My Field Practicum At An Agency Named Quality Care And Advocacy Group

in the clinical placement, I developed and culturally applied appropriate communication with clients each week I was there. As I would walk down the hall and see a client I always greeted them. As I would enter the rooms that I would be doing client-centered care I greet and introduce the client that I am a nursing student at Humber College doing my clinical placement. If you welcome yourself into a room without introducing yourself that makes the client not feel safe and feel vulnerable, but by saying hello you build respect and develop a trusting relationship with a client. This demonstrates trust-building strategies to develop a nurse-client relationship, introducing yourself and calling the clients by their preferred name. And providing

The clients involved in this case study is an African-American 12-year-old boy ,30-year-old mother and 33-year-old father. I have been assigned to work with the 12-year-old regarding his issues with attention deficit hyperactivity disorder, anger issues, mood disorder, and oppositional defiance disorder. My agency has created several goals for the client to achieve while receiving services such as mastering three coping skills to improve his ability to effectively deal with losses in his life (i.e. the absence of his biological father); identifying seven ways he can respect authority figures in the home and community; and mastering five

My field placement is at Highland Clarksburg Hospital. I work with an amazing woman named Amy, she is a case manager on the children’s unit. The basics of my field placement was to help providing quality behavioral health care services to children, adolescents, and adults in a caring environment (https://highlandhospitalwv.com/our-promise/). Highland Clarksburg Hospital is acute care hospital. So the patience can be there for a little bit depending on their insurance. Why the hospital is there is because there aren’t that many hospitals around to help children in need of behavioral health. History of Highland-Clarksburg Hospital dates back to February 1, 2010 when Clarksburg’s City Hall announcement was made UHC would donate the facility. The United Hospital Center built a new facility. They opened of the Children and Adolescent Unit in August 2013 and the reminder in January 1, 2014.

LoWanda is an 11 years old child, who has been educated through the Chesapeake School System, since pre-K. Her home life consist of one brother, which is about 6-7 years older than she is, her mother is her only active parental support. However, LoWanda’s mother is an outstanding role model for her kids, she works as a Paralegal Assistant, in Norfolk, and has a B.S. degree. LoWanda’s mother had worked diligently worked with Lowanda to assist her in excelling in school. During, the time span that LoWanda’s has been in school, she has always been a “B” student. However, LoWanada does have some emotional issues, she has been diagnosed with AD/HD - impulse control. She has been prescribed 2 different prescription medications to control this

This patient explained that sometimes what causes some individuals to relapse and come back to the institution is the lack of resources. I learned that if nurses want to help their patients they should guarantee that patients get clear information about referrals and community facilities that can assist them after their discharge. This is a fact that should be enforce not only by nurses but also the physicians who take care of the patient. Something I would have done different is that I could not approach the adolescents as I approached the adults. I do not know if was because they were all gather with their peers. However, I witnessed some of their communication with the social workers, and I listened to some of their concerns. I noticed that the social worker communication was superficial; I did not see how this could help the adolescents to improve their behavioral problems. In addition, I perceived how some hospital personnel were not trained to provide a therapeutic communication that can provide a better environment for those children who are already neglected and traumatized by parents or immediate family

The Client is a 17-year-old African American female who was removed from her mother’s care in 2013, and resides in a residential treatment program under the custody of the state. The client currently attends a special education school due to a speech impediment and behavioral disturbances. The client was referred to the screening center on this occasion after running out of the school building and threatening to run out into traffic as a suicide attempt. The client’s teacher mocked her speech impediment in front of the entire class, which triggered aggression and suicidal ideations. The client threw a soda at the teacher, and was put into a physical restraint, but when she was able to break free,

Pt is a 12 y/o Biracial male presented at NNBHC with his mother due to increase aggression, assaultive behaviors and setting fires. Pt has a dx of ADHD. 8/5/15 Pt mother states the pt started a fire on her carpet, and a trash can with leaves. Pt also got bug spray lighting it on fire going after his older brother. Pt attacked older brother in sleep where he helped a knife to his neck to obtain his cell phone. Pt punched his brother in gentials today to obtain cell phone. Pt stated “ I hate my brother” “ cause he constantly telling my friends I have anger problems”. “ I lie a lot to get out of trouble”, stated the Pt. Pt stated “ I don’t want to kill but I want to beat the crap out of him”, “I stabbed his new shoes yesterday”. Pt stated

I am a first grade teacher and I am concerned about one of my students his name is Michael Johnson, I am concerned about him because he is always arriving to school 30 minutes earlier than the usual start time, he is never dressed appropriately for the weather and his appearance always seems to be sloppy, although he is at grade level, his behavior is very aggressive and hostile towards his classmates. And in several occasions I have noticed bruises on Michael and when being asked about them he is very evasive about it. During the first parent conference I had with Michael’s mom I told her my concerns and as we were discussing them she broke down and told me that her husband, Michaels stepfather is hard on him, he is very sarcastic, he is

Ms. Jeffries is a sixteen-year-old Africa American male who is being referred for intensive in home services by his biological mother. Ms. Jeffries mother reported within the last thirty days he has exhibited the following psychiatric problems: often loses temper (3-5x weekly); easily annoyed (Daily); often argues with authority figures and adults (daily); and refuses to comply with simple rules and request (3-5x weekly). The above-mentioned symptoms are present in the home and school setting and have impacted Mr. Jeffries’s level of functioning at as evidenced by not being able to receive the necessary allotted hour in the classroom setting and impacted his ability to recognize personal danger which has resulted in pending legal charges. When

Case management services were provided through a face to face interaction in Santa Ana. Present at the meeting were WYP (Wraparound Youth Partner) Andy Ngo and the youth. Service minutes are high, because WYP Ngo spent time building rapport with the youth. WYP Ngo rode a bike with the youth while in the community and took the youth out to get some food. WYP Ngo gathered information during the rapport building. The youth likes psychical activities and playing video games (especially Mine Craft). The youth likes cars, bikes, and motorcycles. The youth had a fun time at school playing with his peers. The youth is very polite and ask for things. WYP Ngo prompted the youth a few time to say thank you when WYP Ngo assist the youth with something.

When therapist met with the Client at school, therapist did check in client reporting any behavioral issues or conflict at home or at school and client reported that he is sometimes fighting with his sister at home around toys or her room because he wants to enter her room and play with her belongings and his sister does not allow him do do that 7Xs/week out of 7Xs/week. The client reported that he was not fighting at all at school, but the class teacher 3 warnings because he does not follow the class rules and he speaks without permission or taking turn. Client reported that his mood is happy because he likes to be at school and play with his classmates. Therapist discussed with client the alternative behavior when he gets involved in a conflict

Arthur is a16 year old Hispanic male who was recently enrolled at Morris Academy for Collaborative Studies. He and his older sister were raised in a single parent household with their biological mother who has a drug dependency. Arthur states that he has never met his biological father. He and his sister were removed from the mothers care by ACS as a result of both physical and verbal abuse rendered by her. Arthur was placed with his biological aunt at age four, while his sister age six was placed in a separate foster home. He currently resides with the maternal aunt and he refers to her as mom. Arthur has a classification of Attention Deficit Hyperactivity Disorder, Along with anger management issues. Medication was prescribed for his ADHD;

Beverly is a 58-year-old, black female who currently lives with her daughter and previously with her daughter's boyfriend. He caused her intense stress and anxiety which is the reason she began therapy. One evening there was an altercation between Beverly, her daughter, and the boyfriend where Beverly ended up going to jail for several days. Eventually the charges were dropped, and the boyfriend left the home for good. Having the boyfriend gone has alleviated one stressor, but client is now dealing with the trauma of having been incarcerated and lack of finances, because she lost her in-home care income. Client has been resilient throughout her life. She was molested as a child, came out as a lesbian to her mother and sister who didn’t approve

ANGELO IS A EIGHT YEAR OLD MALE, DIAGNOSED WITH CEREBRAL PALSY,EPILEPSY, AUTISM AND SPATIRITY. DUE TO HIS SPATIRITY CONDITION HE IS PRONE TO FALLING AND HIS RANGE OF MOTION IS LIMITED. HIS CONGITIVE IMPARMENTS LIMITS HIS FUNCTIONS TO RECALL THINGS AND TO THINK INDEPENDENTLY . HE HAS SPEECH IMPAIRMENTS, HIS UNDERSTANDING AND RESPONSES IS LIMITED. DUE TO HIS IMPAIRED BEHAVIORAL PATTERNS HE IS AT RISK AS HE WANDERS OFF, IS VERBALLY ABUSIVE , DEMONSTRATES MENACING BEHAVIORS AND RESIST THE CARE WITH ACTIVITIES OF DAILY LIVING. HE HAS NO CONTROL WITH CONTINENT AND HAS MULTIPLE EPISODES DAILY. HE IS CURRENTLY TAKING FIVE PERSCRIBED MEDICATION. HE ATTENDS CIMARRON ELEMENTARY, IN SECOND GRADE AND ATTENDS LIFE SKILL CLASSES. HE IS RECEIVING SPEECH,

uly 20, 2016 at 3:30 p.m.. at Terrence Fregly Community Center, I Tiffany had the opportunity to observe a five year old boy who we are going to called Lou, during their free time. As I was observing Lou running and playing amongst his friends I notice inappropriate behavior such as throwing objects at other kids in his group and using inappropriate language towards the kids as well. Lous showed inappropriate behavior at least three time within a hour. I have spoken to one of the staff, she stated Lou behaves like this when his older siblings are not around which triggers him to get angry and since his friends tries to comfort him he turns his angry towards other children by throwing surrending objects and using inappropriate language. As I continued to