Before the dinner incident Randy was in the Prodromal Phase because of his withdrawal from society and preferred to spend his time alone.…
M.S. is a 35-year-old female who came into urgent care at Kaiser Permanente Riverside. She presented with a sore ankle that was causing her problems after accidently twisting it by missing a step in going down a set of stairs. The only prior medical history that M.S. has is a history of asthma that is currently managed with appropriate medications. Even though she has a history of asthma, she reports smoking cigarettes and often drinks alcohol. She also reported not having a very healthy diet. Upon examination of M.S. ankle, it is concluded that she minors sprained. During normal examination, her vitals signs are obtained which showed a respiratory rate of 16, pulse of 100, temperature 97.2OF, blood pressure of 151/91, pulse oximetry of 99%. Since it was noted that her blood pressure and heart rate where both high, it is assessed on the opposite arm and it showed a blood pressure…
The reporting party (RP) stated her 94 year old mother Connie Pineira DOB: 1/20/22 is a resident of the facility. Subsequently the resident in independent requires little or no assistance. The resident resides in her own room and uses a walker for mobility. According to the RP the resident is able to keep and self-administer her medications. Consequently the resident's medication Lorazepam (Ativan) is constantly being stolen. The RP disclosed the medication is prescribed for agitation and anxiety. On one occasion the medication went missing and the RP and 2 other friends searched the entire room and were unable to locate the medication. Walking into the front office the RP informed the administrator she was going to contact the local Police…
An IM injection was administered to a client who physically assaulted a staff member. This is considered which level of therapeutic intervention?…
Being hired as a new administrator for Gotham City Medical Center which mainly focus on mental health issues comes with a host of task. The inpatient and outpatient services are housed in separate buildings on the same campus which caused problems by the center during file recording. After an audit conducted by the New York State Office of Mental Heath several findings were highlighted that concerned them. The two primary findings which were patients notes were written once a week which tells me that the therapist did not record any individual notes at all. The second finding was that sign-in sheets were present for those who attended but no notes on their daily progress and visits were recorded in their records. Also patient mental health information was shared with the media which is unethical. As a new administrator, I would be entering into a setting where unethical activities are occurring, overwhelmed staffs and improper handling of patient files. As a new administrator, the findings require attention to develop a system for providing better mental healthcare services.…
the importance of client’s understanding what is planned to do in therapy, if needed further explanation should be provided…
His disruptive behavior is a result of not properly taking his medication. Richard is very upset with his English teacher because he feels she is not going to pass him, and if he does not pass the class it will hinder his transition to the next level. The instructor however is very concerned about the student’s mental stability after reading his essay. The student indicated in his writing that he suffers from paranoid schizophrenia and has issues with taking his medication because of how it makes him feel. Out of concern for the student, the instructor immediately called Mr. Tim, Dean of Special Programs.…
Dennis currently lives with his mother and his siblings. Dennis has run away from home seven times. There were no reports of him being kicked out of the home. Mr. Noah Smith, the mother’s fiancé also resides in the home. He is the father of Dennis’ half-brothers. Mr. Dennis Cooke, the biological father resides in the city of Portsmouth, according to Ms. Barner. She reported he has had engagement in Dennis’ life, but he is currently incarcerated due to his failure to pay child support. Dennis obeys some rules. Dennis is sometime subject to appropriate consequences for bad behavior and sometimes receives appropriate rewards for good behavior. Ms. Barner reported she usually withholds Dennis’ allowance and cell phone when he fails to comply with the rules of the home. She also stated when he does what is asked and expected of him, she rewards him with…
The decision maker for this case analysis is my 15 year old son, J.D. He possesses high intellect and his interests include reading, writing, art, philosophy, and foreign history and culture. Despite his intellect, he has struggled academically. This began early on when he was retained and placed on an Individualized Education Plan (IEP) in the second grade and diagnosed with ADHD in the fourth grade. He was removed from the IEP in the fifth grade, when the IEP team determined that he no longer required special education services and accommodations. J.D. was accepted into an arts focused college preparatory school in the sixth grade, where he currently attends and is presently in the ninth grade. He receives some above average grades and performs above average in reading comprehension and retention of written information. However, he performs below average in math. Additionally, he puts forth little effort, and thus performs poorly, in any subjects that are facilitated by teachers that he does not care for. J.D. often procrastinates on…
According to the National Institute on drug abuse 40 to 60 percent of people who have addiction…
Background Super-utilizers place a substantial burden on the U.S. healthcare system and have become the focus of policy initiatives aimed at reducing their disproportionate inpatient and emergency department (ED) visits. Medication management is a critical component for these patients since nonadherence to medications is associated with poor health outcomes, and higher health care utilization and costs.…
As my learning needs and areas of development have been identified within my portfolio, the following case study will focus on the assessment and prescribing process for a 64 year old lady with a history of venous leg ulcers. The identified patient, who will be known as Jane to maintain confidentiality (NMC, 2008) was chosen due to the high number of patients who have venous leg ulcers that are nursed by community teams. Approximately 1-2% of adults will have a leg ulcer at some point in their lives, this figure increases with age to around 3.6% of people over 65 years being affected (Christian, 2013). Venous leg ulcers are costly to treat, and respond best to early diagnosis and treatment (McKenzie, 2010). Patients often find leg ulcers painful, embarrassing and they have a negative impact on their own body image (Parker, 2012).…
Presenting Problem: Pt is a 17 year old African American female presenting with PTSD, MDD, moderate with psychosis historically but no psychosis presently. Pt is presently transitioned to Riverside Acute Center due to making statements of self-harm and becoming aggressive towards staff that caused her to be restrained in Riverside Residential Unit. The therapist who has been working with her in residential believes that she is self-sabotaging. She has become increasingly volatile and has lost her temper often. She decided that she didn’t want to be in the program and wanted to leave. She did not reuse to attend therapy, but refused to work on or utilize any skills. She has communicated she does not like her therapist at the facility.…
When you or a relative has a habit, it's truly a heart wrenchingly dismal process for everyone included. The perfect choice you have before you is to find the best medication treatment focus that will enable the reliance to vanish for all time. In any case picking the ideal medication treatment focus is a particularly intense process. When you choose the best focus, your chances of progress extend considerably.…
Since it was my first day at Psych Clinical, I was very nervous and scared. My anxiety level was around 9 when I was starting the interview and I had 1 after the interview. It was not that bad as I thought. My patient was playing in the gym with her groupmates, so the environment was good. She was playing and enjoying herself so she was pleasant to talk. She was able to answer all my questions appropriately. My anxiety level goes down as I talked with the patient because I was able to create a rapport with a patient. My patient said she felt great talking with me, so it cheers my mood.…