Walter Hallet Case Study

Martha is a 65 year old lady who suffers from insomnia based on the preliminary symptoms of sleeplessness. She is also under severe stress from her mum’s dependence condition which makes her unhappy with her retirement. Martha’s mum’s condition is of great influence to her insomnia disorder for she only thinks of her through out the day, caring for her leaving Martha with little time to check on her health. Insomnia is a disorder that mostly affects the elderly though it may affect people from all ages. It is the lack of sleep even when one feels to have some sleep. It is not a stand alone disease but a symptom which is defined by the duration one lacks quality sleep. Transient insomnia is not having sleep for a week, short term insomnia is lack of adequate sleep for 2-3 weeks, while sleeplessness for a month is termed as chronic insomnia. Various studies have shown that insomnia affects women more often than men and that 30%-50% of elderly Americans experience difficulty in initiating and maintaining adequate sleep. Diagnosing insomnia in a patient the health practitioner would evaluate the patient medical record and other factors that may contribute to insomnia. For example, snoring, psychological factors such as stress levels and drug use. Martha’s physician would check on her medical

Sleep is important not only for promoting healing, but also for the overall well-being of the individual. When there are problems with the sleeping pattern, it impacts the overall health and safety of the older adult. The person will not have enough rest and will be too tired to perform activities surrounding daily living. We have to assess the risk factors contributing to the problems of sleep disturbance and these might be “related to poor sleep hygiene, including an irregular sleep schedule, environmental noise or light, and the use of stimulants” (Mauk, 2014, p. 581). If the sleeping pattern is not assessed, possible complications will happen, such as falls that could lead to bodily injuries.

Frankie Tilmon continues to be out of treatment compliance. Frankie has missed his last four appointments, 7/2/15, 7/9/15, 7/16/15, and 7/30/15. Frankie contacted this provider on 7/6 to apologize for missing his appointment on 7/2 and was reminded of his next appointment on 7/9, which he agreed to attend. On 7/15 Frankie contacted this provider to apologize for missing his treatment appointment on 7/9 and agreed to make his appointment the following day, which he failed to appear for. On 7/16 Frankie contacted this provider to again apologize for missing his appointment and wanted to confirm his next scheduled appointment day/time. I told Frankie that his appointment day and time has not changed; it was on Thursdays at 4pm. Frankie told

Sleep disorders alter ones sleep pattern and often results in the inability to either sleep or sleep soundly. They often cause you to feel restless, tired, fatigued, and irritable. It is estimated that nearly 75 percent of adult Americans experience sleep disorder symptoms at least a few nights per week. At the same time, sleep disturbances in some form are seen in as many as 25 to 30 percent of infants and children (“Sleep Disorders” 2013). Clearly a huge conundrum in the world, sleep disorders affect an inordinate amount of people. Millions of people suffer or have suffered from a sleep disorder at one point in their lives and if mistreated can impact organ systems functioning negatively. Physical disturbances, medical issues,

On December 12, 2014, Advisor met with Kate F Cunningham and her brother, Elbert T Parker Jr. who is also her POA, and her other brother, John Parker and another person, a female, who did not introduce themselves at client’s residence; 121 S Jenison, Lansing Michigan

History of Present Illness: The patient has been seen in this clinic since 2016. She is diagnosed to have ADHD, Bipolar II disorder, Generalized Anxiety disorder, Alcohol and Cannabis use dependence. The patient has struggled with separation from an abusive ex-husband, who is currently

UCM:CPSW received a text from Ms. Borkovec reporting that she has scheduled an appoitnemtns with Phyllis Wheatley and her first intake appointment is on11/29/16 at 3pm. Also, CPSW reminded Ms. Borkovec to schedule with her mental health assessment and let this worker know time and date for her 1st session. Goal 1-2

I- CM inquired if client received a phone from LA Family Housing to schedule a CES assessment appointment. CM inquired if client visited the Bob Hope Patriotic Hall to fill out VA claims for service connected disabilities, and to start his “Veteran” California Driver’s License application process. CM informed client the procedures of referring him to dental. CM conducted a 90 day ISP with client. CM continued to inquire if client was interested in creating a savings plan. CM continued to assess client’s mental health and medication compliance

Mr. Gotcher is in compliance with his treatment plan and rules this reporting period. He has not had any known incidents that have raised concern with regard to the safety of others in the community, self, and the staff at Ambitions.

Mr. Gotcher is in compliance with his treatment plan this reporting period. He has not had any known incidents raises concern about the safety of others in the community, self, and the staff at Ambitions.

On November 20, 2015 worker visited Selby Ridge Rehab and NH, for the purpose of monitoring Mr. Parker’s situation. Mr. Parker is still in the physical therapy section of the NH but will be moved to a long-term bed soon. When worker arrived, Mr. Parker was lying in bed watching TV. He was dressed appropriately with good personal hygiene. Worker introduced herself and explained the reason for the visit. Mr. Parker remembered worker from the previous visit but could not remember worker’s name.

On July 7, 2015 I called Kelly Schmidt, who was previously listed as Assisted to the CEO for St Anthony’s Hospital. Ms. Schmidt is no longer in the position but took the message to forward to the appropriate person. On this date I received an email from Rosemary Fotenos asking I call.

Phil came into the clinic because his wife had requested him to receive some professional help. While he was at the clinic, the meeting did not last long. He was there for about an hour and I was able to determine some psychological disorders that Phil may be suffering from. Phil was asked to come back in for follow-up sessions which he will be asked more questions and complete assessments that are the appropriate diagnosis of Phil.

Many disorders and diseases can result from abnormal sleeping patterns that are triggered from sleep deprivation. The most common forms of sleep disorders include insomnia, sleep apnea, restless legs syndrome, and narcolepsy (NINDS 10). All of these sleep disorders begin from sleep deprivation and can be managed once they are diagnosed correctly. According to Urban, “Nervousness, dizziness, and sleeplessness may occur”, as a result of sleep deprivation (1). This proves that the slightest health changes can occur if sleep deprivation becomes a problem. According to NINDS, “The disorders and the resulting sleep deprivation interfere with work, driving, and social activities” (10). This shows that the effects of being sleep deprived can drastically change one’s everyday

Psychiatrist – That’s totally fine, come and sit down so what do you want to chat about? (Approaching personality / despite Larsen’s poor attitude still portrays a good attitude towards him)