12/7/2015: Josephine Sullivan made a request that I speak with the patient about her depression. The patient is a divorced 45 year old woman; she states that she was working at the Pentagon on 9/11 and that she was later diagnosis with PTSD and Bipolar. Ms. Glaraga was here at this appointment seeking psychotrophic medications which she had discontinued 3 – 4 months ago because she didn’t like taking the medications and felt that she was doing better. Within the last month the patient has been experiencing symptoms severe depression, she scored a 18 on the PHQ-9 after answering the questions in writing herself. Dr. Turner prescribed a 30 day prescription for BuSpar, Seroquel, Zololt and Vistaril for Ms Glaraga to control her Bipolar and anxiety,
Cynthia Adae was taken to Clinton Memorial Hospital on June 28, 2006. She was taken to the hospital with back and chest pain. A doctor concluded that she was at high risk for acute coronary syndrome. She was transferred to the Clinton Memorial hospital emergency room. She reported to have pain for two or three weeks and that the pain started in her back or her chest. The pain sometimes increased with heavy breathing and sometimes radiated down her left arm. Cynthia said she had a high fever of 103 to 104 degrees. When she was in the emergency room her temperature was 99.3, she had a heart rate of 140, but her blood
The court’s decision based on the treatment of young people in this case emphasizes on the concept of social justice, which means the fair allocation of wealth, resources and opportunity between members in a society. The appellant in this case, Louise Gosselin, was unemployed and under the age of 30. She challenged the Quebec Social Aid Act of 1984 on the basis that it violated section 7 of her security rights, section 15 of her equality rights in the Canadian Charter of Rights and Freedoms and section 45 of the Quebec Charter of Human Rights and Freedoms. For the purpose of this essay, we shall explore the jurisprudence analysis of section 7 and section 15 of the Canadian Charter of Rights and Freedoms. Section 7 states that everyone has the
Symptoms/Focus: Dr. Andrew Bourgeois at Simi Valley Emergency Room requested an evaluation of client by the Crisis Team for Suicidal Ideation and Grave Disability. Client placed a call to EMS on his own behalf on the evening of 05/14/2017. Client requested to be picked up from in front of a restaurant and taken to Simi Valley Emergency Room due to suicidal ideation with a plan to "cut head with a saw". Client stated to Dr. Bourgeois that his depression had increased over the last 3 days. Client denied drug or alcohol use, but was positive for amphetamine in the hospital toxicology screen. Client had been seen at Simi Valley ER and
Ashley Smith was a young girl that was placed in a juvenile detention centre at age 15 for throwing apples at a mail man. Her short sentence quickly extended into a life sentence because of so many infractions within the prison system. Ashley suffered from extreme mental health issues and was place in a psychiatric prison facility, however this facility was shown in the documentary to be corrupt and their actions with Ashley were extremely illegal. Furthermore, Ashley wasn’t given the proper help and treatment that she needed, instead she was physically and verbally abused by guards in the prison, and she ultimately passed away in the prison. Her death is still being debated about whether
In this case scenario, Ms. IC’s primary doctor, gynecologist and her psychiatric nurse practitioner or psychiatrist, as well as her caregiver or family members should be contacted by the nurse practitioner in order to gain Ms. IC’s previous medical history and medical managements. The purposes for consulting other healthcare providers are to provide better care and to prevent relapse.
METNAL UPDATE: Client was diagnosed with Axis1: Adjustment Disorder with mixed anxiety and depressed mood-309.28 (primary). CM continues to encourage the client to participate in mental health
The client is a 47 year old female with a 12 grade education level who lives in Hillside Court. In 2017, the client was hospitalized at Richmond Community for approximately 4 days. The client recalls experiencing symptoms depression, anxiety, and suicidal gestures. The client was diagnosed with Major Depressive Disorder and Anxiety by Dr. Jackson at Community Hospital. The client was prescribed Trazadone.
Vicki Sayers was referred to me today because she was recently the victim of a rape. The client is a 31 year old Caucasian female born on November 22, 1979, in New York. The client gives an account of her own history and appears to be a reliable source. The client states she was assaulted four times by the same perpetrator over the last fifteen years. The first rape occurred in 1995 when she was 16 years old. The client was working as a candy stripper at a hospital, and while she was leaving for the day, she was grabbed from behind and pulled into a storage room and raped. The perpetrator took her drivers permit and told her that if she told anyone he would kill her parents. She states that she was so frightened that she never told anyone. During her sophomore year at Hudson University in 1998, the client was raped
...venous because of increasing the appetite, and she gained weight. Similarly, antipsychotics ,which Susannah was on, cause fatigue, drowsiness, and confusion. Second, through recovery process, she attended two evaluation sessions of rehabilitation medicine. Specifically, concentration and memory assessment to evaluate her ability of recovery. Third, Susannah met Dr. Najjar and Dr. Arslan every other week for follow up. They had gradually decreased the doses till they finally took her off all medications. In addition, she enrolled in cognitive and speech rehab.
The number of individuals diagnosed for one or more mental disorders and consequently treated with a corresponding drug has significantly increased the past several years. The following statistics displaying this are shocking:
Early one bright, sunny morning I excitedly arrived to my internship at UnityPoint Health St. Luke’s in Sioux City to discover that a young girl had attempted suicide the night before. After telling her mom she wanted to die during an argument, 17 year old Sally* took a container of Benadryl out of the medicine cabinet, locked the bathroom door, and proceeded to swallow whatever pills where in the bottle. Luckily, she made it to the hospital in time to make a full physical recovery, but it was obvious that there were mental health issues that needed to be addressed. From the original report, it appeared as a simple enough case, a patient attempting suicide in the mental health field is not all that uncommon. However, an interview with the client
Having the proper documentation is a very integral component of a Josephine’s medical record because it will provide information about the care that she needs, her current status as well as communicating to others as to how well they may facilitate to her care. Each nutrition counseling session must have the correct documentation within Josephine’s medical record at all times, and must include:
Diagnostic criteria for other mood or depressive disorders were unmet and/or her symptoms were better explained by another disorder. For example, while she met five of the ten diagnostic criteria for full mania in Bipolar I Disorder, the full range of symptoms were better explained by this diagnosis. Additionally, the description of her acute panic attacks was insufficient to qualify for a panic disorder, so a specifier was added for a more complete diagnosis.
Janice has sought therapy following an attempted suicide, where she took a large amount of medication previously prescribed for a back problem. Janice says that she has depressive episodes that last anywhere from one to two months before subsiding and seem to randomly follow periods where she feels almost ecstatic. During the high points of her mood, Janice acts in erratic ways, whether it be spending money frivolously (uncharacteristic of her modest tendencies) or needing very little sleep. This has caused great damage to the relationships in Janice’s life, she spent most of her savings and she and her husband often fight about financial issues. On the other hand, during the low points of her mood, Janice spends majorities of her days in bed and toys with thoughts of suicide. These mood swings have bothered her since she was 19, and despite thinking of therapy in the past, this is the first time she has actively sought it. Janice’s illness n...
Psychopharmacology has played a huge role in my life since I was about 9 years old, but recently, I have discovered that many people in my family have had similar struggles to mine. My beliefs, values, and attitudes regarding psychotropic medication have been formed from my family's and my experiences with mental health treatment. This has lead to some biases, which will likely impact my practice and potentially present some challenges, but there are many ways to combat these biases and utilize my experiences and beliefs in a way that positively shapes my practice and relationship with clients, whether we (myself, them, and their family) choose psychotropic medication as a treatment or not.