Pt. met with AMS Primary Counselor for her monthly individual session on time. Counselor greeted pt. and asked her to sign her Record of Services sheet. Counselor inquired how she have been doing with her pregnancy. Pt informed that this writer that her Doctor recommended bed rest for the duration of her pregnancy. Pt. reported that she is really content with her doctor. Pt. stated, “She is really nice. She gave me her phone number and told me to call her anytime.” Pt. indicated that he scheduled to have a c section on June 12, 2017. Pt. spoke about how she got a c section during his last pregnancy. Pt. explained having her stiches remove in the middle of May and it’s a possibility she deliver the baby before June, 12 2017 Counselor encouraged …show more content…
Pt. verbalized how her aunt who live nearby is going to help to take care of her grandfather during and after she deliver the baby. Pt’s grandfather is older and is forgetting to take his daily prescribed medications. …show more content…
Pt. stated that she is mentally stable. Counselor inquired if she has used any illicit drugs since his last therapy session, which she replied no. Pt. verbalized her agreement with the treatment plan long-term objectives implemented by Counselor. Pt. requested a Dose Evaluation form to increase his dosage of methadone. Pt. reported that she isn’t responding as am expected to her 140 mg of methadone. Pt. reported that she has been negative symptoms late at night. Pt. stated, “I can’t go to sleep and my joints are hurting.” Counselor told Pt. that she needs to report this symptoms to the AMS nurse and to attend pregnancy group to learn more about her special pregnancy situation. Counselor prompted Pt to attend the AMS pregnancy group for the month of April. At the end of the session, Counselor discussed and encouraged Pt. to practice relaxation more now that she is pregnant, to follow doctor medical recommendation, and better nutrition contribute to a physically and emotionally healthy
At 0824 this clinician met with the patient who reports her weekend was not unpleasant. She reports she is continuing to have problems locating housing. She reports her family members continue to refuse to allow her to live with them specifically her father and her uncle. She reports she has one friend who is considering allotting her the capability to reside with her under the condition that she speak with her Child Protective Services (CPS) caseworker first. She reports she does not want to reside in a homeless shelter with her son as she has done this before and the experience was not up to her standards.
D-The patient arrived on time for her session. Reports stable on her dose. This writer discussed about tapering off on her methadone, at which the patient is willing to consider doing, but needs more time. She then says, " I might consider doing it next month, but not right now......I was doing it before, but it stopped....just want to take my time." The patient then discussed about having to go to SSA to obtain the payment for the funeral cost. The patient is upset about the small amount she is about to receive. This writer discussed the grieving process of her loss of her husband and also, her mother in law. The patient appeared to be annoyed with her son for not participating in his grandmother funeral arrangement and also, not showing
D-Met with the patient upon request. Upon meeting with the patient, the patient appeared upset and addressed her frustration in this writer's office. According to the patient, she's upset with her PCP forcing the patient to admit herself to the psych. ward to get on medication. Failure to do so, her PCP will complete the medication protection for her electricity. The patient owes over $3000 and with the protection, her light company cannot turn off her lights. Please note, the patient was pacing back and forth and getting emotional. This writer consolet he patient and validated her feelings. According to the patient, she reports that CMHA informed her that she in order to get into their clinic, an evaluation is needed whereas the evaluation can be completed at a hospital; however, the patient is worried about being admitted. Please note, the patient denies any suicidal or homocidal ideation when questioned.
* Baby social worker visited. Plan is to initiate care proceedings ASAP reasons; history of substance misuse, concealed pregnancy, poor engagement with treatment and services
The patient arrived on time for the counseling session. Reports stability on her dose and denies the need to increase on her methadone when offered by the writer. According to the patient, she is scheduled to meet her assigned psychiatrist today at 9am. The patient asked the writer for assistance with rescheduling her AMR appointment time on the 31st of October from 9:30am to 7am. The writer called Nurse Rose to see whether or not the appointment time can be change and the patient request was granted. The patient then updated the writer about the status of her daughter and her son, at which the patient shared that they are both are doing well. Addressing the NA log, the patient said, " Oh, No....I forgot, Charlene. I am so sorry...I need
D-The patient arrived on time for her counseling session and was crying hysterical. Please note, she reported stable on her current on dose. Addressing the tears- The patient reported that her ex-boyfriend Steve or Steven from this clinic, patient did not disclose his last name returned back to this clinic and she's upset because she had asked him yesterday to not return to this clinic. She then reported, he cursed at her in the lobby area and embarrassed her. Patient reported, she walked away in tears and waited for this writer to get her. Suggestions were discussed about how the patient should handle the matter moving forward and how she needs to not allow negativity in her life and avoid engaging in any sort of relationship with patient
Ms. Diaz reported that she was doing well. Ms. Diaz reported that she is tired and her body hurts due to her pregnancy. CPS asked the mother when she is due. The mother stated 9/9/17. CPS asked the mother her she feels about the pregnancy. The mother reported that she feels “good.” CPS asked the mother if she knows the sex of the baby. The mother reported that she is having a boy. CPS asked the mother if she is excited about have a boy. The mother reported yes, however
T-con dated on the 8 September 2015, Mother of patient could benefit from pediatric s case manager. On 9 Sept, Case Manager met with Mother of patient and documents that this visit was an extensive late visit; at the conclusion of this visit case manager stated that she would contact specialty providers and ultimately secure appointments. On the 23 Sept, the case manager had received two TCON’s regarding assistance with medication management. The case manager documents that she left a message on Mother’s phone, that she should contact he child’s psychiatrist for appointment
Counselor received a call from Deanna, Alyssa's mom apologizing for not contacting this counselor sooner. She stated she is a little upset as the doctor stated she would fax over the paperwork after their last appointment. Deanna stated she would call the doctor to see what's going on. She stated that if she can't get a hold of them, Alyssa has another appointment on 8/22 and she will be sure to physically get the paperwork and send it to this counselor. She stated she would keep this counselor updated.
Writing is a practice that most of us were taught when we were young. We were taught the basics of grammar, how to form a sentence, conjunction words, how to write paragraphs and more. Although we have learned this skill while growing up and have used the skill every year after entering kindergarten, this does not mean our writing process will ensure the best work. The authors that I chose each encourage their audience to excel in the art of writing in their own way to help with the writing process.
They were shot 9 times and the author said someone opened the door and fired several shots and took off.
Frequently, patients enter a hospital where they experience different levels of care. Certain situations, along with the environment that they are in, can leave lasting impressions on their visit. It is of great significance that all employees and staff provide the best level of care. My patient was at the hospital to deliver her baby. The following describes the events that took place throughout her stay and the interactions that she had with hospital staff.
Reflective practice engages practitioners in a continuous cycle of self-observation and self-evaluation in order to understand their own actions and the reactions they prompt in themselves and in learners (Brookfield, 1995; Thiel, 1999). Reflective practice is considered as an evolving concept which views learning as “an active process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice.” (Reid, B 1993 cited in Garfat, T. 2005).
"Exercise the writing muscle every day, even if it is only a letter, notes, a title list, a
Before I came to college, I felt my writing had to follow a certain pattern and be fixated around one way of thinking. What I was fortunate to learn was quite the opposite. Writing does not have to follow any certain pattern, but can rather be structured through many different possibilities. I was also told in high school that my papers either had to agree or disagree with the given topic, even if I believed otherwise. This formulated a very one-track way of thinking when it came to my papers. Now I know that I can let my mind explore new and exciting ideas. I can agree, disagree, compliment, criticize, and question the author however my heart desires, as long as I have the evidence to back myself up. Many authors in the book, Writing About Writing, explain their processes as well as the processes of others when it comes to writing. As a writer, I can draw on my own processes and relate them to the authors, as well as use their ideas and apply them to myself. Through reading, I have learned new methods of invention, planning and revising, and incubation when it comes to writing. All ways I can use to create more meaningful and creative work.