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Patient safety versus risk management at hospital
Patient safety versus risk management at hospital
Risk management plan for healthcare facilities
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Mrs. Baker is a 56 year old female who presented to the ED with homicidal ideation without a plan. She express having auditory hallucination. Mrs. Baker reports the loss of a friend and her pets as the primary factors contributing to her distress. She does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. At the time of the assessment Mrs. Baker denies feelings of suicidal ideation, however still endorses thoughts of harming "everybody who gets too close." She reports the onset of her depressive symptoms started almost 2 weeks ago and auditory hallucination occurred over the past two day. She denies visual hallucinations. Mrs. Baker states, "My family has seen me crying and depressed this week, I told my son-N-law and daughter why I came to the hospital today." Mrs. Baker reports her uncle died about 2 weeks ago and a close friend who she saw just 2 years ago died yesterday 8/19/16. She also expresses last Monday she had to give up her pet dog and a few cats because of live conditions. Mrs. Baker reports overwhelming thoughts of possibly harming her grandchildren. She expresses feeling unsafe being around them. Mrs. Baker reports this morning waking up and cooking breakfast for her grand children and herself as well as eating breakfast with them. She reports also watching a movie with the …show more content…
Baker daughter and Son-N-Law were contacted for collateral information. Mrs. Baker daughter states, "nothing is wrong with my mother." She expressed for the past 3 months since Mrs. Baker last psychiatric hospitalization she has been concerned about her mother malingering behaviors. The daughter reports her mother goes to Daymark and discuss these same situation with them. The daughter reports her mother did not express any depressive symptoms of even told her reason for coming into the hospital today other than she just needed to go to the hospital. The daughter reports its been 15 years since she saw her friend that Mrs.
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
Alameda has had a hard life as a young girl growing up, both of her parents were alcoholics. Alameda was a 16 year old minor who had a baby and dropped out of school, and then was unable to care for the infant. A case manager by the name of Barbara LaRosa was assigned to Alameda case. Barbara took on Alameda as her client and made a visit to her parents’ home, while making the visit she found Alameda dad incompetent, and could not get any information from him to help with his daughter well-being.
Laurie Sexton – Laurie is a very established and experienced administrative professional. For the past 18 years, she has worked for Randall & Roberts Funeral Homes. When she first began with the organization she focused more on providing customer service and working directly with the families. AS the company grew in size and added additional locations, the need for someone to focus full time on the administrative and organization needs became apparent. Laurie moved into this role. While she still does have some direct family contact and fills in when needed during various services her predominant responsibility is to handle the office needs of the company. A large piece of this is working with the owner and seven directors to manage the
Gabriella’s general physician has referred the client to therapy because she has been having low moods. The client stated that she has been feeling down and has been unable to “snap out of it.” The described that the current symptoms she is feeling are due to her feeling lonely and distant from things. She explained that she feels empty, does not feel like herself, and feels that she not in touch with anything. The client elucidated that she feels as if she was watching everything go by. The client is describing symptoms of dissociation. The client continues on to explain that her physical symptoms feel as if she had butterflies in her stomach. She currently has low energy and difficulties getting up in the morning.
The Baker vs Immigration Canada involved the appeal of an immigration official's decision for permanent resident status on humanitarian and compassionate grounds citing the Canadian born children of the appellant as primary concern. This is landmark case in respect to consideration of children interests and concept of procedural fairness. Mavis Baker, a Jamaican citizen was ordered to be deported in 1992 after been overstaying her visa and working illegally in Canada since 1981. During this time, she gave birth to four children in Canada. She was the sole caregiver for two of them, and the other two depended on her for emotional support which stayed with her former partner after she was diagnosed with postpartum. After been ordered for deportation, she applied for an exemption from the requirement to apply for permanent residence outside Canada, based on humanitarian and compassionate considerations under S.114(1) of Immigration Act. The immigration officer rejected her application ,the rejection letter provided no reasons for the refusal of the application. The counsel of Ms. Baker requested and was provided with notes of the immigration officer who had reviewed her file initially outlining the reasons for denial of the application. The notes from the immigration officer states that the case is catastrophe and Ms. Baker would be burden on the Canadian social welfare system. He further stated that the Ms. Baker is staying beyond the expiration of her visa illegally and still not yet deported, shows the indictment of the system, thus not enough group for H& C consideration.
Holling was a very interesting and very relatable person. He’s this pre-teen thats in middle school. He has a dad that only cares about work, his mom works around the house and his sister she work for Bobby Kennedy and she is a flower child. Holling is the only student in his classrooms on wednesday afternoons with Mrs. Baker. Half of his class is catholic, and half is lutheran, and they leave early on wednesdays to go to church.
Ms. Dean is a 17 year old female who presented to the ED with thoughts of harming other with a plan. Ms. Dean reports a plan to mix unspecified chemicals together, " to hurt people not specific people just anybody." She reports increased anxiety for the past week. Ms. Dean reports experiencing delusions. She denies suicidal ideation and current symptoms of psychosis. Ms. Dean expresses depressive symptoms as feelings of sadness, fatigue, tearfulness, anger, isolation, and irritability. Ms. Dean does not express any current issues that might have triggered these events.
Mrs. A is a 71-year-old widow with CCF and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother 's ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs. A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her prescribed medications are:
When I think of abnormal behavior, the first thing that comes to mind is one of my aunt’s. She committed suicide when I very young, so early 1970’s. As I got older, inevitably stories of her would arise during holiday get togethers. She was married with three children and in her early thirties, residing in Florida, when she walked out and away from her husband and small children. For over a year, no one knew what happened to her, she made no effort to contact anyone. Eventually, the Salvation Army somewhere in Michigan called my grandmother and they sent her home on a bus. She never returned to her husband or children. The doctors diagnosed her as a paranoid schizophrenic. My mother told me that when she was on her medication she was fine, but once she felt “fine”, she would stop her medication. When the medication left her system, she became anxious and afraid. She once chased my grandmother, who was in her late sixties down the driveway with an ax, because she thought her mother was trying to kill her. After several inpatient stays in mental hospitals, she came back home again and she was doing good. She left my grandmother’s one night while everyone was sleeping, made it approximately fifteen miles away to a lake.
The presenting patient is a thirty-eight-year-old, Caucasian male, who was involuntarily admitted to Acadia Hospital on March nineteenth, with the admitting diagnoses of schizoaffective disorder and bipolar type. Police brought the patient to the emergency department after the patient was found dancing in and out of traffic, shirtless in fifteen-degree weather, and threatening employees and customers in local shops. Upon police custody the patient reportedly requested that they retrain him, for their comfort, and shoot him. Following medical clearance from the emergency department the patient was admitted, while displaying characteristics of grandiosity, psychosis, and reports of threating behaviors in the community. The patient has no known
Dispatch informed me, Coralyn Cohrs was reporting her daughter, Brandy Cohrs being suicidal again after she was released from the ER early this morning. I arrived & spoke with Inv. Schlag, Coralyn, John Kyllonen, Brandy’s boyfriend who were all in the driveway. Brandy was sitting on the stairs nearby. I spoke with John & Coralyn who stated Brandy was making threats of wanting to hurt herself again as she was saying she didn’t have any friends. Inv. Schlag spoke with Brandy about the incident and she admitted to him she was not suicidal & had not taken any pills, as John feared.
Dewayne, a 37-year-old male, who presented for outpatient psychiatric evaluation. He states that he feels so tense that he might “explode.” He has always had a tendency to worry, but never to the degree where he absolutely “can’t relax.” Over the course of the past year, he has felt constantly on edge. Dewayne has had issues with stomach pain and loose stools over the past 6 months as well as difficultly concentrating at work. His wife states his restlessness has been inhibiting her ability to get a good night’s sleep. Dewayne tosses and turns in bed till the early hours of the morning, getting up frequently to use the restroom. His mood has been very poor in the past 6 months, causing him to have little patience with his family or coworkers.
R. was immediately told about the patient and that there would be a meeting to review the case. When Dr. R arrived home later that day, her strength was totally depleted. For two days thereafter she could not get out of bed, lost her appetite and could barely get 2 to 3 hours sleep per night. This is Dr. R’s second episode of severe exhaustion. The first occurred at the end of her psychiatry residency, while preparing for board certification. She has never smoked cigarettes and does not drink alcohol. She performs most of the household chores, entailing substantial physical exertion, but engages in no recreational physical activity. Her parents are retired physicians, in good health, and live in another town. She is an only child. Most members of her genetic family are healthy, to her
There is a major concern with Ms. Nelson taking all these medications, which may contribute to the increase hallucinations as well as the memory loss. Ms. Nelson currently having some family issues, which caused some of her medications to be increased. The assessor observed Ms. Nelson appeared to be very open during the assessment answering all questions to be best of her ability. However, she appeared to been experiencing some anxiety during the reassessment due to her constantly moving her hands, feet and picking up her
Behavior (B): The session took place in TC’s family’s home. Mother presented with appropriate affect and euthymic mood. Mother was receptive to counselor’s comments and questions and provided feedback to counselor when necessary. Mother was well groomed, focused, alert, oriented x4. Mother had no signs of delusions, hallucinations or suicidal ideations. The home was clean and appeared safe.