31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.
The facts of this case are that Dr. Guiles who is self-conscious of his prostate cancer diagnosis is treated horrendously when he finally decides to have surgery ( Buchbinder, Shanks & Buchbinder, 2014). Considering that Dr. Guiles is already sensitive about his condition, his unbearable symptoms are not helping matters (Buchbinder et al, 2014). Upon arrival at the hospital, he is treated subpar. The admitting clerk is rude and unbecoming to a patient who isn’t feeling well and who is embarrassed about his sickness (Buchbinder et al., 2014). To make matters worse, he has to find his own way up to the floor by walking, which causes him to be even later in checking in because of the need to stop frequently to urinate as well as having difficulty in walking (Buchbinder et al., 2014). Once he arrives on the floor, the charge nurse is not welcoming and unprofessional (Buchbinder et al., 2014). After figuring out what to do with the paperwork; and the nurse aide delivers Dr. Guiles to his room, the nurse aide does not offer to help settle him in (Buchbinder et al., 2014). Therefore, Dr. Guiles is faced with battling obnoxious family members who are on his bed and to make matters worse someone is in the bathroom which doesn’t help his need of having to frequently urinate (Buchbinder et al., 2014). When the issues are brought up to the charge nurse, the charge nurse accuses Dr. Guiles of wanting preferential treatment
The Department of Human Resources received a report on Ms. Sue Salter on 9/17/14 alleging Ms. Salter a paraplegic who is paralyzed on her left side was living in a home with no water, power, and had an inadequate caregiver. During investigation, utilities were reconnected and Hospice service provided. Hospice stated Ms. Salter was losing notable weight and found lying in urine during visits. Due to this, several bedsores increased and the doctor ordered a catheter and low air mattress. Ms. Harville, the caregiver was educated on wound care numerous times and demonstrated a working knowledge but choose not to administer wound care.
Upon arrival to Western State Hospital, deputy J was asked to pat search the inmate Kelly due to unavailable female staff at the facility. I informed the intake officer Robert that inmate Kelly has a history of mental health issues; she has assaulted a few police officers. Inmate has stated she wants to go to a spaceship. During transport inmate Kelly sustained a head injury. She was taken to a local hospital and evaluated by medical staff. A copy of the hospital evaluation/discharge document was given to the intake officer.
This writer agreed to meet with the patient as she missed group and her scheduled individual session with this writer. The patient apologized to this writer for her absence and then reports about transportation issue. This writer discussed with the patient about her MVA this month on the 18th and the status of obtaining a police report. The patient reports, " I can get the police report by the next appointment. I just have to go to my insurance company that isn't too far from where I live to get a copy of it."
The patient went as far to admit that she currently is having a hard time breathing, but has an appointment with her gynecologist on Monday. This writer advised the patient that if she has difficulties breathing she will need to go to the ER immediately and be medically assessed by Nursing. The patient started crying about she does not want to be medically assessed as she needs to return her boyfriend vehicle so that he can work. This writer informed the patient about the seriousness of her health comes first. This writer called Nursing Chrystal, but no response. Then this writer and the patient went to the Nursing Director office to be medically assessed. According to the Nursing Director, she advised the patient to go to the ER first and will not be dosed today unless she provides proof of documentations of her visit. Again, the patient fussed and then says, " I am fine, it's not serious," however, the patient was advised to follow medical
REPORTER: The reporter/ Social Services Director (Vernestine) called with concerns for the victim, Tanya. Tanya has had an aneurism, and she has paralysis. The reporter said the victim’s cognition is off, and she cannot perform her daily ADL’s, but she can talk. The reporter said Tanya has two small children, but her mother (Phyllis) may be keeping the children. The alleged perpetrator is Bryan Blakemore (Husband). On Yesterday (03/29/2016), the victim was discharged AMA (on medical advice). The reporter said when the victim is discharged AMA, they are not given any medications. The victim left with out any medications, but Bryan was given a list of all the victim’s medication. Bryan said he was going to see a doctor in Jackson, MS to have
The patient moved from Troy, New York a few months ago after getting married. She is living in Barrington and working in Northwood. They moved because her husband's job. The patient would like to talk about depression. She tells me that she has had anxiety her whole life. She was never evaluated by a physician for this, as her parents reportedly did not believe in any medication. She says that she struggled with her anxiety throughout her teen years and went to counseling in college, but never saw a physician at that time. She is no longer in counseling. In addition to feeling anxious, she feels depressed. She says
Talking at me as if I am not a human being. I've been disrespected for too long." Before this writer could say anything else, the Clinical Director, Heather E. walked in to diffuse the situation. The Clinical Director explained to the patient about the clinic's policy and procedure as to why she cannot leave the building to smoke as she is conducting a 3 hour medical assessment due to her medication. The patient was in hysterical tear and share with the Clinical Director as to how things were in the past when patient were able to smoke for 5 minutes and come back to finish the assessment. The Clinical Director informed the patient that particular incident was not allowed and changes were made. Then the patient fuss about why she has to do the medical assessment, even though it was explained to her prior. The Clinical Director informed the patient that no one is forcing her to stay in the clinic and if she want to leave, she
Mr. Moore is a 24 year old male who presented to the ED with reports of experiencing depressive symptoms, vague suicidal ideation without a plan, and recent episodes of anxiety. At the time of the assessment Mr. Moore denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He reported to suicidal ideation would come and go, however never had a plan . Mr. Moore appears calm, cooperative and in good spirits during assessment. He reports a history of anxiety, depression, and emotional trauma by father at the age of 8 years old. Mr. Moore expressed he started noticing increase anxiety when he had to speak in large groups, present in school, driving, and engaging in social actives. He states, "Over the past 16 years my father has been out my live, when I was younger he would hit me if he felt I said anything out of line." Mr. Moore reports recent relationship issues and separation with his fiance. He reports due to him not engaging in many social actives his fiance has left him. He reports for many year going to Randolph Counseling Center for his anxiety. He reports positive results from services. Mr. Moore mention coming to the hospital last Thursday for his anxiety and bring prescribed a 30day supply of Ativan, which he reports has helped him become more stable when engaging in actives,like driving his mother's car. He reports depressive comes and goes depending on the mood he is in. He describes symptoms on occasion as feelings of
The patient arrived on time for her counseling session. Reports stability on her dose and denies the need for a dose increase when it was offered by the writer. When questioned about what caused her to relapse recently, the patient started to cry as she did in fact regret her recent relapse as she said, " I didn't need that shit.....it didn't do anything for me......I am just tired Charlene, now there is warrant for my arrest and I may be charged with a felony for larceny. I just stressed out because I need to come up with $500 to pay this lawyer to drop the charges to a misdemeanor. The entire cost for the lawyer to represent me is $2500 that I honestly don't have, Charlene." The patient was tearful throughout the session. The writer validated
On 17-Aug-15, at approximately 00:15 the ILA was advised by a student that Victim 1 was having a seizure. The ILA immediately notified the Wellness Manager who was on Center due to another incident. The Wellness Manager immediately evaluated Victim 1’s condition and determined that Victim 1 was not in seizure but was apparently under the influence of an unknown substance. The Wellness Manager called EMS to transport Victim 1 to the emergency room. EMS arrived on Center at approximately 00:30 to evaluate Victim 1 and could not perform care because Victim 1 was thrashing around uncontrollably and needed to be restrained. EMS called local law enforcement for assistance. GPD officers arrived on Center at approximately 00:45. EMS along with
During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to
Communication is the activity of conveying information through the exchange of thoughts, messages, or information, by speech, visuals, signals, writing, or behaviour. It is the meaningful exchange of information between two or more living creatures1. Effective communication is a reciprocal interactive process in which sender and recipient have responsibilities to ensure that a message has been received and understood.
A 32 year old woman was admitted to the Trauma Intensive Care Unit following a motor vehicle accident; she had multiple injuries and fractures, with several complications which continued to develop over the first couple of weeks. The patient rapidly developed Adult Respiratory Distress Syndrome, was on a ventilator, and was continuously sedated. Shortly after the patient's admission, her parents were contacted and remained vigilant at her bedside. The parents reported that the patient was one month away from having her divorce finalized. The patient's husband was reportedly physically and emotionally abusive to her