Psychiatric Treatment Plan

I was immediately attracted to the podiatry clinic in the department. The patient care and case variety made me excited to learn more about it. The Podiatrist I work with everyday have been great colleagues and mentors, as the knowledge and clinical experience they’ve provided me with has increased my passion for the profession. At the Orthopedic dept., we primarily serve the Airborne Army Aviation Regiment, so we are always busy treating orthopedic injuries. In fact, Womack has the largest and busiest military orthopedic department in the world. I assist on everything from planter fasciitis to severe foot deformity. I routinely assist in simple procedure as shockwaves therapy to major foot reconstruction surgeries. I have seen thousands of podiatric patients during my tour, averaging 15-20 patients per day. As busy as we are, I feel confident in my enthusiasm to become a Podiatrist with every patient that I

The shutdown of state mental hospitals and lack of available financial and institutional resources force mentally ill people to the United States Judicial System for mental health. Every year thousands of people are arrested for various crimes and they are sent to jail. Sixteen percent of these people have some type of mental health problem (Public Broadcasting System , 2001). When we consider that the United States has the largest incarcerated population in the world at 2.2 million, this number is staggering (Anasseril E. Daniel, 2007). This is about 1% of the entire population of the United States. There are many reasons as to why the situation has taken such a bad turn and when the history of the treatment of mental illness is examined one can see how the situation developed into the inhumane disaster it is today.

OrthoOklahoma is an orthopedic medical clinic with a physical therapy branch that provides outpatient physical therapy care. The facility has a staff of three licensed physical therapists and a physical therapy assistant along with four physical therapy techs. I was able to observe all three physical therapists, Megan Ripley, Joe Ogle and Ken Roberts. At OrthoOklahoma, the most common patients are post-surgery from repairs of muscles, bones or joints. While shadowing these therapists, I observed cases of total knee replacement, total hip replacement, ACL/meniscus repair, rotator cuff repair, frozen shoulder, labrum repair, and other ailments from wear-and-tear and aging. This experience allowed me to talk to physical therapists about the ins and outs of their job, learn about different exercises and routines for treatment of injuries, and really get an idea of the work it takes to become a well-respected physical therapist.

These topics and my interactions with clinicians in our lab have driven my interest for pursuing the specific area of orthopedics. From back injuries, Tommy John surgeries, broken feet, and a prosthetic leg, my family has also had a lot of experience on the patient side of this specialty. The chance to rehabilitate athletes, such as my loved ones, is appealing, but I know that these injuries are not exclusive to this population, and my true passion lies in the opportunity to rehabilitate individuals in underserved populations. My time in Guatemala and Nicaragua has really grown my heart for people living in the impoverished countries of Central America. My first mission trip there largely contributed to my passions for becoming a doctor and since high school, my career goals have been aimed at building the skills necessary to serve those communities. Eventually, I would love to be able to marry my interests in global health and orthopedics, and incorporate my biomedical engineering background, to contribute to research aimed at optimizing care and medical technologies in low-resource settings. As the leader in global orthopedic initiatives, UCSF and the prospect of working with the Institute for Global Orthopedics and Traumatology stand out

The intake assessment is where the case manager get to know the client and what problems does it have you can also it can also help as a guide to start the treatment plan which is very important this help the client look at the possibilities that their goals are being taken care of. As a case manager you will have to give that little extra push or extra confident that they have lost in the past time. As a case worker you have to maintain that resiliently mood with the client and that is where the treatment plan comes in. In this dissertation will be discussing the treatment plan for the follow up client which is Belinda. Also what strategies can a

The Olmstead case began in 1995 with two women, Lois Curtis and Elaine Wilson who had developmental disabilities and a history of institutional treatment for psychiatric disorders. They were voluntarily admitted at different times, to a secure unit of Georgia Regional Hospital to stabilize and administer to their immediate needs, then continued treatment on an out-patient basis which was the normal course of action for this hospital. Through clinical assessments, the treating physicians determined that each woman was able to receive appropriate supports and services in a less restrictive, community based setting. The hospital administrators moved Lois and Elaine to a state-run institution, and refused them placement in a community setting, apparently due to a lack of state funding to make this transition possible. (https://www.law.cornell.edu/supct/html/98-536.ZS.html)

Mental illness is a rising issue in our country. The National Alliance on Mental Illness reports that 1 out of every 17 people in this country suffer from a mental illness (Pearson 2014). With this large of a number, we should expect that our law enforcement personnel understand how to deal with these individuals, correct? Wrong. As reported by Pearson (2014), half of the all those killed during a police encounter last year were dealing with some form of a mental illness. According to Reuland (2009), there have been two national policies put in place. However, these policies, or procedures, are how to identify someone who is mentally ill and what services to call. It does not specify the procedure of a mentally ill individual who is becoming violent. In my opinion, the current procedures are inadequate

The way you can treat PTSD is maybe talking to a doctor but it really depends on what doctor you are going to talk to. The doctor you really need to talk to for this situation is a Psychiatrist. You can talk to them about your problems and for this case it is a good idea to talk to them. People with PTSD need to know that it can be treated and it doesn't have to be with a Psychiatrist it can be with family or friends. This may not be the answer to curing your disease sometimes it is up to yourself to do these things you may want to cure it with your own space your own time but you will want to have space to others at times because a side effect of this is anger or hatred. There is about four therapies that can help PTSD and other

Orthopedic & Spine Institute (OSI) would like to provide residents with a new and convenient option for receiving urgent orthopedic care services. Staffed by a board certified physician and a fellowship trained physician assistant (PA) as well as technicians to handle imaging, casts, and splints. The average wait for a sports medicine orthopedic surgeon is three to four weeks. When possible the patients will be placed on the schedule of an orthopedic surgeon that is available the day of their injury. However, if the schedule is full the patient receives care from the PA or board certified Family Medicine physician with a subspecialty in sports medicine. This will give the newer orthopedic surgeons an opportunity to see new patients, when this is not possible the patients will be still be able to receive the care they need by the PA without having to wait for an appointment. With a new orthopedic group from a town sixty miles away opens an office across the street, the clinic must make the time to see the patients of our community.

The objective of this reflection is to explore and reflect upon a situation from a clinical placement on an orthopedic unit. The incident showed that I did not provide safe, timely and competent care for my patient when the oxygen saturation was low. Furthermore, this reflection will include a description of the incident, and I will conclude with explaining what I have learned from the experience and how it will change my future actions.

Schizophrenia is known to be a devastating brain disorder that negatively affects many aspects of a person’s life, such as; thinking, language, emotions, social behavior, and ability to perceive reality (Varcarolis, 2010). Due to the high comorbidity of schizophrenia, patients often suffer from multiple disorders, when a mood disorder, such as mania, or depression, coexists with the schizophrenia, it is known as a schizoaffective disorder. Patient, A.S., is diagnosed with schizoaffective disorder due to her hallucinations, her manic state and paranoia. The purpose of this paper is to form an individualized Care Plan for A.S. in accord with the evidence-based practice and clinical manifestations. It will include the patient’s history (past and present) along with the appropriate interventions. In the paper we will discuss schizoaffective disorder as well as well as the symptoms, thoughts, and actions of a schizoaffective person. Furthermore, the pathophysiology of schizophrenia will be explained thoroughly, followed with the medications and interventions used for this disorder. The hope is to better understand the aspects of schizoaffective disorder and its manifestations, so one better care for a patient with such a disease.

With regard to the multi-therapy treatment plan, it was chosen for this patient to relieve pain and focused on:

A person who is suffering from substance dependence will need treatment to overcome it. When a client is assessed and found to be suffering from addiction a treatment plan will be put into action. Depending on the severity of the person addiction will determine if they need inpatient care of outpatient care. The odds that a person will succeed without a treatment plan are unlikely. Well discuss the importance of a treatment plan and how it improves the odds of a person overcoming their addiction.

Design of a Treatment Plan: Considering the uniqueness of the patient and his/her diagnosis, a treatment plan is developed that first and foremost treats the disease. (e.g., surgery), but also suggests what other things must be done alongside that “cure” to ensure the treatment will work (e.g., pain relief and bed rest) and that the best possible health is restored to the patient (e.g., physical therapy). In this process, any potential side effects of the treatment are identified, and the means for preventing or mitigating them become key elements of the treatment.

At times, Orthopedic Surgeons come across gaps in the knowledge of the field that make the best treatment plan uncertain. For this reason, in the future I would also like to use my MD/Ph.D. training to bridge some of these gaps by complementing my clinical career with research aimed at improving the current standards of care. In this way, I aim to give something back to the field of Orthopedics and its patients.