Patient lives alone in a one bedroom apartment in a complex for individuals with mental disabilities per the patient. The apartment is filthy, there are stains on the carpet and items’ cluttering his furniture, and therefore, the patient is requiring immediate and continuous assistance with the maintenance of his dwellings. The patient uses a motorized chair to maneuver around his apartment and outside in the community, because he uses the motorized chair outside it tracks dirt into his apartment and causes the carpet to get soiled. The patient stated that he is at risk of being evicted when his lease expires if he doesn’t keep his apartment clean; as a result he is requesting assistance with cleaning his apartment. The patient noted that …show more content…
Concluding the patients stay at Huntsville Hospital he was taken to Windsor House for rehabilitation where he remained from July 20 to August 3, 2015. The patient was sent home under the care of Spectrum Home Health and Dr. S. Nuthi his PMP. The patient states that he is receiving care for anxiety and depression from the VA, where he sees his psychiatrist and a counselor occasionally. The patient feels that his mental health is under control with this course of treatment. The patient demonstrated limited mobility as he uses a motorized chair and walker for mobility around his apartment, but has requested some leg braces to help him gain more mobility. Spectrum is providing the patient with physical therapy, occupational therapy, an aid and skilled nursing. The patient utilizes Handi Ride to get to appointments. The patient states that he has a good appetite and frequently will overeat when he is unable to sleep at night. The patient feels that he could benefit from diabetes education and a special diabetes diet. The patient informed the social worker that he was getting assistance with bathing from Spectrum, but he is concerned if this will continue because the individual who was coming out will no longer work with Spectrum. The patient states that he is experiencing excessive amounts of pain. `The patient does have a history of falls. He stated that he has difficulty sleeping and only sleeps 4 hours at a time before awaking and maybe getting another two hours of sleep; as a result the patient reports having low energy. The patient is also concerned about frequent urination which has limited his
DOI: 06/23/2011. This is a case of 41-year-old male maintenance worker who sustained injury to the low back while taking off a sliding door of a patio. As per OMNI notes, patient is diagnosed with lumbar disc disorder with myelopathy. MRI of the lumbar spine dated 6/28/15 revealed recurrent left paramedian L4-5 disc herniation with caudal extrusion of a 10 mm fragment into the left L5 lateral recess. As per office notes dated 7/25/16, the patient is status post redo left L5-S1 discectomy performed on 4/20/16. It was also noted that the patient had a prior L5 laminotomy several years ago. He subsequently did well. However, he had recurrence of his pain. Pain is radiating into his left leg worse on the right leg. This was unresponsive to conservative
Mr. Scott is a 34 year old male who presented to the ED via LEO. Mr. Scott reported to nursing staff he has not been taking medication for schizophrenia for the past 8 days because he believes the medication has not helping him with his hallucinations. Mr. Scott reports cocaine use yesterday to nurse staff. At the time of the assessment Mr. Scott is found pacing the floor of his room, However he is calm and cooperative. Mr. Scott reports he was released from a mental health facility in Chatham county. Mr. Scott mention previous hospitalization at Coastal Plains and Holly Hill. He reports a history of Bipolar, PTSD, and manic depression. Mr. Scott reports currently having suicidal thoughts of overdosing on unknown medication he has at his place of residence. Mr. Scott appears guarded and very anxious when talking to this clinician. He reports poor sleep (2-3 hours daily), experiencing flash backs of past traumas from growing up in his previous community, and visual hallucinations. Mr. Scott reports recently he would see dead bodies in the room and doors opening when he knows they are closed. Mr. Scott reports a history of suicidal ideation and attempts, the last being a month ago
The patient is a 20 year old male who presented o the ED BAC .20. Patient attempted to flee ED and was found on top of the hospital roof running towards edge. The patient reports hearing voices telling him to harm himself. Patient has multiple lacerations on his forearms and upper arms. Per documentation patient has been cooperative with staff while obtaining labs and vitals.
An Attending Physician Report dated 05/31/2017, stated that the claimant continued having impaired concentration, somnolence, impaired teaching ability, and extreme fatigue. He was diagnosed with diabetes, obstructive sleep apnea, ulnar neuropathy, and major depression. He was incapacitated from 05/24/2017 through
The major psychological disorders fall under anxiety disorders, mood disorders, schizophrenia and other disorders such as eating, personality or dissociation disorders. By classifying these disorders, scientist can then describe and predict its future course. Mental health workers view psychological disorders as patterns of thoughts, feelings, or actions that are deviant, distressful and dysfunctional. The standard for what is deviant behavior is different in different cultures and in different context.
Michael, a 76 year old gentleman had a hip replacement after he was out with his dog and another dog put him on the floor, causing the right hip fracture; and on rehabilitation ward, looking forward to go home as he missed his dog. However, his daughter is concerned about his safety after leaving the rehab ward as he lives independently in a two levels house and at the moment he is using a walking frame and his mobility may be impaired as well his ability to cope, therefore she thinks that he may need to move into a residential home. He has an increased level of anxiety and delirium and he displays a
Provide a tentative diagnosis for each of the following case studies. Write at least one paragraph for each, justifying your answer in terms of the DSM-V criteria for that particular disorder. Remember, writing matters, as you will be judged on the quality of your communication as well as on the justification for the tentative diagnoses.
In the instance of a serious mental health case it is the role of the counsellor to provide complementary support alongside medical professionals providing medical consultation and treatment, with agreement from the medical professional. It is the role of the counsellor to support the client in developing methods to better manage their conditions and so improve their quality of life. It is also the role of the counsellor to maintain a knowledge of serious mental health conditions to enable effective referral upon identification of associated
R/s Mr. Harry Parker is 81-years-old and he lives alone. R/s on 08/23/2015, Mr. Parker was transported by EMS to Carolina Hospital. R/s LE found walking and he appeared to be confused. R/s Mr. Parker was admitted and treated for dehydration. R/s Mr. Parker appears to be oriented but he may have a touch of dementia. R/s Mr. Parker insisted on leaving against medical advice. R/s Mr. Parker has no family. R/s according to Mr. Parker he has no food at home. R/s Mr. Parker is schedule for discharge tonight. R/s Mr. Parker is refusing assisted living.
There are a number of reasons why people don’t seek treatment for mental illness. Most people are initially scared of their disorder and find it easier to ignore the problem than to face it. Others have anosognosia and aren’t aware of their problem. The stigma of psychiatric disorders, and the misconceptions about treatment, would make anyone question seeking treatment. This, and an often inhibited decision-making process persuade many from asking for help. But how do so many of the sick wind up on the street? Viewing the problem through a social psychology perspective could provide some insight.
If I were forced to have a personality disorder I would pick brief psychotic disorder. Brief psychotic disorder is described as “…a sudden onset of delusions, hallucinations, disorganized speech, and/or disorganized behavior.” (Nolen-Hoeksema, 2013) The sudden onset of symptoms is said to come about from experiencing a traumatic event. This event could take the form of: losing a loved one, an accident, a natural disaster and even in some cases it can be genetic.
The family checked-in as being “okay” and week was “good.” The family presented in a euthymic mood and it was congruent with affect. During this session, the therapist and family focused on treatment goals accomplished and completion of the therapeutic process. The youth’s mother was asked to identify what was the most difficult challenge she experienced during the therapeutic process. The mother reported it was difficult to handle a teenager with anger management problems while leaning how to adjust to an alternative way of disciplining. She indicated Denae’s attitude is not perfect, but she and her husband has learned how to punish without having to use physical force. The youth reported her greatest challenge was controlling her behavior and anger.
Bipolar disorder, Depression, Multiple personality disorder: all extremely severe and life changing mental illnesses that require therapy and medical attention for sufferers to be a working part in society. A person suffering from these disorders is typically forced to jump through several hoops before being accepted by friends, family, and the community around him or her. Some patients can even go years, possibly decades without being diagnosed with their disorder. Once diagnosed, many patients are unable to accept that they are sick and will sometimes struggle before accepting their new reality. For this simple reason I believe that mental illnesses such as those I listed above need to be more commonly known
Schizophrenia is a mental condition that affects about 1% of the world’s population. It is caused by structural anomalies in the brain that prohibit the neurons from communicating normally. Genetics and environmental factors have also been shown to have a role in these structural abnormalities as the brain is developing. There are a wide range of symptoms including delusions, hallucinations like hearing voices that aren’t there, and diminished joy in life.
The moment people feel pain they resort to the doctor to find out what is going on with their bodies. They feel either very high pain or moderate pain depending on their problem and symptoms. However, when you are a schizophrenic person you don 't feel pain like a person without this disorder would feel it. In fact it at times leads them to go on without knowing they have a disease that can be fatal. The pain can come into your body and take over but you are insensitive to this. That is how a schizophrenic person feels every single day of their lives without even noticing. It 's a chronic and severe mental disorder that is genetic. Some scientists think that an imbalance in the complex, interrelated chemical reactions of the brain