Ms. Case is a 38 year old female who presented to the ED after wrecking her car late yesterday afternoon into a wall in a parking lot. Ms. Case Eloped from ED just prior to wrecking vehicle after refusing "headache cocktail". Ms. Case denies wanting to harm herself, she reports just having poor judgement during a anxiety attack. At the time of the assessment Ms. Case denies suicidal ideation, homicidal ideation and symptoms of psychosis. Ms. Case reports a history of PTSD, Anxiety, depression, and Schizo-affective Disorder. She reports yesterday attempting to park her car in a parking lot after experiencing an anxiety attack while driving. Ms. Case states, "I tried to slam on breaks, but I actually think I slammed on the gas." She further states, "I don't want to hurt myself." Ms. Case reports a history of multiple sexual assaults and rapes. She reports at the age of 17 she was molested by a neighbor, at the age of 24 she was sexually raped by "the east coast rapist", and another time by an unknown individual. Ms. Case reports she experiences flashback and frequently have nightmares. Ms. Case expresses symptoms of depression from these traumatic events. She expressed depressive symptoms as feelings of worthlessness, sadness, isolation, insomnia, and anger. She denies any current …show more content…
Case most recent UDS she tested positive for Marijuana, Benzo and Oxycodones. Ms. Case reports recently having surgery and having to go to multiple hospital for pain medications. She expressed multiple times she is not med seeking, however has show many med seeking behaviors. This is evidence by documentation of her frequent hospital visits and prescribe pain medications, continuous asking this clinician to make sure she gets pain medication to go home with when she has been informed this clinician dos not prescribe medications, and conflicting stories about being prescribe medications. Ms. Case also reports she smokes marijuana daily and buys 3.5 grams every 2
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Mrs. Hylton is a 45 year old female who presented to the ED via LEO under IVC by her therapist, Melanie, from ADS. Per documentation Mrs. Hylton denies suicidal ideation and homicidal ideation to nursing staff and MCM before the evaluation. She also contracted for safety with MCM. Dr. Horton requested a mental health assessment on Mrs. Hylton. Before the assessment Ms. Melanie and her supervisor Melissa were contacted. Ms. Melissa reports Mrs. Hylton verbally contracted for safety, however left before ADS could type up terms of verbal agreement. Melissa reports afterwards she was not aware of Mrs. Hylton symptoms of psychosis when speaking with her until being informed by Melanie of findings after conversation with Mrs. Hylton. Melanie upon
In this case analysis, Molly Wright was murdered on 27th Sept 2006, at Redhill Gardens, Airedale, Castleford in the United Kingdom. Bloodstain Pattern Expert Samantha Warna is correct in her testimony. She testifies that the victim, Molly Wright, was killed by her son in law and business partner, David Hill. If she said that she found blood stain patterns on his shoes, jeans, and the denim jacket that he was wearing at the time of her murder (Casey, 2012).
As the EAI team was discussing Molly’s case, one of the ED Residents made a few telephone calls. Molly’s PCP reported that during her last visit about 2 weeks ago, Mollie was alert and able to respond to questions appropriately. He confirmed that Mollie’s daughter and son in law have experienced psychiatric problems, adding that the son in law has expressed anger regarding Mollie’s living arrangements. The home health care agency was contacted. The RN and aide both report they have never met the son in law and have had very limited contact with Mollie’s daughter. When contacted by telephone, the daughter provided no explanation for Mollie’s extensive bruises noted on admission to the hospital. The daughter stated that Mollie did not fall, but in fact lowered herself to the floor in an effort to draw
When becoming pregnant, one must obtain and practice the skills it takes to become a healthy mother. Yet, in some cases, some women fall short of this due to substance abuse, disorders and/or other external factors. The case of Melissa Rowland is a rather compelling, yet prime example of procreative responsibility. With a record of; felony larceny, two counts of child endangerment and murder. Melissa Rowland was a single mother who had been impregnated four different times and suffered from an arrange of issues. She was diagnosed with oppositional defiant disorder, which can be classified as a behavioral disorder. As for Melissa, ODD affected her significantly, “physicians define ODD as a pattern of disobedient, hostile, and defiant behavior
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
Ms. Hernandez claimed that she undergoes chronic back pain to her lower back which inhibits her to move around as quickly as she finds it difficult and painful to get up from a seated position with the use of her cane or a walker. It is difficult for her to sit for more than 15 minutes at a time, without experiencing pain and the discomfort to her lower back as she would have to get up from her sitting position and lay down on her bed to stretch-out her back to allow the discomfort to her back to diminish. Because of her previous back injury, she finds it difficult to carry, lift, bend, twist at the waist while she cannot hold anything more significant than 10 pounds. She must frequently rest after she does any menial chores in her apartment. Even though that the complex where she lives cleans her apartment once a week she will find it
Case introduction: A 19 year-old gentlemen, SS, presented to station 20N through the emergency department, following what was described by friends and family as “bizarre behavior.” SS had recently begun college at a local liberal arts school. He had done well during the first semester, but began to struggle academically during the second semester. Family attributed the decline in academic success to an increase in class size, which made SS uncomfortable. Several weeks prior to hospital admission, SS became increasingly isolated, spending the majority of his time in the dorm room and less time in class. Friends and roommates reported that SS was exhibiting bizarre behavior, often confiding in friends that he was being “spied on” by others and that people around him could “read his thoughts.” SS also endorsed a strange delusion in which those around him would blink simultaneously as a form of communication. All of the aforementioned events became overly distressing to SS and his family, so they sought medical help. SS had a limited psychiatric history for which he had seen a psychiatrist. The psychiatrist had put him on an anti-psychotic medication some months prior, but SS self-discontinued the medication after just a several week trial. As a result of the above, and a lack of explanation regarding the past psychiatric referral, the events were described as “first-episode psychosis.” Discussion regarding the diagnostic work-up followed.
I am writing this recommendation in reference to Mrs. Beth Slette for the West Fargo Public Schools Superintendent position. With the privilege of serving with Mrs. Slette for five years on our executive administrative team at West Fargo, I have been very impressed with her leadership and gifted communicator embracing listening, collaboration and patience. Mrs. Slette has exemplified her communication skills throughout our productive administrative team demonstrating tremendous vision and fortitude for student learning. It is evident that Mrs. Slette has the expertise to work closely with all stakeholders at West Fargo Public Schools to meet the established goals in leading our district.
At the onset of assessment by a staff-counseling psychologist, the woman seemed to relax and share some of her thoughts and feeling. As the assessment process continued, the psychologist was able to ascertain that the issue with depression appeared to be a relevantly recent development. Additionally, the depression appeared to be the result of heighten conflicts between the woman and her husband pertaining to alleged extra material affairs. In conversation with the psychologist, the woman claimed to feel “overwhelmed”; her husband filing for divorce triggered the feelings she inferred, which reportedly lead to her breakdown. However, the psychologist has since discovered that the husband denies the affairs and attributes this to the depression. Additionally, the husband claims that the termination of the marriage is a result of the deterioration of his wife’s mental state.
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
Palin, Webb and Curtiss case has occupied the majority of Janine’s time during this reporting period. The case was tried in a bench trial before a U.S. District Court Judge The investigation of this case was originally initiated in early 2010. Palin and Webb owned Bristol Labs a lab that specialized in urine drug screen testing. The lab worked with a local medical doctor to prescribe Suboxone. The doctor opened what purported to be a substance abuse treatment program that involved only medication assisted treatment using Suboxone in Bristol, Virginia. His practice accepted cash payment only and charged $250 for an initial visit and $100-$110 each week thereafter. The office was located next to Bristol Labs in an adjacent office in the same building as Bristol Labs. Drug screenings were required for patients at each weekly visit and 100 percent of the doctor’s patients were sent to Bristol Labs for drug
Mrs. Edwards is a 56 year old female who presented to the ED following an crisis situation at Walmart where she "blacked out". Mrs. Edwards was found with 2 pill bottles on her persons. She denies suicidal ideation, homicidal ideation, and symptoms of psychosis to Hospital staff. At the time of the assessment Mrs. Edwards denies this was an suicidal attempt. Mrs. Edwards states she has blackout before and went to HPR, however the doctors were unable to figure out the cause. She reports 3/15/17 she took her medications as usual around 5 or 6 am when she wakes up and later on that day while in Walmart with her sister blacked out. She denies any mental health history, depressive symptoms, and any past attempts of self harm. Mrs. Edwards has a