Ronny is a 46-year-old WM who presents to CRU from UPC. He is on ACOT for PAD and DTO. He is SMI designated. Life Behavioral Wellness is client's OP treatment agency. Per amended letter, client moved to a new place and the next day picked a knife and threaten to cut myself. He has a hx of self-harm including an attempt to hang himself whiles in prison. He is calm and cooperative during admission. He has a PMH of HTN, Asthma, TB, seizure and brain surgery. Client's vitals were WNLs. He will benefit from meeting with the provider, and medication…
It was seemingly a normal quiet night on the day of March 12th 2011, until Virginia Rasnick attempted to phone her husband several times with no response. Sidney Rasnick, while on a work assignment in Jesup Georgia, checked into a motel on March 6th 2011. The hotel was owned by Krishna Hospitality INC. Throughout the work trip for all 6 days he was staying there, her husband had a schedule of always making several calls a day to her, and always one at night before he went to bed. So when he didn’t answer the phone that night she knew something was wrong. Her husband Sidney Rasnik, had a history of heart problems and she was growing more and more worried after calling five more times with no response. Desperate she asked one of the hotel operators that answered the phone to check on her husband. She stated that she was “very worried about her husband” and that he had been on medication. The man on the phone told her that he knew who he was and that he was resting and she was disturbing him. She tried to argue this claim but he hung up. She ended up calling the hotel 8 more times, asking for…
FRF met with Cilias's mom at her home and went over Cilia's behavior at home, school and with friends. Mom wants the FRF to talk to cilia about the risks that she will face if she continuous hanging out with the wrong people. Mom also found out by her coworker that Cilia's sexual orientation is toward another woman. Mom is worry about this and wants Cilia to tell her and Mom stated that she will be understanding and accepting. FRF suggested mom to call DBH and make an appointment to start Cilia's therapy at DBH. Cilia has Medicaid at this moment. FRF will comeback next week to talk to Cilia.…
(HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come…
The client is a 70 year old, Caucasian male who is a retired siding salesman from Riverside, IA, who has an extensive history with Paralysis agitans (Parkinson’s disease). The client was first admitted to the long term care facility in December 2012. The client explained that he came to be at this facility after “already being in two places like this”. He was removed/discharged from the last long-term care facility for being what he called “disruptive”. The client described the staff at the last facility as not very kind to the residents. There was an incident where the drugs that were prescribed to the client made him hallucinate and he became unruly with the staff and was restrained and…
BT is a 95 year old Caucasian female that lives with her husband and has spent 39 years working as a missionary. She presented to the emergency room at Milford Memorial Hospital on March 17, 2012 complaining of diarrhea for the past 6 days, up to 5 times a day. She also reported loss of appetite and weakness; upon admission to the emergency room she vomited once and verbalized cramping in the upper abdominal region. She was admitted with acute infectious colitis, acute renal failure, and dehydration. Past surgeries include an appendectomy (removal of the appendix), hysterectomy (removal of the uterus), abdominal hernia repair, and bladder suspension (replacement of a sagging bladder into the normal position). BT reported a family history of heart disease, hypertension, and cancer (MMH, 2012). BT has 4 children, 2 sons and 2 daughters. While caring for BT, I had the pleasure to meet one of her sons, a daughter, and a granddaughter. Many of her family members are also missionaries and the granddaughter that I met has served her current mission in Paraguay for 11 years. She is retired and insured through Medicare; she has a living will, her son is executor, and she is full code unless it is going to be prolonged.…
The book presents the development of a psychological portrait of Christopher McCandless who abandoned all of his possessions and hitchhiked to Alaska.…
Susan and I had a nurse-patient relationship that's based on mutual trust and respect. I had been providing care in a manner that enables Susan to be an equal partner in achieving wellness. I had always make sure Susan has privacy when provide care and be sure that her basic needs are met, including relieving pain or other sources of discomfort. I too had actively listened to her to make sure I understand her concerns by restating what she has verbalized. I had maintained professional boundaries like respecting differences in her cultures. We as nurses help Susan achieve harmony in mind, body, and spirit when engaging in…
She spoke to me about it and was so thankful to me for helping her in helping herself. She stated to me that she was not impressed with the meals but she knew that they were in important role in the plan of her weight loss, she also gave feedback on the zumba classes and exclaimed how happy she was that I organised this because she had met multiple friends through it as she was a newcomer to the home. I explained that it was not just me that organised everything and my mentor and staff nurse held just as much responsibility as me, although I felt closer to the patient because she was so grateful towards me in particular, and I was so pleased that everything paid off for…
Wanda McKay is 36 years old and homeless, although she sleeps in a shelter nightly and has been going to a day program for the past 5 weeks, where she showers, receives her mail, gets some counseling, and has her meals. She is being treated daily for tuberculosis with directly observed therapy (DOT) and has been receiving this treatment for the last 6 months. She had a tubal ligation 5 years ago with no complications and is not currently sexually active. She was last tested for HIV and hepatitis C 2 months ago and was negative. She has been vaccinated for hepatitis B. She drinks, but does not use drugs, and has not been prescribed any psychiatric medications. When she was admitted into the day treatment program, her hospital records were sent indicating that she is sputum culture negative, so she is not a risk to others in close quarters.…
In the first DQ, I stated in my original answer, I will not have concerns but I will have questions. Being new to the education field, I am naturally going to questions on planning, evaluation, IEPs, and/or meeting the needs of the student ID. However, I will rely on my the education I have received from my journey at GCU. I will rely on my current experiences with working with adults with intellectual disabilities on planning, evaluation, ICPs (the adult version of an IEP), and/or meeting their needs. I will rely on the many resources available for special education teachers such as The National Association Special Education Teachers, Council for Exceptional Children, Wrights Law, Center for Parent Information and Resources, and many more.…
Ms. A is a 29 year old who grew up in a comfortable mid-western town. Both of her parents and younger brother are still living. Her younger brother is in college. Ms. A had been relatively healthy with no prior medical history until she began to drink heavily with her current boyfriend of several years. She was hospitalized in 2008 because of a GI bleed. Lab studies revealed liver damage. Her parents, brother, and grandparents staged an intervention. Ms. A agreed to participate in a rehabilitation program. She was successful for several months until she moved to California to live with her boyfriend. She began to consume alcohol once again. Recently, her boyfriend brought her to the emergency department when he found her to be non-responsive. She currently remains hospitalized with hepatic encephalopathy and liver failure.…
I have noticed a patient abuse by my CI on four different occasions with a 67 year old woman with pulmonary fibrosis and obesity. My CI and I headed to the patient’s room to do treatment. While we were on way to the patient’s room, my CI remembers to get a sliding board and she immediate asked me to get it in the OT gym. As I approach the patient’s door, I overheard my CI say to the patient “you are too fat and you never going to recover and you are going to die soon if you can transfer yourself into the wheelchair”. Sooner's my CI saw me, she quickly changed her tone of voice towards the patient and I noticed the patient’s eyes were…
For our NSTP class this term, we were to implement two projects for our adopted community in Brgy. Sun Valley, Paranaque City. The two projects we implemented were CANDLE MAKING WITH MARKETING SEMINAR & LIFE SKILLS SEMINAR. I was part of the Candle Making with Marketing Seminar group. In our group, we divided the jobs to those in charge of the candle making itself and some were in charge of the marketing seminar. My task was to know the different materials needed for the candling making and the different techniques we could teach the community. The candle making was allotted for two meetings, and one meeting for the marketing seminar. As soon as our three meetings were done, it was time for the Life Skills Seminar to do their part. Since it was not our group or we didn't have any tasks to be done, we were asked to be the audience and participants of the different activites held. We had three seminars from the Life Skills group, namely: Stress Management Seminar, Financial Seminar, and Communications Seminar. I can say that we have learned a lot from those three seminars, as well as the host families.…