client is alert and oriented to person, place, time, and situation. No neurological deficits

The client which I worked with, R.C. was brought in by staff at her group home with the knowledge and agreement of her brother. The client in question began having an exacerbation of her psychotic symptoms which was observed by staff at the group home where she lived as well as her visiting nurse. The behavior which was of concern included increasing self-neglect by the client who was notably not performing hygiene activities. The client was also reported to have struck her visiting nurse and to have been smearing fecal matter. The client is in her mid-sixties, divorced, and has a son, three grandchildren, and two brothers. The client 's brothers act as her guardians and are involved in her care. The client 's guardian reports that the client has struggled with mental illness throughout her life. Past medical history for the client indicates a number of past hospitalizations in a few different institutions and a diagnosis of schizoaffective disorder years prior. The client has had recent increasing difficulties with health problems not concerned with her mental illness. In addition to her diagnosis of schizoaffective disorder, the client also takes medication for hypertension, hypercholesterolemia, and asthma. The client also has a history of type two diabetes, renal insufficiency, pancreatitis, and fatty liver deposits. The patient 's chart

She has been diagnosed with intellectual disability and a drug addiction along with hypochondriasis. On average, she is in the hospital once or twice a week, frequently changing her doctor or even hospital. This woman knows of her disorder, but has actually claimed to be cured and told her family that they no longer need to worry about her with this disorder. After her family came back the Caribbean, she claimed to either have yellow fever or malaria, depending on who she was talking to. When asked about her illness on December 13th, 2014, she again refused to admit that she had the disorder, that she had been cured of it. In an ironic twist, she had to hang up to go to the doctor for a test due to a mini stroke she had a few weeks prior. When she was in the hospital for this, she had to get a nurse to give family members a diagnosis due to the lack of belief they held for her medical

Head lice. Did you suddenly became overwhelmed by need to scratch your scalp after reading those words? I did. Head lice have been around for many years and the need to get rid of them has been around for about the same time. In recent years over-the-counter treatments have become the miracle workers for getting rid of head lice, but what would happen if our number one defense stopped affecting them.

After reviewing her 24hr recall and the client history information gathered I would recommend her to consume more fruits and vegetables in her daily diet. Also, to try to decrease her intake of foods high

Head lice (Pediculus humanus capitus) is a growing problem and is a concern throughout the world, affecting hundreds of millions of individuals globally.1 It affects all socioeconomic groups.2 Children aged 3 to 11 are the primary population affected with an estimated 6 to12 million infestations occurring annually in the United States. Family members of those affected also contribute to the number of infestations.1,3

She doesn’t recall any sick contacts, but her husband is a minister, and she mingles with members of his congregation three to four days a week. On physical exam her oral pharynx is slightly erythematous but there is no cobblestoning and her nasal turbinates are neither pale nor inflamed. She has no lymphadenopathy, and her lungs sound clear without any wheezing or crackles.