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…
On 9/27/2017, CM met with the client to complete Bi-weekly ILP Review. Client was dressed in proper attire for the weather. Client was cooperative with information and kept good eye contact throughout the interview. Client denies any mental health issues.…
Yommala had called the Supervisor for assistance as the patient was emotional during her counseling session. The patient wanted to seek medical attention at the ER and reports of no SI/HI. According to the patient and Yommala, this patient is currently in a DC situation with her ex-boyfriend, whom continue to harass the patient the clinic’s premise. The patient was advise that the clinic would contact 911 if the harassment should continue and for the patient to also contact the police department in her local town as well. During the session, the patient changed her mind about going to the ER but wanted to see mental health provider immediately rather than waiting about two weeks. It was recommended for Yommala to assist the patient with seeking a sooner appointment, like today to see her therapist if applicable. After this encounter, Yommala updated the Senior Counselor about other problematic issues with the patient, referring to her DCF case and stresses in her personal life. Yommala briefly discuss her plan to help her patient with her current dilemma.…
A female client with breast cancer who completed her first chemotherapy treatment today at an out-patient cancer treatment center is preparing for discharge. Which behavior indicates that the client understands her care needs for the next week?…
I- CM inquired if client obtained his psychotropic medications from the VA. CM continued to assess client’s mental health and medication compliance. CM informed client that his assessment appointment with Laurie Garza, from LAMP VASH, was changed from 3/25 to 3/24. CM inquired if client attended all of his medical appointments at the VA. CM informed client that his six months in the program was approaching. CM informed client that an extension may be granted for him, only if client proves that he has a plan and is definitely working towards his housing goals.…
D-The patient arrived on time for her appointment to meet with his writer. Reported stable on her dose and deny the need to start tapering off on her methadone. During the beginning of the session, the patient discussed about her friend moving to Maine and addressed the pros and cons on taking on her friend's offered to move with her to another state. The cons out weighs the pros whereas the patient's family is here, mental health services, and her daughter medical provider(s). The patient feels moving to another state is a major move and she does not want to feel dependent on others to take care of her. This writer validated the patient's feelings and provided support to the patient decision. The patient then reported, she tried to find…
D-The patient arrived on time for her counseling session. Reported stable on her dose and deny the need to alter her methadone, referring to a dose increase. According to the patient, she's clean for a month, at which this writer provided a positive feedback to the patient. Then the conversation shifted about the patient's father health. Patient reported, her father has a history of heart attacks, he's 74 years old, and the doctors placed a new stem to the heart. The patient discuss her feelings about her father's health and this writer validated her feelings.…
This document of BSHS 405 Week 3 Discussion Question 2 comprises: What considerations must be made when developing a treatment plan with a client? Do these considerations affect how you will propose the plan? Why?…
Patient presented to the emergency room, complaining of vaginal bleeding with pain in the lower pelvic area. Ultrasound preformed in the emergency room showed a 13.8 cm left adnexal mass with positive cardiac activity, Compatible with ectopic pregnancy.…
After clients identify what goals are important to them, the support staff discusses strategies they feel would best aid in supporting attainment of the goals. Subsequent meetings are held to ensure that the goals are being worked on in a manner tailored to each client’s needs. Smaller sessions may be held one on one with any member of the recovery team and a final review meeting is held before the resident is…
D-The patient arrived on time for his counseling session. Reported stable on her dose and denied the need of a dose increase or decrease when offered by this writer. The patient shared her conflicting feelings as to whether or not she wants to move forward with her transfer to the Hartford Dispensary. According to the patient, this is the first time in a couple of years, she's been clean from opiates and believes it has something to do with attending the Women's Group and her counseling sessions with this writer. The patient says, " I like the fact (in tears), you stay on top of me......I am not sure if I will get that over there. I am scared." This writer informed the patient, she does not have to leave to CSAC if it's helping her and to…
has continued his struggle in achieving his goal of establishing a healthy social support network over the last quarter. Pt has not made any new relationships or attempts to enjoy leisure recreation and associate with positive people, he continues to insolate himself and spend time with his daughter who is dealing with her own addiction. Pt. has not increased his involvement in social/recreational opportunities and was provided with additional encouragement in this area. Counselor will encourage Pt. to continue to work on this long-term goal until he establishes a strong support network and/or move to Florida with his supportive brother. Counselor will prompt Pt. to recognize how a positive support system will assist them in maintaining a crime/drug free life. Pt. will discuss with AMS Counselor and supportive family member(s) how a strong support system is a matter of balance. (If most of the time you isolate yourself from supportive people, places, and things, you are lonely. If you are too open with people, places, and things, you may find yourself getting hurt often.) The Primary counselor will monitor the pt. for…
“Using the case study at the end of the module, assess the client’s issues and describe your treatment plan. What ethical issues might arise?”…
DISCHARGE SUMMARY____________________________________ Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---Date of Discharge: 03/30/---Admitting Diagnosis: Ectopic pregnancy. Surgical Procedures 1. Exploratory laparotomy. 2. Partial salpingectomy. 3. Evacuation of hemoperitoneum. 4. Lysis of adhesions. Complications: Blood loss requiring transfusion x2. HISTORY: This 35-year-old white female, gravida 3, para 1-0-2-1, had her last menstrual period in early January. Prior menstrual cycles had been regular. She reported using no contraception but not attempting pregnancy. Patient presented to the emergency room complaining of vaginal bleeding with pain in the lower pelvic area. Ultrasound performed in the emergency room showed a 13.8 cm left adnexal mass with positive cardiac activity compatible with ectopic pregnancy. HOSPITAL COURSE: On March 27 the patient underwent exploratory laparotomy, left partial salpingectomy, evacuation of hemoperitoneum, and lysis of adhesions. Blood loss was approximately 1000 mL and was replaced with transfusion of 2 units of red blood cells. Her blood type was noted to be O, Rh-negative, and RhoGAM was provided. (Continued)…
advice and resources that will assist in getting clean, not to convince or to persuade…