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

Reporting party (RP) stated he arrived at the facility to meet with resident George Dixon (7/11/52) on 3/29/17. Resident was recently placed at the facility after being released from the hospital. Staff did not allow RP to enter the facility so that he could conduct his metal health assessment for the resident. RP presented his business card from his agency but was still denied entry. The resident has been enrolled in RP's program since 02/01/16 and has been visited previously by Social Worker Kathy Kleinman and by staff Denise Ramirez on 3/10/17. Staff told RP that he has to contact the administrator to make an appointment to visit with resident. RP's agency faxed over the consent for treatment to the facility and the DMH contract. Patient's

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.

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

This is 35 year old WM. Patient was seen at UAB ED for UTI and kidney stone on 3/30/2016. Patient was discharged with roboxin and ibuprofen. Patient has a history of Hep C, was told about 12 years ago, and was retested at UAB and HVC was positive. Patient is a current resident at the Villige. Patient has a history of substance abuse, denies current use, last use about 10 days ago. Patient is a current tobacco user, denies use of alcohol or illicit drugs. Patient reports some depressive moods, denies thoughts of suicide or

Case Scenario 1: It has become necessary to ration a vaccine for a contagious disease. There is only enough vaccine available to cover 75% of the U.S. population. It is necessary to determine an appropriate method for doing this. Analyze this case by applying each of the theories of Utilitarianism, Rights-based, Justice-based and Virtue-based ethics as discussed in Module 2. (20 points)

CM was out on vacation for the period of 5/2/2016 to 5/9/2016. On 5/19/2016, CM met with the client to update Assessment and to complete Other ILP Review. In the meeting client appears to be friendly and cooperative. She appears to have some cognitive impairment. Client reported WECARE/Wellness referred the client to see Dr. Larissa Lempert/Neurology. Next upcoming appointment is scheduled for 5/26/2016. During the meeting session, client was dressed appropriately for the weather and had good hygiene. She ambulates with a cane due to leg problem. Client affect was flat. Client denied suicidal or homicidal ideation.

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

HISTORY OF PRESENT ILLNESS: This patient is a 10-year-old male. He was in a Motocross accident this past Saturday, sustaining tibial eminence fracture, displaced. He presents today for evaluation.

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

In the Case Presentation, Cora is a 45-year-old adult who is alert and oriented. She is aware of her COPD disease and has been educated on the consequences of smoking. It is her right to continue smoking and to return to the free clinic as she deems necessary or as permitted. Burkhardt & Nathaniel (2014) states, “refusal to participate in a plan of care, regardless of the outcome, is the prerogative of the patient and must not affect the care given by the nurse. Ultimately, choices about health care practices belong to patients” (p.69). As a healthcare provider, it is our responsibility to educate the patient on the disease process, signs and symptoms, and treatments. It is up to the patient to follow the recommended plan of care.

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.

Patient is a 38-year-old who presents to CRU from UPC. She is on ACOT for non-compliant with her COT plan. Per amendment letter, patient has been missing her home medication appointment and her mental health court. CBI is her OP treatment agency. Upon admission, patient stated her clinic has been giving out false information. Per collateral, she was at her clinic on Monday, 7/17/17 and got her Risperdal Consta 50mg IM. Her vitals are WNLs. She will benefit from meeting provider, and medication

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 computer allows the patient to understand the visual perspective on their health. Radiograph, x-ray, and some other visual representation can help in patient knowledge of their own health. The system creates a more advanced way of recording, analyzing and understanding the patient's condition. Without sophisticated computer technology to create, both patients and health care providers are not as informed as they can be with the help of computers. Along with the visual representation, the patient can use the Internet to help inform themselves of certain things happening in health care. Users not only can get general information about their personal situation, but they can find the answers to these questions for certain