Summary Of Jessica's Case Study

I would go for a targeted communication strategy to each of the different stakeholders. The first one will be to Jessica’s parents to re-explain the true nature of these unfortunate circumstances. I would explain to them the entire process and where we went wrong and apologize. I would also convey that the unfortunate circumstances were not specifically targeted at them but it was a bad lapse in the entire process and while we can help at this particular time with your daughter, we will reevaluate the entire process to ensure that nothing like that ever happens again. I would also inform them that from now on, to reflect the changing demographics in the area the hospital covers, the hospital will be offering language classes to all their staff to better communicate with people from different social and cultural

It is a great pleasure to recommend Jenny Simpson for admission to your Master of Arts in Curriculum and Instruction program. During the previous academic school year, I had the privilege of coaching and managing Jenny. Given that there is not an algorithm for determining excellence in teaching, I would say that she consistently demonstrated certain characteristics and actions that would set her apart from other teachers in our program.

In the killing of Jessica Lunsford, who was only a nine year old third grade girl from Homosassa, FL, John Couey was the main suspect since the beginning of the case since in fact he was a sex offender who was living right across the street from Jessica at the time of her disappearance. He kidnapped her in the middle of the night and February of 2005 and brought her back to his home and he raped her. After he was done sexually assaulting her, he buried her alive in a plastic bag in his own backyard. When John Couey was finally located, he was in Georgia at which point he confessed to killing Jessica and where she was located. After the law enforcement in Citrus County undug her corpse, he was charged the next day with kidnapping, rape, and murder of

On April 8, 2016 at approximately 1500 hours, I made contact with Heather Curtis at 8307 Centennial Road in reference to a domestic dispute. Mrs. Curtis stated that her husband Marc Curtis sent her multiple text messages to her phone stating that she couldn’t have the kids and that the police would have to kill him before he goes to jail or give her the kids back. This was the result of an argument after Mrs. Curtis refused to pick him up from work because he had taken her EBT card. Mrs. Curtis stated that he hasn’t been acting normal and may possibly be going through a psychotic break. Mrs. Curtis was advised to go to the Prosecuting Attorney’s Office to get a restraining order and given a copy of this report number. Mrs. Curtis was also

It is our pleasure to see and provide FTS for Ms. Jennifer Mullins. She is a 19yo, G1 P0, with EDD by an 8-week 1-day ultrasound performed in your office giving an EDD of 12/25/17. Her past medical history is notable for morbid obesity with a prepregnancy BMI of 45. She takes prenatal vitamins, denies any surgical history, is normotensive with a normal urine dip here. This is her 1st pregnancy. Her social history is negative x3. Her family history is notable for breast cancer, HTN, diabetes in her maternal grandmother, and heart disease in her as well. She has having occasional nausea, vomiting, and heartburn and says that the Diclegis is not working at all and would like a different prescription.

Because her initial pregnancy was preterm based on PPROM, she would be a candidate for 17-OHP and this was discussed and would recommend that this start at around 16-18 weeks gestation. In addition, because of her prior history of cesarean deliveries as well as her HIV status the plan will be to undergo a repeat cesarean in this pregnancy at around 38 weeks gestation and she does have good dates. She does have a follow-up appointment in your office in 3-4 weeks.

Brittany is a 22yo, G2 P1001, who was seen for an ultrasound evaluation and FTS. The patient states that she has a history of hypothyroidism but believes that she was tested in this pregnancy and told that her values were normal. I do not have copies of that lab work but would recommend that this be followed as her pregnancy progresses. She also reportedly has some issues with anxiety and IBS but is stable not on medication. She has a previous cesarean delivery with her last delivery but is uncertain about a VBAC. Lastly, she states that her main issue in this pregnancy is that when she wakes up in the morning after sleeping her arms and hands are numb or asleep and this did not occur in her previous pregnancy.

Keia is a 31yo, G2 P0100, who is currently 9 weeks 6 days as dated by a 6-week scan that was off from her LMP. She has a history of an IUFD at 29 weeks. She reports that she had decreased fetal movement prior to coming in and there being no fetal heart tones on examination, but other than that there were no other significant precipitating events. She did have an increased risk for Down syndrome at 1:140 but per the old reports all of her analytes were within normal limits. At the time of delivery, the baby did appear to be appropriate weight and there were no obvious causes at the time of delivery. She reports that she had chromosomes performed after and the chromosomes were negative. She also thinks she had a full autopsy that was unremarkable. She did have a work-up for clotting disorders due to the history of loss and according to the chart everything is relatively within normal limits except for MTHFR which was heterozygous for C677T and A1298C. I did not see beta-2 glycoprotein or antithrombin III. Because of the relatively normal work-up she is on a baby aspirin and Metanx. She is here today to discuss her history and plans for this pregnancy.

Serrita is a 26yo, G3 P1011, who was seen for an ultrasound evaluation and fetal anatomy assessment. As you know, she has chronic HTN and is on methyldopa 500 mg b.i.d. Her BP is normal on today’s assessment at 130/78. Her urine evaluation was negative. She is also hypothyroid status-post a diagnosis of Hashimoto’s thyroiditis. She is on replacement therapy. She did undergo noninvasive prenatal testing (NIPT) that returned low-risk, female and her maternal serum AFP was normal at 0.58 MoM. Based on her height and weight at the start of the pregnancy, her BMI was about 38. Lastly, she is on metformin 500 mg b.i.d. She states that she believes that she was on this due to abnormal insulin levels but she was not completely certain as to why

Great post, I found the case about Pamela Johnson to be very interesting. Based on the information that you provided many could argue that Stephens was simply defending himself. Personally I don’t believe Stephens did anything wrong it seem he was simply doing his job trying to stop miss Johnson from entering an area where she was prohibited and Mr. Stephens was defending himself from Mrs. Johnson when he hit her with his radio. Maybe he shouldn’t have used his radio to hit her, but then again if she wants to say that there is no difference between a privately employed special officer with full police power and a regular Chicago police officer then should be charged with assaulting a police officer.

It is our pleasure to see and perform FTS on Ms. Kaylyn Houser. She is a 16yo, G1 P0, with EDD by LMP consistent with an 8-week 4-day ultrasound performed in your office. The patient has a history of anxiety and what sounds like bipolar disorder, narcolepsy, and sleep apnea, as well as prepregnancy BMI of 32. She was previously on Lamictal, Luvox, and magnesium when she started the pregnancy and comes today attempting to wean from the Lamictal currently taking 100 mg daily. Her surgical history is notable for ankle surgeries. She has no prior pregnancy history. Her social history is negative x3. Her registration BP is 137/81. Her urine dip is negative for protein.

CM was unable to reach Lisa Marshall (caregiver) in regards to services and upcoming CFT meeting for Alexia (youth). CM left caregiver a detailed message informing her that at today’s, Wednesday 4/12/17 CFT meeting caregiver has to complete a full Medicaid package, 3560 OOH application. CM noted caregiver must bring the following: copies of private insurance card, youth’s birth certificate and youth’s social security card. CM requested to be contacted.

Physical challenges are no excuse for sixteen year old Michelle Cross. Michelle, born with cerebral palsy, pushes through any limited balance and movement that comes along with her condition. She participates on her schools cross country and track teams. Michelle hardly complains about her condition and stands out as a determined runner who never gives up, no matter what is in her

Sofia is a 30yo, G4 P2012, who was seen for a follow-up ultrasound assessment. She has GDM and is on metformin 500 mg t.i.d. She also does have some issues with depression and is on trazadone. Currently at this time she overall has no complaints and has positive fetal movement.

On today’s assessment, she is 34 weeks. The amniotic fluid volume is again somewhat increased even beyond last week with an AFI of 32 cm. BPP is 8/8 and the Doppler study is very reassuring and again, the patient has good fetal movement.