R's Sofia Case Study

The use of heroin, cocaine, and other illicit drugs has become a public health concern especially during pregnancy. Maternal substance abuse has become an issue during the crack epidemic in the 1980’s; however, there is an alarm rate of infants born addicted to heroin. More than 3.7% women have indicated the uses some form of illicit drugs during their pregnancy, as well as 1.9 % reports binge drinking (Bhuvaneswar el at., 2008; Grant el at., 2009). With this in mind, more than 375,000 infants are born to maternal substance abusers each year costing over $100,000 in medical expenses covered by the state (Reitman, 2002).

With the mounting stress imposed by the conditions at work, “Jackie began to divert narcotics. Jackie was able to justify her actions because she perceived the drugs reduced her anxiety and stress, which enabled her to better care for her patients” (Badzek, et al., 1998). Initially, Jackie’s diversion of controlled drugs went unnoticed. But, ultimately her luck ran out, and Jackie’s actions were discovered.

Rosa Lee is on several different medications for seizures and for her full blown AIDS. Not long ago she was admitted into the hospital for taking too much of one of her medications. This is due to

R/s on Saturday, Shaqwanda and 15 other people smoked marijuana in the presence of Cam’Ron. R/s sometime this month Shaqwanda took the baby to the ER and allegedly Cam’Ron tested positive for THC. R/s Shaqwanda does feed the baby maybe 5 hours later than normal. R/s the baby’s bottom is raw. R/s Cam’Ron’s father, Antwan is no longer in the home.

On 7/6/15 worker visited the residence of Mrs. Ruby Stoker, to, forfor the purpose of assessing her current situation. Mrs. Stoker greeted worker at the door wearing a nightgown. The home was clean, clutter and odor free. Ms. Stoker stated she was not feeling very well and asked if she could lay in bed and worker ask her questions. When Ms. Stoker lay down on the bed, she began shacking profusely. She stated the shaking was a result of DELETEbeing without her medication. She also reported having diarrhea and vomiting. According to Ms. Stoker, she has been without medicine since July 1, 2015 Wednesday. When asked if she ran out of medicine often Ms. Stoker replied no. She then handed worker a bag full of empty bubble wrapped pills from Cordova

they weren't aware of the conditions she was in, they mentioned the death of their beautiful baby

R/s Trisita (mom) delivered a baby boy at 38 weeks. R/s Trisita tested positive for Benzodiazepine. R/s Trisita attends the methadone clinic in Florence, SC.

R/s on 06/22/2017, Ashley tested positive for methadone at admission of the birth of baby girl Ashlynn. R/s Ashlynn’s urine was positive for opiates and methadone. R/s Ashlynn’s meconium was positive for two kinds of opiates (hydrocodone and hydromorphone). R/s Ashley didn’t get prenatal care because she didn’t know she was pregnant.

In today’s society people are talking about babies being born to drugs, and how could a mother do that to their unborn child. Drug addiction is a very serious issue that needs more research. We are still learning the effects of substance abuse. One problem that needs to be looked at is are there enough Rehabilitation Centers, to help the women who are addicted to these different street drugs. Also doctor and nurses should not judge these women but instead give them the best prenatal care that can be provided. We need to see what harm and side affects it has on the mother and baby, so that we can be able to understand better how to treat these women and get them off drugs before they do harm their babies.

I transported Donnerson to the Pasadena City Jail for booking. Prior to entering the jail, I asked Donnerson if he had any additional narcotics in his possession. Donnerson admitted to having more crystal methamphetamine in his right sock. I retrieved a plastic baggie from Donnerson’s right sock, which contained additional crystal methamphetamine.

PER REPORTER: Agent Austin stated that he is Terre’s probation officer, and he wanted to report her for testing positive for Crystal Meth. He stated that she is five months pregnant, and that she should not be using drugs. He also stated that she was tested for drugs use yesterday and the day before. He mentioned that when she was tested Monday she tried to dip the urine cup in the toilet, but her results came back and stated that water was mixed in the urine. Agent Austin stated that he then asked her to try again, but she told him that she did not have to urine at the time. So, he asked her to come back Tuesday to do it, and she came back and redid the test. He stated that he just received the test results today, and he has not yet spoken

They felt she wasn’t resting and he was concerned because she was “pretty out of it” when she did take the medication. He wanted to “limit” the medications, but one of the sons asked if she could take Benadryl to help her sleep. Dr Smith didn’t want to give Benadryl as a sleeping aid so there were a number of discussions regarding her medication levels and the effects it was having. Because of her overall medical issues he decided to have Dr Moore, a pain management specialist review the case. It took a few days but the medications were eventually “leveled out” although not

B’s tolerance to opiates not considered, Mr. B.’s clinical situation not considered (i.e., Mr. B’s age and renal function), and knowledge deficit of opiates. Drilling down the data to identify the root cause of Mr. B’s death is the fifth step in conducting a RCA on Mr. B’s sentinel event. Upon analyzing the data, causative factors, and events leading to Mr. B’s sentinel event, the RCA team determined that the root cause of Mr. B’s death is a medication error. Mr. B was given an overdose of hydromorphone. The final step in a root cause analysis is to implement changes that will mitigate the root cause. Changes include educating the nursing staff about hydromorphone, such as side effects and adverse reactions,

Cassandra has this feeling that Tiffany doesn’t know how serious and devastating it is to use heroin while she is pregnant. So she decides to

R/s Tamia (15) weigh over 300lbs and her personal hygiene has been neglected. R/s Tamia may be autistic and she is incontinent. R/s Tamia has extreme issues with her feet, they are turning over and eventually she will probably have to be in a wheelchair. R/s Tamia is eating a lot and Denetra (mom) is not getting the child involved in any activities. R/s it is believed that Denetra may be embarrassed by the child. R/s Tamia is self-mutilating, her breast have sores and scarring. R/s Denetra allows Tamia to watch porn. R/s Tamia’s clitoris is extended due to her manipulating on herself.