DIAGNOSTIC IMPRESSION: Rosa Lee has exhibited signs and symptoms of substance abuse. She has become very skilled in the art of manipulation, a behavior that can often be associated with drug abuse. Her priorities are questionable, at best, regarding finances and her children’s own substance abuse issues. For example:
“She fires back, her words coming out in a steamy vapor from the cold. “I’m trying to feed my family and I don 't have any money. We 're just trying to survive!"
"That 's dead!" I say. "Save that for the judges at Superior Court. You just threw away several hundred dollars buying dope and crack for your children."
-Dash
She has become very tolerant of the pain that eventually comes with abusing drugs over a long period of time.
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According to Clinton and Scalise, stress is, “a state of mental and physical tension or the conditions that induce the tension.” (Clinton & Scalise, 2013) She experiences negative stress due to her everyday life struggles. Obsessive compulsive behavior has been exhibited in the amount of cleaning she initiates in an effort to balance out the stress. There are times in Dash’s account where she breaks down and begins to cry in front of the interviewer because she feels she can no longer handle the stress of her life.
RECOMMENDATIONS: The first step of recommended treatment would most likely be to remove Rosa Lee from her current, harmful environment. According to Doweiko, “Social support systems, including peers influence on the individual’s substance use behaviors. If a woman has a close associate who drinks heavily, for example, she is herself more likely to both drink heavily and associate with those who drink heavily.” (Doweiko, 2012) She even admits that environmental change would be helpful in the recovery process.
"Mr. Dash," Rosa Lee says one day in early October 1990. "Why is it I can 't find a place with no drugs?"
She is standing in her living room, her hands spread in a gesture of frustration and resignation, her voice competing with the sound of an afternoon soap opera on
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She also recognizes that there is little she can do to help herself while continuing to reside in her current environment. The treatment program in which she is enrolled does not remove her from the stressors and triggers in her normal, everyday life. According to Clinton and Scalise, “an inpatient drug rehabilitation center is the most effective means by which a heroin addict can be helped” (Clinton & Scalise, 2013). An inpatient drug rehabilitation center would be an ideal facility in order to provide her with a fresh and clean and healthy environment in which to recover. An inpatient treatment center will allow for all other medical needs to be addressed in addition to the main focus on recovery from substance use disorder. (Doweiko, 2012) During the time spent at a facility such as this, the goal would be for the patient to leave with the knowledge and skills to continue in their recovery even if they must return to their initial harmful environment. Here both psychological and physical needs are
Lee Lor was a fifteen year old Hmong girl. She was diagnosed with an acute appendicitis. During the operation to remove her appendix, doctors discovered an eight inch cancerous tumor in abdomen. Without consent they removed the tumor which cost Lee an ovary and part of fallopian tube. The doctors told her parents after the procedure what had happened and promised that she was still fertile and able to still have children. The Hmong people do not accept the western world tradition and science. They hold on strongly to their ancient traditions, are animist, and very spiritual. When the parents were made aware of the extra procedure taken place they did not trust the doctors and refused Lee further treatment including chemotherapy.
DISCUSSION/ANALYSIS Introduction: Throughout this discussion, I will debate and analyse the ideas I have collected from my research. My discussion is separated under sub headings which will allow me to form a better understanding of how capital punishment is viewed, which will help me in reaching a possible answer to my question. Firstly, I am going to be discussing two very well known case studies. Case studies: The two case studies I have picked to focus my research on are: Derek Bentley who was the last man executed in Britain along with Ruth Ellis who was the last woman executed in Britain.
On October 13th I was fortunate enough to be able to interview Sandi Lopez. Lopez is from Grand Island, Nebraska and has also lived in Kansas for a few years. At first she was not quite sure on what to do with her career pathway. She wanted a job where she could be able to help others and her community. Lopez says that having many of her friends being police officers is what got her more into law enforcement. She says hanging out around her friends telling her stories about being officers made her really want to be a part of the law enforcement department. However, she says it was a very hard decision to make knowing the fact that she would have to work long hours and being with her family was very important to her. In the end, she decided
...bolism of colors, her growing fondness of "Chameleon Lenny," right up to her first puff of the cigarette, it is evident that she will not be able to overcome her temptations and be drawn back into the world of drugs and alcohol, only more intense this time (93). She has seen the sober life and she isn't happy with it. Her cigarette smoking and drinking, although not illegal, will still conform to her downfall. You can lead a horse to water, but you can't make it drink. At the beginning of the story we see hope for someone who brings cookies to her AA meetings, who sits and drinks coffee while her daughter is at dance practice, but unfortunately in the end, "There is only this infected blue enormity elongating defiantly" (107). Once an addict, always an addict, "When the glass was finished she would pour another. When the bottle was empty, she would buy another" (107).
With her longing for something more than what she gets on an everyday basis, her growing fondness of Lenny right up to her first drink and drug use, and the symbolism of the blue and green, it is evident that she will not be able to overcome her temptations and be drawn back into the world of drugs and alcohol, only more intense this time. She has already started doing drugs, drinking, and smoking again. She has seen the sober life for way too long and she isn't happy with it. Her cigarette smoking and drinking, although not illegal, will still conform do her downfall. "When the glass was finished she would pour another. When the bottle was empty, she would buy another"(107).
“My crimey here think the way to go is more drugs. But I know better. I think making money is okay, but not making it just by dealing. You gotta go legit, at least for a minute. You gotta go state fresh, all the way live, if you wanna do anything worthwhile out here. Everybody thinks they can make crazy dollars, but they confused. It aint like that. I’ve seen co-caine bust many a head – they get fucked up and be clocking out after they find out they cannot find the key to understanding that mystery skied. But you know what? But-but0but you know what? They don’t have a clue. Word.” (Williams, 1989)
Dimed by Barbara Ehrenreich and Drug Abuse, Opposing Viewpoints by Tamara L. Roleff. For example, Barbara Ehrenreich gives us an appropriate quote when she states that, "if you want to stack Cheerios boxes or vacuum hotel rooms in chemically fascist America, you have to be willing to squat down and pee in front of a health worker,"
Rose Helen Wade Lee was born on January 11, 1947 to Jerona Mae Rogers and Ely Wade in Washington D.C. She had five (5) brother and (1) sister, Lonnie Ware Rogers (deceased), Harold Brown Rogers, David Lewis Wade Sr., Charles Wayne Wade Sr., Clara Andronedia XXXXXXXX, Alonzo Nicholas Wade(deceased). She has four (4) beautiful children Harold Rogers Wade, Lonnie Rogers Wade, Howard William Lee, Jr and Amaris J Lee, and then there was one (1) that adopted her Darian Dewayne Berry. She was married Howard W. Lee, Sr. (deceased) for 35 years. She had four (4) wonderful grand children Jessica Marie Wade, Coardero A. Rankens (deceased), Kevon Donte` Lee, and Julius Dante` Wade, and two (2) great grand kids Andre` Marquis Burton, and Kennedi Amber Wade to live her legacy on.
Rosa and Miguel are experiencing relationship problems due to developmental and financial stressors. This has created a turbulent home environment. Miguel’s verbal abuse and open hostility has Rosa emotionally overwhelmed. He is not physically abusive; however, his anger is upsetting the household. The children are also displaying emotional and physical stress related symptoms. Rosa and Miguel come from emotionally unstable homes, which has impacted their ability to communicate and manage their emotions. Due their inability to communicate in a productive manner, they have sought help to resolve their problems. Both have expressed the concern that they are repeating the harmful behavior they experienced as children. They
At today's visit, she is awake, alert and oriented times 3. She is accompanied by her friend and daughter. She is sitting on her sofa slump over and crying “ I cannot take this pain anymore, I cannot keep going on like this, why wont
The patient may be able to sense if you have a negative opinion of them. Also, many patients with addiction may have ineffective coping, personal identity disturbance, and altered family coping along with many others. The patient will need support and access to resources. As nurses we must advocate for our patients, so in these situations we need to be actively doing this. The patient may need information about treatment and groups. During my observation at a rehabilitation facility, I saw firsthand that these patients need support. We need to provide the support and care that they need. (Observation, March 1,
According to the American Heritage Dictionary, alcoholism is defined as "the compulsive consumption of and psychophysiological dependence on alcoholic beverages." It is a problem that can tear apart marriages and families, cause someone to lose his job, and many more negative results. In order to recover from this dependency a person must lose his desire for and dependence upon alcohol, continue to remain sober, and resolve all conflicts caused by the alcohol abuse. There are several alternatives an alcoholic has to rehabilitate himself. The best solution is a combination of individual therapy and a support group like Alcoholics Anonymous.
Rosa Lee Cunningham is a 52-year old African American female. She is 5-foot-1-inch, 145 pounds. Rosa Lee is married however, is living separately from her husband. She has eight adult children, Bobby, Richard, Ronnie, Donna (Patty), Alvin, Eric, Donald (Ducky) and one child who name she did not disclose. She bore her eldest child at age fourteen and six different men fathered her children. At Rosa Lee’s recent hospital admission to Howard University Hospital emergency room blood test revealed she is still using heroin. Though Rosa Lee recently enrolled in a drug-treatment program it does not appear that she has any intention on ending her drug usage. When asked why she no longer uses heroin she stated she doesn’t always have the resources to support her addiction. Rosa Lee is unemployed and receiving very little in government assistance. She appears to
Stress is defined as “any circumstance that threatens or is perceived to threaten one’s well-being and thereby tax one’s coping abilities” (Weiten & Lloyd, 2006, p. 72). Stress is a natural event that exists literally in all areas of one’s life. It can be embedded in the environment, culture, or perception of an event or idea. Stress is a constant burden, and can be detrimental to one’s physical and mental health. However, stress can also provide beneficial effects; it can satisfy one’s need for stimulation and challenge, promote personal growth, and can provide an individual with the tools to cope with, and be less affected by tomorrow’s stress (Weiten & Lloyd, 2006, p. 93).
First, stress is defined as an unpleasant state of emotional and physiological arousal that people experience in situations that they perceive as dangerous or threatening to their well being (Patel, 14). Stress is a universal feeling to everyone but the word stress means different things to different people. Some people define stress as events or situations that cause them to feel tension, pressure or negative emotions such as anxiety or anger (Patel, 15). Other people may view stress as a process involving a person’s interpretation and response to a threatening event. In any case, stress has many facets of how one perceives and responds to the certain predicament that is ailing them.