Patient Background

A treatment for Zoloft addiction is that your doctor will begin to prescribe smaller doses over and long period of time to get the user to become used to taking less. This process will continue until the patient is no longer reliant on Zoloft. Zoloft is a great drug to use for patients with depression. Patients must make sure to take the correct dosage and listen to their doctor to insure they do not get certain side effects. Zoloft is a drug that is

A university of phoenix student conducted an interview with Kelli Flack who has an LPN working on her BSN. Kelli works at Family Health Care of Siouxland. Just a brief background on Kelli, she has been an LPN for 7 years. She received her LPN through Morningside College.

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

Presenting Problem: Zachary has required x3 inpatient hospitalization within a 6 month time frame. Zachary struggles with communication in the family dynamics that generally evoke anger, irritability, physical aggression, and suicidal statements. Most recently he was admitted at NNBHC due to SI, HI statements and AWOL behaviors. He is not compliant with medication compliance or participating in outpatient treatment. He states overall mood has been on and off with periods of feeling down. He reports decrease interest in activities.

Throughout the interview, Xavier’s mother answered the majority of the questions and expressed the difficulties she faces daily while taking care of her son. She also talks about the process of receiving the diagnosis of ASD, as well as a previous diagnosis that was incorrect. Xavier’s mother first noticed something different while comparing his development, mainly his speech, to that of her nephew who was around the same age as her son. She claims that he wasn’t talking at all at the age of 1 ½ and that concerned her. Xavier’s doctor said his speech was probably delayed and suggested a speech therapist as early intervention. His mother claims that he didn’t outwardly appear Autistic to her because he wasn’t withdrawn. She also claims that

Background information: John Smith is a Caucasian male in his mid-thirties who is living alone in Truman. He was at his VA appointment in Jonesboro when the therapist admitted him to the hospital for suicidal ideation. John Smith has an ongoing struggle with psychosis and suicidal ideation for the past couple of years. The patient reports he has received outpatient and inpatient treatments for a couple of years. Currently, the patient is unemployed and his major source of income is Veteran’s benefits. Pt reports he has no legal matters or barriers to treatment. John’s strengths include good family support system, utilized health care systems, and motivated for treatment. However, his weaknesses include psychosis, unable to sleep, impulsive, and sad. His interests and hobbies consist of spending time with his family and playing with his cat.

The role in which traditional Italian codes of behavior and attitudes towards the family play in the Italian American immigrant experience represents the dynamic interplay in which a distinct Italian American culture developed as a fusion between Italian and American cultures. From this perspective, the changes occurring in Italian culture, as it integrates into the more dominant mainstream American culture, can provide insights to the Italian American immigrant experience. Contrary to the patriarchal nature of Italian culture, Lucia Santa’s perspective of men as incompetent, commenting how “folly” it was for “men should control the money in the house, have the power to make decisions that decided the fate of infants,” provides an example of the changes within family dynamics as a result of assimilation into American culture (Puzo 27).

R.H. has a large, active family in the area who assist in his care and plan of treatment as much as possible, and provide daily visits. Prior to the most recent hospital admission, the family reports he was an active man who lived alone, and was quite capable of caring for himself and his house. He has a wife who suffers from dementia and is cared for by their children. He meets with his primary care doctor as well as a home health nurse frequently to monitor his condition and review treatment options. Additionally, the patient is a non-practicing Catholic, with a close group of friends and other support systems within the community. Even with the high level of support he has, the patient is still at an increased risk for ineffective coping due to the sudden onset of his symptoms. Due to his continued weakness and confusion related to high levels of pain medications, much of the decision making is left up to his family, particularly his eldest daughter causing stress for the whole family. Because of his self-care deficit, which will likely extend after discharge, he will likely require extensive rehabilitation as well as being required to live either with family members or in a care facility. The patient and family will need to be continually monitored for ineffective coping for the duration of his hospital stay, as well as following discharge.

Smith is a 45-year-old-man seeking treatment for anxiety and depression. During initial contact via phone, he repeatedly stated how important privacy was to him and wanted assurances that anything discussed in a session was confidential. In the first physical session, Mr. Smith asked again about confidentiality. As the session continued, he disclosed that the cause of his depression was due to the death of his mother ten months ago. His mother had fallen ill, and he had become the primary caretaker after his father was diagnosed with colon cancer before her death. She suffered from Ischemic heart disease, which required her to use an oxygen tank and she was diagnosed with onset dementia a year ago. Mr. Smith stated that she had been suffering greatly and out of empathy for her gave her an excess dose of sleeping pills during her nightly routine. Upon her death, medical examiners did not question her passing due to her illness and stated: “it would have happened sooner or later.” Presently, Mr. Smith is now suffering from paranoia and has regular night terrors about his mother’s passing. Concurrently, he also feels that he made the right choice due to his mother’s suffering. He continued that his father stated he wishes to be with his wife and hopes to die as peacefully as she did. With that in mind, Mr. Smith feels a sense of responsibility because he also does not want to see his dad suffer but does not want to endure the pain of losing both parents. He is in search

The last visit I had with the patient on June 7th, I elected to start him on antihypertensive therapy. He was given a prescription for Zestoretic 10/12.5 mg one p.o. to take daily. He says that he did take one as recommended. That same day in the afternoon, he noted that he was short of breath in the afternoon. He says that he attributed it to the work that he was doing out in the yard and later that day, it seemed to resolve. A few days later, he had the same thing happen again. He eventually went on to see Dr. Lilly on June 25th. Please see that note for complete details. She did have him go through a series of testing, including laboratory studies, which were normal

“Come on in ma’am” I uttered in Spanish to the women clad in a colorful Mayan dress near the entrance of the clinic. It was my first day as a medical volunteer in Guatemala and I had been assigned the duty of interviewing patients and formulating differential diagnoses under the supervision of Dr. Reyes, the clinics' head physician. “Tell me about your headache” I said to the patient as she took her seat. She professed that her headache, which had bothered her for two weeks, was intermittent, diffuse and of moderate intensity. Her headache was often associated with a dry mouth and bouts of fatigue, especially after long days of working under the hot Guatemalan sun. Having neither a pharmacy within walking distance nor money to spare, she had resorted to using cold compresses to aid with her discomfort.

Patient is a nineteen-year-old college student working as a CNA. Patient’s has multiple chronic conditions such as Celiac Disease, Spina Bifida, Sjogren, Malabsorptive Disorder, Gluten Intolerant, Anemia, MTHFR Gene Mutation, deafness on right side, and Protein S deficient. Patient also has PTSD which contributed to depression, anxiety, and binge eating. Patient also complained of tiredness and being lethargic for 4-5 years and was put on Zoloft for depression. Patient is allergic to nickel and aloe vera. Patient is also at risk for breast cancer due to family history. Patient’s medications are Sertraline, Oxybutynin, Magnesium, Vitamin D, Vitamin E, Iron, and Vitamin B.

Normal vision, ears are normal with no wax deposition. Pinna normal in appearance and normal hearing ability.

The two items that I believe that it’s important on AHIMA's Advocacy and Policy Efforts are, Patient Identification and Privacy and Security. Patient Identification, is the Patient education and access to information are two significant focuses of AHIMA’s policy and advocacy work. To accurately tell a patient’s story, we need to start with the correct identification of the patient. But as electronic health records become more common, incorrect patient matching becomes a greater risk and a potential cause of costly or even dangerous mistakes. AHIMA believes a public-private collaboration on a national voluntary patient safety identifier is the solution to the problem of patient matching. Work on this issue is core to our work toward the betterment of patient safety and access to health information.

This film highlights the fact that a parent would do anything to provide for their family. In this case, Ricci waited patiently in line for a job to support his family. His wife gave up her linen sheet so that her family could survive. Ricci at the end, tried to steal a bicycle himself just to make a better life for his family. These are all examples of the sacrifices parents have to make, especially if they are a part of the working class. Ricci send Bruno away when he was about commit the act, because he didn’t want to impact his son negatively. In addition, parents are caring and doesn’t want any harm to come to their children. Another example is when Ricci taught it was Bruno drowning, he responds quickly to that situation because he cares about his son. Overall, the love parents have for their children is beyond measured.