Intervention/ Response: CM traveled to consumer boarding home for the purpose of helping consumer improve her basic living skills. CM and Therapist Amanda Perkins arrived at consumer boarding. Consumer was sitting in porch. Consumer clothes were still wet from urine. CM explained to consumer she was moving to a group home. CM assisted consumer with packing and loading her items into CM car. CM traveled to Lakeview group home. CM arrived at Lakeview and assist consumer with unloading her items. When consumer arrived at Lakeview group home she refused to stay. After speaking with the director, Consumer agreed to stay at Lakeview group home.…
Two deputies, one male and one female, and her husband have brought Johannah to the hospital to be admitted. The nurse does an assessment on Johannah and discovers Johannah has been on risperdone (Risperdal) liquid, valproic acid (Depakote), and venlafaxine (Effexor XR). The psychiatrist orders these medications to be continued. At first the nurse is unable to…
2.) Cherron was updated with regard to Patient #3502 request for a court letter on 9/21/2017. Please note, on 09/20/2017, Cherron requested for assistance in the matter pertaining to the patient request as a letter was already prepared, but a release of authorization was needed to be signed by the patient. Cherron was informed that any request for a written letter must be reviewed by the Practice Manager and it was advised for Cherron to have this completed before his departure on 09/20/2017. Cherron was not present on 09/21/2017 and Cherron’s collegue was able to assist Cherron’s patient with the need of the letter; however,…
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.…
For my third day, Agent Wood and I started with email updates from the weekend. JL took and passed all SoberLink testings. CP lost her housing and went to live with a relative in a different county. Therefore, Agent Wood will put this case in for a transfer. DH had an office visit at 9:00 am but had to reschedule due to an emergency surgery. One of her parolees waived their rights to a revocation hearing in March. LW was arrested for on prostitution and other felony charges. Supervisor Clemmons overrode the severity of this case due to LW being HIV+ and absconding for four years. Wood is going to be very particular and reach out to their attorney. While working on paperwork, Wood went through and explained how the electronic case reference…
SC, Jennifer Stoker contacted provider, Anita Baker via telephone. SC introduced herself and told provider that she was Terry Williams’s SC. SC asked has she spoke to Terry over the weekend. Anita Baker stated yes. She noted Terry called her told that he don’t have his medication and his blood pressure was high. Anita stated that she got his medication from his Aunt Earnestine and give it to Terry nurse. SC asked if she know if the nurse give him or his host home the medication. Anita sated she don’t know if the nurse give them the medication. SC informed Anita, Terry call is old provide and stated that he was hungry and need food. Anita noted Terry tell her he is happy at his new home and they cook was great. Anita then noted Terry never…
3. Something is missing from the scenario. Based on his history, L.J. should have been taking an important medication. What is it, and why should he be taking it?…
Counselor met with Pt. for a short tx intervention. Counselor flagged pt. in the computer to meet this writer before dosing. Counselor greeted Pt. and told him that this writer tried to reach him but his phone wasn’t accepting calls. Pt. explained how his phone was disconnected because he did not receive his veteran check. Counselor and Pt. discussed his recent positive UDS result, the events that led to the relapse and how he is going to lose of his take home privileges. Pt. verbalized that he has infection in a tooth and he used cocaine toothpaste to remove it. Pt. stated, “I wasn’t thinking about it at the moment, but after the incident, I was expecting.” Counselor asked Pt. why and how he removed his tooth. Pt. informed this writer that…
To begin, due to being a nurse, Thayer had access to controlled substances and unfortunately, for Thayer, the temptation seems to have been too great a burden. After repeated offenses, he was justly punished for his breach of trust. The one-year suspension took away his profession and means of economic support. By making his actions part of the public record, he was duly shamed and embarrassed within his professional community as well as in the eye of the general public. In turn, the state “Board” generously provided for his rehabilitation after disciplinary action. They provided/required the nurse to stay substance clean and get involved with professional help groups in the hope that these nurses can return and again become trusted professionals. The two part, disciplinary and rehabilitory aspects of the state “Board’s” courses of action in regard to unethical misconduct is to protect the medical institutions, patients, and even the nurse, who breaches their ethical duty by personal…
In regard to the Simple Possession of Small Quantities Of Marijuana Decriminalization Amendment Act of 2013, I have one recommendation that would assist in strengthening the legislation. I pose that the policy administration expunge the records of individuals with prior convictions of possession of less than one ounce of marijuana. Since the act aims to prevent disproportionate arrest rates amongst District residents (mainly African-Americans) in addition to decreasing collateral consequences (e.g., criminal records, losing employment, losing financial aid, losing property, etc.), I believe it is equally fair to give those convict in the past a second chance. For the individuals formerly convicted contributed heavily to the statistics used…
d. I think that it was childish when they started throwing hypodermic needles because it is really dangerous and they are already in a bad situation. She told Link that everyone suffers from a very stressful experience.…
Brian B. is taken into an exam room in the office of Dr. K. by the medical assistant,…
The child's mother decides to stay in the in the waiting room while the child's physical exam is being conducted by the provider. Before the physical exam starts, the provider decides to ask the patient if during the past 12 months she has ever drunk alcohol, smoked marijuana, or used anything else to get high. The patient reports that she did drink alcohol on two different occasions over the past 12 months. The provider proceeds to ask the patient the six CRAFFT questions and the patient does admit to riding in a car once with a friend who had been drinking alcohol. She said that the friend "definitely was not drunk, but did have 2 drinks." She answers no to the other 5 questions. The patient's CRAFFT score would be a "1." According to the scoring for the CRAFFT tool, a score of 2 or more is a positive screen and indicates a need for additional assessment (Levy & Knight, 2009). Since the patient only has a score of 1, the plan of care for this patient will entail a conversation to advise the adolescent to stop using alcohol completely. The statements by the providers should focus on the adverse health effects of alcohol and drugs. She should be made aware that she should never ride in car with anyone that has been drinking alcohol, even if she feels like they are not intoxicated due to the risk of getting seriously injured or killed from a car crash. The patient should also be asked about…
11. Name some of the outlandish behavior portrayed by Residents that we observed during clinical.…
A female patient was admitted to the hospital with pneumonia, and in the course of her treatment, it was determined that she was experiencing alcohol dependence because she began experiencing alcohol withdrawal while she was in the hospital. When the psychiatrist who was called in as a consultant documented the patient's mental disorder, he identified her alcohol dependence on which axis?…