Mr. Davis is a 33 year old male who presented to the ED with homicidal ideation with a plan. Mr. Davis states he has a plan to go out in his yard with a machete and kill someone. Per documentation he states, "I'm going out into the yard with my machete and I am afraid I am going to kill someone. I feel really crazy." He states he has these thoughts towards anyone that does him wrong. At the time of the assessment Mr. Davis is asleep, however becomes awaken and 4x oriented by hearing his name called. He has a history of Bipolar. He denies current suicidal ideation, homicidal ideation, and visual hallucinations. He does endorse auditory hallucination. Mr. Davis reports hearing several people telling him things. He reports his outpatient provider is DayMark and he usually go there twice a month for his Depakote injections, however has not been there since
Mrs. Patterson is a 72 year old female who presented to the ED with complaints of ringing in ear and some sores in her nose. Per documentation Her son, however reported Mrs. Patterson has expressed repeated threats of suicidality and has said she is going to overdose on medication and has overdosed in the past. He reports she also threaten to walk into traffic. At the time of the assessment Mrs. Patterson denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She appeared 3X oriented. Mrs. Patterson memory appears recently impaired. She reports a history of 1 attempted suicide years ago. Mrs. Patterson states when asked suicidal attempt she responded, "Yeah,but I forgot what I done." Her son Jim was contacted for collateral information. Jim reports 6 months ago his mother overdosed and has done so multiple time, however he is unaware if it's intentional with the intent to harm or her memory effecting her actions. He states, "She makes jokes about it (referring to suicidal ideation)." Jim expressed his primary concern with his mother is her not managing medications effectively. Jim reports he has a plan to move his mother into his home and take care of her daily needs and also manage her medications. Additionally, Jim reports her going to Daymark recovery Services. He reports DSS came out to the home today to offer any additional aid to Mrs. Patterson. She reports a history
T.R. is a 69 year old, Caucasian female with a history of schizophrenia who presented to University Hospital Medical Center Emergency Room under Baker Act for recent suicidal attempt. According to the Baker Act report, she ran out of her retirement facility, trying to be hit by vehicles. She suffered a slight injury to her right ankle, as the slightly slightly hit her in an effort to abruptly stop the vehicle. She verbalized to police officers she wanted to die. She reported that peers in her retirement community learned about her history and had been gossiping about her. She reported increased paranoia due to this. She was hospitalized in the same psychiatric unit two months ago, after she was diagnosed with depression. Patient states the reason she was diagnosed with depression is because her two sons are not willing to talk to her. She states that she is separated and living without her family in an Assisted Living Facility. As per patient and chart review, the patient was born and raised in New Jersey and moved to South Florida. The patient currently lives in a retirement home and had to move several times to the different Assisted Living Facility, due to her paranoia and delusional behavior. She is currently retired and reports that she used to work from home as a home health aide. She has two sons and tries to maintain a good relationship with them, but denies any contact with them. She reports the biggest stressor is basically a relationship with her
Mrs. Payne is a 48 year old female who presented to the ED via EMS following her visiting to Liberty, NC from Greensboro and going into the police department and reporting she was having suicidal thoughts to wreck her car. During Mrs. Payne being triage she informed ED staff of compliant as a plan to over dose on Oxycodone at home. She reports not being able to get to prescribed Geodon and Valium for the past 2 weeks.
Pt is a 12 y/o Caucasian female presenting to NNBHC due to self-harming behaviors. The pt stated that she had an “episode” last night stating she was crying and inconsolable making SI statements and self-harmed. Pt showed assessor about 10 superficial slashes from a razor she used to her left forearm. The pt stated she had it in her room for almost 5 months just in case if she felt she was needed to feel the pain. Mother reports she was there during the episode and the left the pt for less than 2 minutes when she engaged in self-harming behaviors. The pt stated this episode went on for almost a 1.5hr, and there was an unknown trigger. Per mother report there have been some stressors in regards of the mother and father
Ms. Maness is a 45 year old female who presented to the ED with an alleged overdose on 3 pills of Keppra and 3 pills of Librium in a attempt to harm self. Ms. Maness denies suicidal ideations, homicidal ideations, and symptoms of psychosis. Ms. Maness reports a history of Alcohol abuse and recently was 3 days sober, however last night relapsed after conflict with hr boyfriend. Ms. Maness does not appears to be responding to any internal stimuli.
Reflecting on Sally Richard’s case in the introduction, although fictitious, truly represents the process of what a sexual assault, rape, domestic abuse, trauma, etc. patient endures for SANE nurses to collect the evidence needed to support the victim’s case. For forensic nurses, they must ensure that medico-legal examinations prioritize medical care over corporeal evidence collection, with prosecutors emphasizing this on direct observation to ward off accusations of biased witness. Even though history and documented injuries collected by SANEs could be of use for prosecution of the accused, the record should be medically fixated, with careful planning to specialty treatment. For a reliable Medico-legal record, there are certain components
Kimmy is presenting for “anger outbursts”, homicidal threats, and behavioral problems. The client reports these behaviors began eight months ago after the death of her mother. Her mother died in an auto accident, for which the children were not present. Kimmy has been hospitalized three times in the past 8 months for anger outburst towards her Uncle, older brother, and peers. She has made homicidal threats towards her older brother. Prior to her most
Dana White alleges substandard medical care after undergoing a knee arthroscopy with partial medial meniscectomy and chondroplasty. While the surgery itself was without incident Ms. White later had what she felt were signs of a possible infection pink tinged drainage) a week after her surgery. Dr. Passanise failed to culture the drainage at her post-operative appointment and Ms. White eventually had to have two diagnostic arthroscopies with irrigation, and a debridement before being diagnosed with a Group B Streptococcus infection. Ms. White feels is Dr. Passanise would had cultured the wound area at her first post-operative appointment, most of the issues and expenses could have been
Mrs. Meuser is a 25 year old female who presented to the ED experiencing visual and auditory hallucinations. She also endorse suicidal ideation without a plan. Mrs. Meuser has a superficial laceration to her left arm after cutting herself tonight before arrival to the ED. Per documentation Mrs. Meuser presents with pressured speech and very guarded. She has been responding to internal stimuli while in the ED. She reports while in her room a unknown female is standing behind her and telling her to harm herself. Per documentation Mrs. Meuser began to point at a blank spot in the room yelling, "It's all her fault, Mary should burn in hell." Mary was later identified as her biological mother's name. Family at bedside. The family reports Mrs. Meuser
The patient expressed she has no current suicidal ideation or homicidal ideation. However, she admitted to suicidal ideation in the past, right after her breakup, approximately two months ago. She expressed that she wanted to hurt herself and had a plan on how to do so, but did not think she could go through with it. Her plan was to overdose by taking her mother’s
Mrs. Nance is a 64 year old female who presented to the ED via LEO due to suicidal ideation with a plan to use scissors to end her life. At the time of the assessment Mrs. Nance denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. Mrs. Nance reported she pick up some scissors in her home after an argument with her grandson and was planning on using the scissors to end her life. She states, "I don't want to live anymore." Per documentation from MCM Mrs. Nance reports in 2014 attempted suicide. She reports experiencing child abuse at a young age by her mother, verbal and physical abuse throughout her life by her husbands and mother, and family conflict as stressors contributing to her distress. Mrs. Nance was seen
Mrs. Jarrell is a 53 year old female who presents to the ED via LEO under IVC. She reportedly expressed suicidal ideation by overdosing on prescribed medications to MCM. Per triage documentation by nursing staff Ms. Jarrell denies suicidal ideation, homicidal ideation, and symptoms of psychosis. At the time of the assessment Ms. Jarrell denies suicidal ideation, homicidal ideation, and psychosis. She appears to be 4X oriented. Ms. Jarrell reports she wants to go back to Old Vineyard Unit A because that's where she just left. She states, "I know I don't meet criteria, but I would like to go there just for a few more days until I can get into NorthPoint, that is my ultimate goal." Ms. Jarrell has a history of bipolar and reports compliance with
The patient was brought in by her boyfriend and his mother after she expressed that she was going to kill herself. On June 19th, she expressed to her boyfriend that she had thoughts of either taking pills or crashing her car to end her life. The patient denies ever using illicit substances or drinking alcohol. She denies any access to firearms. She reports that the thoughts “come out of nowhere” and have increased in frequency over the last two weeks. The patient states that she has a good relationship with her boyfriend and his family as well as her own family. She denies any history of verbal and physical abuse from her boyfriend. The patient reports that she is excited about starting a nursing program at Southern Connecticut State University
Mr. Staley is a 27 year old male who presented to the ED following an intention suicide attempt. Mr. Staley used a knife to make several lacerations to his left forearm, which many needed stitches. Mr. Staley reports relational conflict and legal issues as contributing factors to his distress. Mr. Staley reports depressive symptoms as: feelings of hopelessness, worthlessness, irritability, tearfulness, anhedonia, and insomnia for the past week. Mr. Staley denies homicidal ideation and symptoms of psychosis. He does not appear to be exhibiting of agitation or aggression.