During the time of the assessment the patient presents with a slurred speech, guarded, suspicious, confusion, and a flat affect. The patient was 3X oriented. The patient reports she wants to find out what happen to her. The patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Then the patient reports she has currently hearing voice of a male talking during the assessment, which turn out to just be the television in the other room. The patient reports her mother manages her medications. Further, the patient expresses that she recently had her psychiatric medications changed. The patient's mother reports to hospital staff that the patient's Cymbalta and Prozac has been discontinued; and Fetizima has been add to the medications she is taken. The mother of the patient reports to hospital staff that the patient has a history of schizoaffective and bipolar disorder.
Differential diagnoses are developed by a clinician upon learning of the chief complaint. One must begin to develop the possibility of potential diagnoses mentally to guide the care provided to the patient. These potential diagnoses are developed by the care provider and are often based on one’s past clinical experiences, awareness of the illness and a clear understanding of the patient’s complaint (Goolsby & Grubbs, 2014). The care provider with experience may develop these diagnoses independently and others with less experience may utilize evidence-based resources and clinical guidelines to aid in this process (Goolsby & Grubbs, 2014). The process for reaching a final diagnosis requires further investigation and use of physical assessment
D-The patient was placed on HOLD to see this writer to address her no show for counseling on Friday and missed dose as well. According to the patient, she had transportation issue. The patient admitted that she relapsed by using crack cocaine-$20 bags by smoking. Addressing the relapse is due to stressor of her current residency with her "baby-daddy," according to the patient. Alternatives were discussed. The patient asked this writer for assistance again for the contact number to CHR and CVS of which this writer provided. In addition, this writer questioned the patient about her living situation as she reported about it being a stressor in her life. According to the patient, she is no longer residing at her "baby-daddy" resident as she reported
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
The RP stated that the resident is very lucid, alert, and was very uncomfortable about going in her diaper. The RP stated the resident is fond of sports and enjoys watching sports on the television. The RP stated the resident was enjoying the television when she was told she had to go to bed. When she complained a caregiver named Robert go into the resident's face and told her that she was going to bed. According to the RP the resident was intimidated by the caregiver. Although the resident no longer lives in the facility she fears that the caregiver will find and harm her. The reporting party stated on one occasion the resident was having respiratory problems and the facility contacted the RP. The RP questioned that staff and asked if the resident had a fever. The RP was told that the resident was agitated therefore the RP went to the facility to check on the resident. The RP asked the caregiver to take the resident's temperature using a digital thermometer. According to the RP the caregiver did not know how to operate the thermometer therefore requiring the RP to take the resident's temperature. The resident was taken to the hospital and diagnosed with
How has the outlook of the police changed over the last five years? Well there has been very many controversial cases where citizens have ended up dead. Are these officers really cold blooded killers? Or are the citizens the ones at fault here?
CM was out on vacation for the period of 5/2/2016 to 5/9/2016. On 5/19/2016, CM met with the client to update Assessment and to complete Other ILP Review. In the meeting client appears to be friendly and cooperative. She appears to have some cognitive impairment. Client reported WECARE/Wellness referred the client to see Dr. Larissa Lempert/Neurology. Next upcoming appointment is scheduled for 5/26/2016. During the meeting session, client was dressed appropriately for the weather and had good hygiene. She ambulates with a cane due to leg problem. Client affect was flat. Client denied suicidal or homicidal ideation.
appeared her stated age and appeared in good health. She was in no acute distress. She was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She had normal motor activity, with no unusual gestures or mannerisms. She made eye contact appropriately. her affect was appropriate. Client ambulates with a cane. She was oriented to person, place, time and situation. She denied suicidal or homicidal ideation.
In 1992, Roy Brown was convicted of the death of another individual. The victim was fond beaten, strangled, and stabbed at her farmhouse. She was a social worker and was found covered in bite marks and saliva was obtained as DNA evidence. Mr. Brown served 15 years in prison before he was able to prove himself innocent from his cell with the assistance of the Innocence Project. A similar case occurred in 1989, Steven Barnes was convicted of the murder and rape of a 16 year old girl. The victim was found raped and strangled to death on a dirt road. His truck implied him to be a suspect. Even though there was a great amount of statements that supported his alibi, three years after the crime occurred, Mr. Barnes served 20 years in prison before being freed by the Innocence Project.
D-The patient was advised that her bottles are in fact suspended due to the incident that occurred on 02/08/2017 of which the patient needs to accountability of taking a second dose of her methadone even though she has taken her methadone at home. The patient admits her accountability of her actions of taking the second dose. The patient then asked about how she can regained her take home bottles of which this writer explained the policy of take home bottles, referring to the reinstatement process. The patient is referred to attend the Take Home Bottle Group on 03/9/2017 to have her bottles reinstated. Then the patient shared that she wrote a grievance letter and still plans to submit it for the Program Director to review. Furthermore, this
A-Based on this writer's assessment, the patient appears alert and oriented. The patient struggles with asking the right questions to her DCF and needed assistance by this writer, at which this writer was willing to help the patient. The patient reports that she hasn't used any illicit drugs and is focus on applying for her take home bottle. The patient appears to be under the maintenance stage of change as the patient remain focus on her recovery process and attain self-control to refrain from illicit drugs.
On this date worker visited the residence of Mr. William Teske, for the purpose of monitoring his situation. When worker arrived, Mr. Teske was heating up a microwave dinner. He stated he was his favorite, spaghetti and meatball. Mr. Teske remembered worker from previous visits. Mr. Teske was appropriately dressed with acceptable hygiene. There was mail lying around the apartment and there the odors of cigarette smoke. During visit Mr. Teske keep O2 on and did not smoke. Mr. Teske thanked worker for helping him get Medicare part A. He stated he still receives Elder Care and home health but HH switched from Amedysis HH to Alacare HH and Alacare is in the process of changing him from HH to Hospice. His only complaint was that too many people
Psychiatric- patient is a little anxious about these new symptoms and their significance. We discussed her situation and I offered her psychologic services, she refused for now.
MBDO Brown will Archives Excellence by Serving as a role model , peer-to-peer coach to fellow BDO in accurate and timely completion of all BDA related reports that included but no limited to Notebooks, BEAM reports. Notebooks will be needs to be clear and legible, when called-out MBDO Brown will have to update your BEAM reports to include you U/A, Early-out requested and any trade-shift, trade day and Overtime if any.
a 44 year old Divorced African Male came into Henry Ford Hospital ED as a walk-in and told the HFHS staff that he was having mental health issues he does still struggle with depression and anxiety. The consumer stated that he initially went into the hospital after his brother was shot twice in the head. At that time the client reports that he was placed on Risperdal, while at Kingswood in January, and he became a zombie at that time. He stated that he has been in and of the hospital multiple times since then, and each time, he has been placed on Risperdal and he doesn't feel that his meds were ever adjusted correctly.