Ms. Maness Case Summary

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

Rosa Lee is on several different medications for seizures and for her full blown AIDS. Not long ago she was admitted into the hospital for taking too much of one of her medications. This is due to

Mr. Gillespie is a 21 year old male who presented to the ED after an intentional overdose on 20 600mg of Gabapentin. Per documentation from ED staff Mr. Gillespie reported he became angry at his grandmother tonight and tried to "prove a point." Mr. Gillespe reported to staff threatened to overdose on his on pills, however dumped them in the toilet. He expressed after making threats to overdose on his prescribed Celexa did not phase his grandmother, he proceeded to take her Gabapentin. Per documentation Mr. Gillespe has been living with grandmother for 2 weeks and before that was living with his mother in Cary. At the time of the assessment Mr. Gillespie was calm and cooperative. He denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He appears guarded during the assessment. He reports tonight his grandmother and he got into an argument over him getting a job. He reports his grandmother informed him he has to be out by Friday. Mr. Gillespe denies history of self harm. He

Her drug screen showed positive benzodiazepines and blood alcohol was negative. Troponins were negative. Also, her initial work up showed acute kidney injury with a creatinine of 1.84, and potassium of 5.8. Her chest x-ray showed small amount of infiltrate in the right lower lobe. The CT scan of the head did not show any acute changes. The abdominal CT scan showed constipation and 6 mm opacity in her bladder. She had an electroencephalogram (EEG) which revealed diffuse generalized nonspecific encephalopathy. In addition, there was slowing of the left hemisphere consistent with left intracerebral lesion. The assessment diagnoses were acute respiratory failure (ABG of 87.287, pCO2 of 45.2, pO2 of 380 and biacarbonate of 20 on vent settings), altered mental status, attempted suicide, infectious process, medication use, hyperglycemic nonketotic, and less likely cerebrovascular accident given that her CT scan of the head was normal. She was admitted to the Intensive Care Unit under the care of Dr. Modupe Kehinde. She was intubated for airway protection and remained intubated until 5/23/2016 (7 days). She was on ventilator and was given nutritional support

UCM: CPSW received a phone call from Ms. Bensalih. CPSW scheduled office visit for Ms. Bensalih on 11/10/16 12pm at Brookdale office. CPSW asked about the phone calls and Ms. Bensalih not calling back. CPSW mentioned to Ms. Bensalih that this writer called to schedule office visit and Ms. Bensalih has not been sucussfull returning phone calls to her CPSW. CPSW mentioned to Ms. Bensalih that this writer is concerned about Ms. Bensalih not responding and following through with the department's recommendation. CPSW asked Ms. Bensalih to complete her UA's consistency and her color code is red. Ms. Bensalih stated that she did not complete any UA's at this time and that she will start doing UA's very soon. Also, Ms. Bensalih reported that she has done a random UA's at Tubman Chrysalis.

The underlying issues in both cases are racial discrimination. For Cheryl Boulden in the affirmative action case the issue is being “an African American woman among the good ol’ boys in Indiana.” She was recruited because of race and her permanent handicap was seen as an asset for a diversity program lacking any. Yet these qualities made her a target of racism. Susan Finn’s ethnic discrimination presents a dilemma of how to deal with a contract physician’s abusive behavior “toward Hispanics and female staff as well as patients” (Reeves, 2006, p. 79). While the issues of racial and gender discrimination is not unusual, the failure of these agencies to address multiple complaints is.

It is essential to have knowledge of the previous case which was Rogers v. Okin, 738 F.2d 1. Rogers became distressed with the forced consumption of Haldol, an antipsychotic medication, causing to set herself on fire in order to be transferred to a medical hospital. On April 27, 1975, Rogers, along with six other patients who were also medicated against their will, initiated lawsuit. The lawsuit was filed against officials and staff of the May and Austin Units of the BSH. Plaintiffs were all present or were previous mental patients and were all administered with drugs forcefully. In this case, the Plaintiff prevailed.

The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag

In the case dealing with Jessica Williams v. The state of Nevada. Jessica is convicted of killing six teenagers with her car on March 19, 2000 at 1:40 pm on highway I-15. Jessica is convicted of six counts with a prohibited substances in her blood. The prohibited substances include marijuana and ecstasy. Jessica says that she fell asleep at the wheel, which resulted in the accident. The victims were six teenagers who were assigned to pick up trash on the road by the Clark County Juvenile Services (Knapp, 2000). The victims include Anthony Smith (14), Scott Garner Jr. (14), Alberto Puig (16), Rebecca Glicken (15), Malena Stoltzfus (15), and Jennifer Booth (16) (Ritter, 2001). Jessica’s blood was found to

After assessing the presented problem, she mentioned that she uses drinking to escape from escaping from her problem. She is very accepting about her problem, but stated that she is having a hard time remaining sober due to the environment and friends she has. When she arrived to the clinic she was dressed very sloppy with an unpleasant order. She appeared to be under the influence of alcohol at this present time. Miss. Braxton sat slouched down in her seat and her speech was very sluggish. Although it was very hard for her to function, she answered each question towards the best

The first assessment is the Alcohol Use Disorders Identification Test (AUDIT). The AUDIT’s purpose is to recognize how one’s alcohol consumption is an issue (Ash, 2001). This assessment will help the counselor to find out how detrimental the use of the substance is to the individual (Ash, 2001). The AUDIT has a few strengths that would encourage the counselor to use this assessment. The assessment allows the counselor to examine the possible options for the client and what treatment is the most appropriate (Ash, 2001). This assessment should not be used to diagnose the client (Bischoff, 2001). It has been proven that the assessment is reliable by using

During the time of assessment the patient was asleep and wakened by TACT. The patient was cooperative and clam when wakened. The patient reports that all his life he has had concerns with controlling his behavior. Patient he was in the army from 2008-2012 and suffers from nightmares. The patient reports self-medicating with Marijuana to cope with "mood swing",

Screening idyllically should transpire in a way that simplifies subsequent evaluation or recommendation for an assessment among individuals recognized as positive on the screening measure (Volk, et al., 2007). Screening methods are not anticipated to offer a diagnosis; assessment for purposes of diagnosis takes place in succeeding phases of appraisal. Screening measures are not intended to elucidate the nature and degree of such difficulties. By disparity, assessment processes are intended to reconnoiter fully the nature and magnitude of an individual's complications with alcohol (Passik, et al.,

I agree there are several elements that Kagan recommends educators should use ahead of achieving cooperative learning during instructions. Moreover, these strategies will encourage students to interact in classroom activities. Additionally, important each students participates in group activities and is held accountable prior to receiving an appropriate grade after completing diverse tasks.

The client was somewhat reluctant to discuss the alcohol use in any detail, claiming it was not important, until she was made aware of the incongruence with her nonverbal cues. She was then more open and cooperative but appeared anxious. She reports her first use of alcohol was when she was 19 at a frat party where she met her husband. She was reportedly surprised at the interaction, because she saw Dick as a “ladies’ man” who was flirtatious and outgoing, the antithesis of her own