Patient Case Conceptualization

Adrian is a 24-year-old Caucasian male who presents to CRU from RRC-W. He is ACOT for non-compliance. He is SMI designated. La Frontera is the outpatient treatment agency for Adrian. He also receive DD services from AZ Dept of Development Disabilities. Per amendment letter, client was being aggressive towards group home staff, and admitted to stating that he wanted to jump into traffic. He denies AVH, and DTO. His BP is elevated 139/81, he has a hx of HTN and high cholesterol. He will benefit from meeting the provider to discuss medication

This is 31 year old white male. Patient is here with several complaints as listed. Patietn was seen at UAB ED yeaterday for the same conditions and discharged without any treatment; "They don't like me there, UAB, because I have a long history of drug use and frequent use of their ER." Patient denies chest pain, SOB, N/V/ D. Patient is a current tobacco user with 20 apck year hisotyr. No substance abuse for the past 3 months. Current pain

Ronny is a 46-year-old white male who present to CRU from RRC-W on ACOT for PAD. He was amended by his OP clinic, Life Behavioral Wellness, for not complying with the terms of the order and treatment plan. Per collateral, Ronny has a hx of violent behavior including pulling knives on people and stabbing. According to his OP psychiatrist, Diana Havill, MD, Ronny pulled a knife on a pregnant woman. He also have a history of self-harm including attempted hanging. Patient is cooperative during admission, and answered all questions. He has a PMH of HTN, Asthma, TB, seizures, and Brain surgery (infant). His vital signs were WNLs. Patient will benefit from medication

Mr. Flowers is a 41 year old male who presented to the ED via LEO under IVC from Daymark Recovery Services. TACT assisted ED staff with deescalating Mr. Flowers after being informed of Mr. Flowers was becoming agitated. Mr. Flowers was concern about when he was able to leave and was under the impression he could leave tonight. TACT spoke with Paige from MCBH who informed TACT that MCBH was still seeking placement for Mr. Flowers. Mr. Flowers was informed of the current status of his disposition. Mr. Flowers gave this clinician verbal permission to speak with his wife Vickie Flowers about the status of his disposition and explain the process to her. This clinician explain the process and informed her of status.

Patient is a 46 year old male who presented to the ED via LEO from Daymark for anxiety and depression over relationship issue, and financial issues.Patient reports a lot going on in his life right now and he went to Daymark seeking outpatient therapy. However, he was agitated that he was brought to the hospital for further evaluation. The patient reports that he was speaking with a worker at Daymark about his experience last year and was told to wait in the waiting room. The patient stated, " I fell like I was tricked into staying until the police came and brought me to the hospital. During the assessment the patient expressed that he has been feeling some anxiety, depressive symptoms, and aggression due to his situation. Further, the patient

A National Institutes of Health (NIH) study conducted several years ago revealed convenience was the most common reason patients change primary doctors. More than half of the 1423 patients responding to the survey (53%) were willing to find a new general practitioner that was closer or easier to visit. The same study revealed that recommendations from trusted peers and family members (36%) and positive expectations of service (37%) also ranked high among the stated reasons that a patient was willing to leave one doctor for another.

The patient is a 48 year old male who presented to the ED with acute psychosis. Leo brought the patient to the ED. The patient denies suicidal ideation and homicidal ideation. The patient states, " I hear and see things, but I don't want to harm myself or anything like that." At the time of assessment, patient denies suicidal and homicidal ideation. Patient reports psychosis and issues with his brother's group home residents as the primary factor that was contributing to his distress. When confronted about psychosis to the nursing staff and to this clinician, patient stated "earlier I was repeating what the voices were saying to me." Patient reports he thinks his medication is the issue. Patient outpatient provider is DayMark. The patient denies a history of self harm or hospitalization for the same. Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. The patient does appear guarded. He

Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate

Some of the most important issues that should be addressed before deciding where should Jack reside are the following:

Patient is a 30 year old male who presented to the ED via LEO with HI. The Patient is under IVC paperwork due to complaint aggressive behaviors towards family. The patient reports that his brother and him got into an altercation over him dating the same girl he did 10 years ago. TACT contacted family about event that took place and was able to reach mother and brother. The patients mother reports that he tried to punch brother because he would not let him use his credit card to buy something while they were out at the store. She reports that the patient has never dated the brother's girlfriend and only seen her once before. The Brother reports saying in Georgia and is home for the holiday's. Brother reports that his current girlfriend lives

Damian is 18-year-old Hispanic male arrived at CRU 2 via ambo from UPC. Patient is NCOT, he was escorted to UPC voluntary by police. He is restless, agitated and uncooperative with the intake assessment. He started crying uncontrollably, stating, "I want a joint, I want marijuana." He denies DTO/DTS. Patient appears to be responding to internal stimuli and scanning the room. His vital signs are within normal limits. He is alert and oriented to time and place. Patient will benefit from meeting provider and access to an outpatient treatment.

The patient, Thomas, is a 44 year old Caucasian male. Thomas has been married to his current wife for 13.5 years and they have a 12 year old son. The patient also has an older son, age 20, from a previous marriage. Although Thomas is currently employed as a nurse, he has previous experience working in warehouses completing assignments like sorting, packing, and shipping.

For scenario one I would tell the patient not to worry because I speak Spanish too. I would acknowledge her pain and asked her questions about her headache, for example “ when did the headache started, where does it hurt, front, back side of your head?, Does it radiate? How long has it last? Is this common for you? In a scale from one to ten how bad is it? What makes it better or worse? Do you have other symptoms? Once I have all the information I need, I would tell her that “ I am going to go speak with the doctor about your head ache and ill be right back.

DOI: 1/6/2015. Patient is a 42-year-old female licensed vocational nurse who sustained injury to her right ankle and bilateral knees while she was putting away supplies when she fell. Per OMNI, she was initially diagnosed with bilateral knee medial meniscus tears and chondrolamacaia. IW is P & S on 04/28/15 with 4 % whole person impairment for each knee.

Patient is a 21-year-old transgender (from female to male) who presents to CRU from UPC. Patient is ACOT for PAD. Lifewell Behavioral Wellness is the outpatient treatment agency for Amanda "Sage." Per amendment letter, patient showed up to his clinic appeared to be on some substances, delusional and paranoid and started destroying properties. Patient also made suicidal statements to staff at the clinic. Upon admission, he is alert and oriented x3, appropriate and cooperative. He denies DTO/DTS, AVH and SI. His vital signs were within normal limits. She will benefit from meeting with the provider to discuss medication therapy.