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Treatment for bipolar disorder essay
Treatment for bipolar disorder essay
Treatment for bipolar disorder essay
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CHIEF COMPLAINT Seizure disorder. SUBJECTIVE Mr. Lafountain is here for followup after switching from Depakote to Topamax. His Depakote was discontinued due to intolerable side effects. He is currently taking Topamax 50 mg twice daily. He reports that he is also having intolerable side effects from this medication including moodiness, irritability, anxiety, and insomnia. He feels that the medication is intolerable. He has not had any seizure activity. OBJECTIVE Generally, well-appearing male, pleasant, cooperative. Pounds 248, temp 98.7, blood pressure 128/85, pulse 59, respirations 18, 99% on room air. No focal neurological deficits. ASSESSMENT Seizure disorder. PLAN Mr. Lafountain is hesitant to take any seizure medication at all.
Anti-Kickback Statute prohibits anyone knowingly or willfully offering, paying or soliciting or receiving remuneration, directly or indirectly; in cash or kind; in exchange for; patient referrals or furnishing or arranging a good or service for a Federal healthcare program including Medicare or Medicaid. Stark would also apply to Hanlester as well but Stark was not enacted until after the Hanlester case. Stark is strict liability, does not require the knowingly/willfully element, and is not prosecuted criminally.
The applicant Mr. Arthur Hutchinson was born in 1941. In October 1983, he broke into a house, murdered a man, his wife and their adult son. Then he repeatedly raped their 18-year old daughter, having first dragged her past her father’s body. After several weeks, he was arrested by the police and chargedwith the offences. During the trial he refused to accept the offence and pleaded for innocence. He denied accepting the killings and sex with the younger daughter.
Anne is a seventy-four year old female with multiple comorbidities. The patient I interviewed is a sixty five year old male with a past medical history of hypothyroidism and no other reported medical conditions. Additionally, Anne requires assistance with completing her activities of daily living such as shopping, transportation and managing her finances. Also she rarely leaves her home, and is inactive due to chronic pain. The patient I interviewed is able to care for himself independently and is rather active. The patient I interviewed continues to work outside his home and routinely
The court will likely hold that Andrew Keegan’s (“Mr. Keegan”) actions were a product of a law enforcement officer in influencing his conduct therefore establishing an entrapment defense.
Team owner Fay Sollenberger was pleased that the team was recognized at their awards banquet.
On October 24th 1993 in Saskatoon, Saskatchewan, Robert Latimer was convicted of second degree murder for the intentional killing of his 12 year-old daughter, Tracy Latimer, who suffered a severe form of cerebral palsy since she was born. Tracy endured seizures five to six times a day, could not take pain medication because it would interfere with her epilepsy medication, and underwent painful surgeries throughout her life to stabilize her body weight and correct spinal abnormalities. Just weeks before her death, her doctors planned to surgically remove her hipbone, which had become dysfunctional as a result of a previous surgery and spinal complication, and would have taken at least a year of recovery and been extremely painful. Her father,
Client is a 78-year-old Haitian Creole-speaking male with a history of diabetes, edema, hypertension and seizures. Client was treated for respiratory failure at an inpatient hospital facility. Client was transferred from the inpatient hospital facility to Miami Jewish Health Systems for inpatient short-term care rehabilitation. Client appears average height, slender and weighs approximately 178 lbs. Client has a clean-shaven head, facial stubble, and appears to be stated age. Client is dressed in a hospital gown, with normal grooming and hygiene. Client appears relaxed
Francis Latanowich one of the sears several bankruptcy customers decided he wanted to reopen his case. Latanowich begged the court to reopen his case. In 1996 Judge Carol Kenner discharged Latanowich’s debt but Latanowich agreed to repay sears 1, 161 he owed for a tv, car battery, and other goods. Latanowich received a letter that said he was at risk of losing his possessions if he didn’t continue to keep his credit card open.
Mr. Herbert Lindsay, was seen at his home in Boynton Beach, Florida for individual therapy. During this session, client and therapist took a moment to discuss any present issues and effective ways of resolving problems. The client reported that he met with his attorney earlier in the week regarding his trial. Mr. Lindsay stated that he believed that his plea deal was no longer available to him. He noted that his court date is set for some time in May.
Depression: It is used at the dose of 20 mg per day, usually given at bedtime. The dosage may be increased to 40 mg per day after one week. The maximum dose is up to 60 mg/day which should be reserved for treatment of refractory patients who have had a 4 to 6 week trial at 40 mg/day.
His blood pressure today is 101/62. His pulse is 90. His respiratory rate is 20. [Name] is afebrile.
Natalia is a 33yo G4 P1112 who was seen for an ultrasound evaluation and consultation. The patient is interested in genetic screening. She has a history of opiate use disorder and has been using 20 mg of methadone every other day taken from the streets, per her report. She reportedly has anxiety and depression and has been told that she has bipolar disorder in the past. She also does have a history of a previous 32-week preterm delivery with premature rupture of the membranes, though she gave that baby up for adoption. The baby did stay in the NICU for about 2 weeks. She also has a history of having GDM in that pregnancy with HTN in both previous deliveries in 2011 and 2013. In addition, based on her height and weight at the start of the pregnancy, her BMI was 37.
During the assessment, the patient would answer questions appropriately then often had a blank stare during questioning. At times he would answer all questions appropriate and accurately then the blank stare would return. In review of the patient’s history his spouse told me he had a history of depression, DM, and HTN. His history was negative for CHF and CVA. The patient was on Metformin, Lisinopril, and Effexor. He had no recent medication changed. In the review of systems, the patient denied all other symptoms including headache, fever, signs of UTI, signs of stroke, and all other pertinent complaints. He denies any new stressors.
Mrs. D. was admitted to the unit in 2011. She is 84 years old widow who was diagnosed with dementia, diabetes mellitus type II, hypertension, high cholesterol
Facts: A number of cases of liquor and a tool and die set were stolen from the bar and storeroom located in the Colony Arms Hotel in Glen Cove. Mr. Lerhinan was staying at a local motel and was several weeks late in payment. According to Chapter 10 in our textbook Hotel Restaurant and Travel Law, “guests rights to exclusive use of the room ends if the guest fails to pay as agreed or if the occupancy period expires” (Cournoyer, 368). The hotel manager entered Mr. Lerhinan’s room with the purpose of collection. When Mr. Lerhinan was found not to be in his motel room the manager decided to move all of his belongings to the basement and re-rent the room. The Chapter 10 states that, “the right to occupy the room reverts from the guest to the innkeeper, who is then entitled to enter the room, prepare it for the next visitor, and remove any remaining property of the guest” (Cournoyer, 368). While collecting Mr. Lerhinan’s belongings he came across the stolen liquor in the defendant’s closets; he immediately called the police. The defendant was arrested the next day and charged with the theft of the stolen items. Mr. Lerhinan moved to suppress the evidence found in the motel room, due to the fact that he claimed that the motel manager violated his fourth amendment to privacy by entering his motel room.