Nbhc Case Studies

Presenting Problem: She has a hx of multiple failed placements and relates being placed in the programs for her substance abuse, anger and aggression. She has 2 past suicide attempmts one from an attempted hanging and the other from attempting to jump off a building. She reported feeling homicidal 7-8 times against her stepfather. Rhonda reported physical and emotional abuse from maternal uncle and incidents of sexual assault btwn the ages of 6 and 12.

Neveah reports a history of physical and sexual abuse starting at age “three or four,” with the most recent sexual abuse occurring approximately two years ago. She reports distressing dreams about the most recent trauma and difficulty falling and/or staying asleep six out of seven nights per week. Neveah displays avoidance in discussing details related to the trauma and reports blocking thoughts and memories of the most recent event. She reports the inability to remember aspect of the most recent trauma and reports remembering “small pieces” of her childhood trauma. Neveah makes statements such as “I will always be crazy,” “This will never fully go away,” and “I bring this on myself” when discussing herself and her symptoms. Neveah displays irritable behavior and angry outbursts when a peer or family member causes her to feel “mad”. Her behaviors include yelling, throwing objects, and making threats. These symptoms have been present for more than one month and are affecting the relationships with her

CPS received CPS referral #0677-3482-7506-1042519 regarding minor Natalie Thompson (DOB: 10/22/01). On 4/7/17, minor threatened to kill herself by jumping in front of a train because she was upset over what happened in her new placement at the group home. Minor stated that she no longer wanted to live and did not want to return to group home. Minor stated that she expressed to staff that she wanted to be left alone, but staff disregarded her request and held her. Two female staff held her back so she proceeded to strike them. During the restrain, staff grabbed minor by her arms, legs and shirt. One of the staff members (unknown) pulled her hair and held her tight so during the restraint causing the minor to sustain multiple bruises on her body.

ensure her safety is to assess her suicidal ideations and safety environment, as well as her medication compliance. In addition, it would be appropriate to assess and address any cultural and spiritual needs the client has. The patient’s plan of care for risk for injury and self-harm violence include the following: • Assess for self-destructive ideas and behavior q shift. The trauma may result in feelings of hopelessness and worthlessness, leading to high risk for suicide.

Pt is a 15 y/o African American male presented at NNBHC with a dx of PTSD, ODD, ADHD, Bipolar Disorder, and Depression, who have been demonstate emotional instability and aggressive episodes in the home. Pt discussed that he have been having difficulty controlling his anger when triggered for getting trouble. Pt stated that he god in troubled for hiding soiled clothes in his drawer, where his mother found them. Pt stated he became upset and demonstrated verbal aggression which includes threats and foul language. Pt states that he black outs and have mind/body experiences where he lose control over his actions. Pt states that during his anger outburst typically one of his parents have to tell him what he has done. Pt states he is easily trigger by being called “fat” or discussion of his bed wetting. Pt discussed he frequently have phobias in new places due to believing he may be sexually assaulted again which intensify his nighmares and nocturnal enuereis.

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

Thank you for contacting the BACB with your questions. The BACB does not have a defined list of offenses/ tickets that are reported. In the Professional and Ethical Compliance Code for Behavior Analysts (Compliance Code), §10.02(b) of the Code states, “Any public health-and safety-related fines or tickets where the behavior analyst is named on the ticket,” meaning if you are named on the ticket, it must be reported to the BACB within 30 days. Additionally, §10.02(d) of the Code states that you must report any changes of name, address, or email, however, this done through your Gateway

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

Physicians at NCH provide the best care possible. The guideline for the management of alcohol withdrawal syndrome evaluation and treatment is a document that clinicians rely on. As it is, it provides the exact recommendation to follow in the implementation of orders to care for patients with AWS. Once the physician dictates the orders, a power plan is generated in the EMR. When the system triggers such alert, it is the duty of the nurse to acknowledge the order, which then the pharmacist verifies and provides clearance for use. Although this type of patients require of lots of attention to avoid deterioration, physicians and nurses at NCH understand the circumstances and try to conform to the duty.

Intervention/goals Risk for self-injury related to depression/psychosis as evidenced by previous suicide attempt and suicidal behavior. Patient will verbalize feelings; express decreased anxiety and anger

All physicians should be able to recognise NAI and respond accordingly (19). However, inconsistencies and under-reporting of NAI still widely exists (10). Education is the best approach to aid management of future suspected NAI cases (10). Educational interventions for emergency department physicians, nurses and radiologists to improve recognition of, and response to, NAI, and improve outcomes for children (19).

The second objective that targets corporate growth is specific, because it mentions what exactly the company plans: opening new stores. It is measurable, because it specifies that it pursues the opening of 7 new luxury and 25 new off – price stores. It is achievable, because it possesses ample liquidity for investing in new store development. It is realistic because it takes into consideration the market demand. Finally, it is relatively time – bound, because it indicates that the new stores are planned to be opened over the coming years, without mentioning the exact time for implementing this objective.

The University of Pittsburgh National Residence Hall Honorary is located on the 5th floor of the William Pitt Union. All NRHH locations vary, however; memberships are applicable only to undergraduate students, residing in the Residence Life Housing, of four years institutions. With the University of Pittsburgh at large, NRHH as a leadership based honorary independent and unpaid organization of students and two selected facilities who value recognition and service (Symbols - Pitt NRHH).

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