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…
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.…
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.…
6. A new patient with a history of mental retardation and self-abuse is sent to a custodial care facility for admission. The patient's family is no longer able to care for the patient at home. The care facility physician documents a problem focused history and exam. The MDM was straightforward…
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?…
I would talk to the service user and ask them why they refused. And they tell me they don't’ want to take them. I explained the possible effects of not taking the medication. If he/she still refusing to take, I would mark the MAR sheet and record in care plan and report to other care staff and service users GP.…
4. Methadone maintenance is a controversial treatment model for heroin and other narcotic addiction. Write a one page paper either for or against methadone maintenance. Be able to justify your position based upon textbook material, lecture notes, and outside research.…
“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?”…
One concern is the patient’s lack of knowledge about his health problems. Another concern is whether he can continue to live the way he has without assistance. Henry will not be able to care for his wife the way he needs to with his own health issues. Also his wife can no longer provide for Henry’s needs she used to fulfill, such as cooking for him. Henry’s comment about how he hopes his insurance will pay for his oxygen and inhalers raises concern for me. These health disparities may keep Henry from receiving proper care due to him not being able to afford proper health care. Also he still continues to smoke even with his illness. His breathing problems concern me too.…
Methadone has been discovered from 1930 for getting relieve from pain. It had been not before 1960’s that methadone was first used to assist handle heroin and morphine followers. So, before knowing about how long does methadone stay in your system you need to be aware of some of the facts about methadone.…
Have you ever witnessed an addict experiencing the effects of withdrawals from opiate abuse? Having witnessed my 24 year old son go through these, while I was experiencing them right by his side, was an eye opener. Even though Methadone and Suboxone both treat opiate addiction, their use is controversial; however the benefits of their use outweigh the controversy.…
Opiate addiction is a chronic disease that affects millions of people in the Unites States. This deadly epidemic is one that in most cases requires some form of medical treatment. There are many treatment options available to those struggling with addiction. The three most well-known options are rapid detox, suboxone, and methadone maintenance (Medication-Assisted Treatment for Opioid Addiction Facts for Families and Friends). Though each form of treatment has its own advantages and disadvantages, they all have one common goal; drug freedom. Research has shown that those receiving treatment are nearly twice as likely to achieve their goal of drug freedom (Mayo Clinic).…
German scientists Max Bockmühl and Gustav Ehrhart first synthesized methadone in 1937. The synthetic opioid analgesic was created while they were searching for a pain reliever that would be safe to use during surgeries and had a low potential for addiction. On September 11, 1941, they filed for a patent for what they called Hoechst 10820 or Polamidon. Eli Lilly and Company brought methadone to the United Stated in 1947. They gave it the trade name Dolophine, which came from the German Dolphium, which came from the Latin "dolor" for pain (Wikipedia).…
Thesis: Is the fear of living an incomplete and possibly painful life a reason to bring your life to an end? Does this fear give us the authority to be masters of our own fate and end our own life before we and the ones we love suffer?…
This week in the field was exciting and provided me the opportunity to spend more time out of the office with my supervisor. On Monday, I was continued completing case files; copying court orders, medical information, and parent information etc. from client’s county files and placing these copies of the information into an IFCCS file. During this task, I discovered how different organizations complete assessments when discussing client’s treatment plans and determining his/her psychological state. Therefore, I was able to continue strengthening my competency skill 10. Completing this task has helped me understand the professional writing and documentation required for writing treatment plans that document medical necessities of services. This is that I remember going through a client’s file and the South Carolina Youth Advocate Program supplied DSS with an…