Reflective Account “End of Life” Last year 23 September 2012. I had a resident called “Mrs X” she was a 72year-old widowed living at ---, a Nursing Care Home. She’s not a religious type of person as she was Atheist. She has lived in the home for the past two years, and during that time I was assigned as her key worker. Mrs X had One Son and 3 grand daughters they are all regular visitors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her “time comes” she wants to be able to stay at Belmont House, and “go quietly”. She has stated that she does not want any treatment that will prolong her life. This means
5.4 Contract Addressing Barriers for John Who is working harder, the social worker or the client. In some aspects it seems the social worker is working In addition, if John’s condition gets worse he may need to be released into inpatient care at the VA hospital or Outreach Center until his condition improves or he may have an extended release date because of his current mental state which is not stable. Furthermore, John is currently on the prescription Gabapentin to help with cocaine cravings and to reduce stress and sertraline to help with his depression and if he stops taking these medications once released it could cause more problems so it is important that John does see a doctor which is another immediate need and does take his medications as
Demand for Reform Law reform is the process of changing and updating laws, so that they reflect the current values and demands of contemporary society. Those with sovereign power must identify the change in social values, behaviours and expectations; through this they must consider whether new or amended laws are required;
The patient is a 34 year old black male. The patient reports he is single with 3 daughter ages 3, 11, and 13. The 3 year old live with him. He reports currently live with his mother and brother. The patient reports he has 14 years of education however has not received his degree. The patient reports being on probation for Injury to a child for the next two years. The patient is scheduled to be complete his probation in September 2016. The patient reports Cannabis is primary substances and his last use July 20, 2015. He stated on that day he smoked about 5 joint. The patient also report that he tried Xanax . The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Thursday, July 30, 2015 at
The client met with his counselor for his 1x1 session to completed his Exit plan. The client has completed and turned in his second step and has went over it with his counselor. the client seems to be interested staying clean and sober and appears to be seeking understand as to how to stay sober. The client has learned to let go of some of his resentment but needs to work in letting the resentment he has against himself. The client reported that he follow through with the King of Kings sober living stipulation as to having to attend three meeting a week there at there program to prove that he wants to go into their sober living program once an open becomes available. the client reported as well that he will be spending more time with his
Ms. Rain responds to Precious needs, however I feel as though she could have been more proactive. As a teacher with a focus on such a small group of girls I would hope that I would have noticed and responded more aggressively to the red flags that were apparent. For example, why is this 16 year old girl illiterate? What is going on her family that has allowed this to happen? Why is Precious so obese? Does she have an eating disorder, if so what could be the
Mr. C is a 61 year old man who has been followed by the Continuing Care Clinic team at the Institute of Community and Family Psychiatry for 35 years. He has a longstanding diagnosis of Schizoaffective disorder and receives intramuscular injections of 45mg Fluphenazine Decanoate every two weeks at the clinic. He been relatively psychiatrically stable for the last year with this medication, although has been known for episodes of depressed mood. Mr. C does not have a job and receives welfare cheques. In his spare time, he enjoys volunteering at his local community center, regularly attends the synagogue to practice Jewish faith, and goes to the YMCA gym. Mr. C does not have any family in Montreal, although he has a sister who he does not speak to living in Florida and has a girlfriend who he has been dating for a few years. His girlfriend also has a five year old son whom Mr. C loves spending time with.
Jackie ran out of the house because she does not want to be killed by her husband and numerous incidents of physical, emotional, and verbal abuse experienced from her husband, Joe. Jackie was the first to call Geneva Women’s Center for immediate help because Joe had been mistreating her for the last two years. But the straw that broke the Carmel’s back was over the weekend night, Joe came back drunk, saw her sleeping, turned Jackie over with their double bed. Notwithstanding, flipping her over with the bed, he screamed and yelled at Jackie and lashed out on her all unpleasant names and threw her out of the house. All these incidents made Jackie to call and requested to meet with someone when she dismisses from work. The objective is for Jackie to stay in a Blue-grass shelter for her safety. But the shelter is sixty miles away where she lives, she does not like it, she wants to stay close to her house to maintain her job. Jackie is right in verbalizing her concerns for not going far away for her job; reason is because the negotiation is vital; it is a natural way to confront individual differences in dealing with the service agreement. Action plan for Jackie is the available resources provided to her in the agency for her recovery such as, emotional support, assisting her in filling an order of protection, legal advocacy,
After completing ten session with the son, his mother informs me that their insurance panel did not approve further treatment. Keeping in mind of the principle 1.11 from the AAMFT Code of ethics I would not abandonment the client. Unless the client mother come up with alternative means of payment for her son therapy, I would take the action of making reasonable arrangement for continuation of treatment (Caldwell, 2015). But, due to the fact that insurance panel will approve further treatment, I would not be able to space out other session.
Introduction Gary is a 34 year old man who has come into my office for help with a variety of painful issues related to the death his partner of 10 years, Chris, to AIDS approximately one year ago. After Chris’s death, Gary moved to Wilmington to get a fresh start. He
Riley helps MIA interview people who witnessed terrible things done by lorders; MIA is trying to get the news about what the lorders are doing to the public. Riley visits Dr. Lysander, her doctor from when she was slated, and asks her about her DNA, which was reported as “classified.” Riley returns to MIA headquarters, located at Oxford college, and she finds a note that Ben left for her; he tells her to meet him at an old tower, and Ben never arrives. Aiden comes looking for her, and they hear gunshots; the students at Oxford are shot down. Riley records it all. The shooters were Ben and Tori, someone Riley used to know. Aiden and Riley quickly stow away to Mac’s house; he is one of Riley’s friends who helps MIA.
Goldfard is interested in treatment due to to see her son again and move out of inpatient and start intensive outpatient while living at home. However, she is hesitant about being abstinent from her amphetamine medication. Due to her addiction on her medication, Goldfarb has gained a high tolerance for amphetamines and started to believe the drug was not working when consuming 100 mg daily. In regards to her disorder, she is skeptical about discontinuing the medication in fear of gaining weight, people not finding her appealing, and her son not coming home. These rationalizations can be a result of her diagnoses, although, she wishes to start treatment.
Hector is a relatively young adult male whose presenting problems are memory impairment, “missing time” and is unable to account for the lost time. Missing time is associated with multiple personality disorder which is known today as dissociative identity disorder or DID it is rarely diagnosed and most professionals in
a 32-year old, DAAM, who appears anxious and guarded. Reports that he was brought to the crisis center by police because his father kicked him out of the family home and when he was still sitting on the curb several hours later, the police were contacted. Client reports feeling anxious
Collette, I called today to Georgia Power and trying to change a company name and bill to address, but they asked for a deposit of $2300.00 We receive their invoices with Pangean Solutions Inc name(ECS acquired Pangean in May 2014). Should we leave Pangean name on account or should I change it. This company provide electric service for Woodstock, GA branch(20127)