Mrs. Patterson Case Study

The patient was admitted to the hospital by her daughter after discovering that she had abandoned her medication and was significantly experiencing adverse effects from the withdrawal. The patients’ medical history included renal dysfunction, anemia, malnourishment, back pain, and a family history of mental health. The patient has a psychiatric history of being previously placed in the same clinical structure eight months ago due to related issues including the failure to take her medication and increased levels of mental health conditions that led

The reporting party (RP) stated referral #1143-3655-1102-7078895 was generated from the following referral #0534-9062-5752-307279 dated 1/28/15 regarding resident Nicole Morris age 14 DOB: 6/1/00. Per the referral Nicole is an alleged victim of sexual abuse, physical abuse and general neglect by an unknown perpetrator. According to the RP on 1/28/15 a staff member named Rebecca took Nicole to Long Beach Memorial Hospital clinic to be examined after she disclosed having suicidal ideation. Nicole revealed to hospital staff that she planned to hang herself. While waiting at the hospital Nicole disclosed being "fingered" by two different boys (names unknown) at the home. Nicole also disclosed that a girl (name not provided) beat her up. Referral 0290-1132-4581-1002176 dated 3/13/15 reported by Tatiana Garcia, Clinician with Bayfront Youth Group home.

Per Reporter: Onslow County received a report on 1/22/18 with concerns of the living condition of the home; dirty home feces on the floor and body odor. During the investigation, there were concerns with the mental health status of both parents. Shomari has been inpatient twice for making suicidal statements. Gabriella is diagnosed with bipolar, ADHD & Depression, which she is not being treated for. Previously Gabriella and Shomari had a verbal altercation about ordered food; Shomari’s food arrived before Gabriella’s did. Gabriella became upset, went upstairs and wrote her suicidal thoughts down. Gabriella went downstairs and handed Shomari the paper. Gabriella and Shomari stated that Sabastian was sleeping during the altercation. There have

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

is a nurse practicing in Missouri that has, already, previously been placed on probation for testing positive for heroin. She has recently had a relapse in her recovery and is fighting to get her license back so she can practice nursing. The state board has already given her one chance and she was practicing in Missouri. She has been sober for nearly 3 years and has taken suboxone the entire time of her sobriety to help with withdrawal. E.M. hates that she has a dependency on the suboxone and wanted very badly to wean herself off of it. She spoke with her physician about this matter and her physician strongly suggested that she not be taken completely off her prescription of suboxone. Her physician lowered her dose and she began taking a lower dose. After time passed, E.M. felt like she had things under control and she completely stopped taking her prescription. E.M. went under some stress at her job and ended up leaving the facility she was working at. She knew that one of her old co-workers had access to heroin and after running into him at a local store, she started abusing again. Beginning at the time of her first time being placed on probation E.M. has been required to provide urine samples at randomly selected intervals. During her time of remission, when she was abusing, she failed to call and leave urine samples. At this time, E.M. explained that she was focusing on bettering herself and working on her sobriety. I feel that E.M. was very sincere and was accountable for her actions. She truthfully took responsibility for her wrongful actions. E.M. stated that she now realizes that her heroin addiction is a lifelong addiction that will always be knocking at her door and she cannot stop taking suboxone. The board questioned her and wanted to make sure she did not have plans of going against her physician’s orders again. E.M. was in tears almost the entire time she was explaining her actions to the members of the board and I feel like they were true

On this date worker received a call from Ms. Val Wilson, RN at Alacare HH. Ms. Wilson has been Mrs. Brown’s nurse and been in the home multiple times. During Ms. Tara Brown time as caregiver the home was clean, food cooked, and Ms. Brown received her medication. According to Ms. Wilson Tara moved in during the summer after Larry Brown, son of Ms. Brown locked Ms. Brown out of her home. Tara told Ms. Wilson that her father, Larry Brown was MR and suffered from Schizophrenia. She also reported seeing bruises on Mrs. Brown’s arm where Mr. Brown would grab her. According to Tara Mrs. Brown received money after the passing of her husband Mr. Brown. However, Mr. Larry Brown got the money, spent it, and is now talking about filing bankruptcy. Due

Per report from mother pt have demonstrated erratic behaviors and unstable emotions since the change in living arrangments. Per report from mother the Pt have been demonstrated violent behaviors (e.g. kicking, hitting, spitting, throwing items) towards mother and (13) sister. Per report from mother pt have been demonstrating self injurious behaviors (hitting self in the head, pulling hair out). Per report from ther pt have been demonstrated property destruction in the home where she has thrown items and taken them apart. Per report from mother pt does not have any triggers for maldaptive behaviors or mood swings. Pt reports her anger

Since they were in the process of divorce was her husband had another agenda behind the petition he filed to the court? If he hadn’t why was he absent at the time she was taken to the hospital? Did her husband bribe psychiatrist? Did the conversation the plaintiff had with defendant enough to level her as mentally ill? Was she really ill? If she was , could she refuse to have the treatment? Was she competent at the time of her refusal for the treatment? Was she capable to give her consent? What was the result of the treatment?

Pt is a 14 y/o African American male presented to NNBHC with his mother with a dx of ADHD, ODD, PTSD and Depressive D/O. Pt states that he had an episode of enuresis last night when he had a nightmare about killing his family. Pt states that when he woke up he began to have intrusive thoughts of wanting to kill his family and himself so he wouldn’t have to go jail. Pt states that recently he have been blamed for everything in the home that is missing, or goes wrong. Pt states that he has taken ownership over all the negative things in the home, so none of the his sibilings wont get in trouble. Pt states “I am pretending to be happy, this is not my family”. Pt states when he cam home from residential that his biological

On this date worker interview, Mr. Ronald Darty, son of Ms. Linda Darty for the purpose of conducting a PARN interview. When worker arrived Ms. Darty was in a hospital, bed located in the living room and did not respond to worker. However, worker and Mr. Darty exited the room and the interview was conducted in a bedroom located in the back of the trailer. Mr. Darty stated he is 42 years old 4/29/75 and has lived with his mother for 42 years. He promised her when she got sick he would never put her in a nursing home. However, recently he isn’t able to provide the level of care she requires. Mr. Darty stated she has a bedsore on her back and when he changes her or rotates her, she screams out in pain. Mr. Darty stated he sleeps in the living

Saunders Niece, Rachelle, mother-n-law, and William were contacted for collateral information. Rachelle reports Mr. Saunders stated to her he put a gun into his mouth with suicidal ideation with a plan to end his life. She reports he informed her he was "going to blow his brains out" and "he might do something crazy". Rachelle reports he informed her of these thoughts the past 2 days. William reported Mr. Saunders told him he wanted to kill himself. He reports for the past 3 week he has notice Mr. Saunders has been coming to work under the influence and more depressed. The mother-n-law reports Mr. Saunders has been staying with her and he has informed her as well of putting a gun into his mouth and thoughts of hurting others. Mr. Saunders was confronted about these claims and states he can not recall states due to being under the influence. The mother-n-law informs this clinician Mr. Saunders does stay with her along with his 3 children and she has a gun in the home. She reports he has stated multiple plans to her. She reports he recently talked about putting a gun to his mouth in an attempt to hurt himself and overdosing on

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.

Family History: Patient lives in her mother’s house with her two children. The patient reports a

Erica Yelverton /QDDP submitted, 8/16- 6/16 MARS, 8/16- 6/16 progress report, 8/6/16-8/9/16 Cross bridge nursing progress note, physician progress note & Baptist South inpatient 8/7/16 preliminary note, since her last visit Crossbridge admitted Misty on 8/6/16 due to suicidal threats, had incidents on 8/6/16 ( VA, Elopement) & 7/13/16 (PD, SIB & 1 PRN) and her tegretol level (6.2) was done on 7/18/16, currently she is inpatient at Crossbridge awaiting an commitment hearing on 8/16/16.She does not have a legal guardian.

-Working with Mary, I feel that one barrier that she is facing in regards to her expressing/accepting her sexual orientation and gender identity is fear of being rejected and shamed by her family. Evidence suggests that for LGBTQ young adults, a heightened level of