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
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
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).
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.
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
Vera Bradley is operating as a luxury style company and is competing with companies such as Coach Inc., Kate Spade & Company and Michael Kors in promoting a lifestyle. Unlike companies such as Coach and Michael Kors, Vera Bradley lacks a line that caters to a luxury lifestyle for men. In addition, the company has just recently started to shift more focus into the market for the less wealthy individuals and the individuals who aspire for the luxury items or the life style the company is aiming to promote. Guerilla warfare could be a recommendation due to the idea that each company is well known and a spike in promotional activity could attract new buyers, as well as bring in consumers from other companies that do offer a larger assortment of products. Another
In the case of Ms. Julia Kate’s request for a salary assessment, several valid points were raised. Ms. Kate has been employed at the Counseling Center and effectively performing her job duties as represented based upon the scores of her performance evaluation. The hiring of two new employees has raised questions as it was noticed that her pay is much lower when compared to her new coworkers. In addition to the valid points that were raised more information regarding whether or not the company uses seniority as a factor to determine pay would be needed to make an accurate determination when adjusting her pay to a suitable grade.
The patient is a 25 year old female who presented to the ED Voluntarily for allegedly being held hostage in a basement of a house and physically and sexually assaulted. TTS assessed the patient on 2/11/18. TTS documented the patient was capable of signing voluntary admission. The patient denied suicidal ideation, homicidal ideation, and symptoms of psychosis. TTS reported the patient does not meet inpatient criteria or Involuntary commitment criteria, however Jason Berry, NP recommended the patient be observed overnight and evaluated by psychiatry in the morning. Ford Warrick, LPC, notified Dr. Osborne and nursing staff at Randolph Hospital ED of recommendation. TA staff was contacted by Maddie, Charge nurse, around 6pm who informed me that
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
The patient is a 52 year old female who presented to the ED via LEO following an incident in which she made multiple lacerations to her arms with a knife following an argument with her boyfriend. Patient reports family conflict and relational conflict as the primary stressors contributing to her current distress. Patient reports depressive symptoms as anhedonia, worthlessness, tearfulness, hopelessness, irritability, and fatigue. Patient endorses suicidal ideation with a plan to cut her self and bleed out in her tub. The patient denies homicidal ideation, and symptoms of psychosis. Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli.
Mr. Zerweck is a 19 year old female who presented to the ED via LEO after being found wandering in the streets and attempting to climbing a tree. According to LEO she was found talking to her self and praying, appeared to be reaching for things that were not present, and agitated. Ms. Zerweck denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Before the assessment it appeared had been under the influence of some substance. However, while Ms. Zerweck was being treated medically her father called nursing staff informing staff Ms. Zerweck made a suicidal statement while on the phone. He reported his daughter informed him when she was released she was going to jump off a bridge and if hospital staff asked her if she was suicidal
After further analysis of case study 1, Ms. A is suffering is the most common type of anemia, Iron Deficiency Anemia. Iron deficiency occurs when red blood cells (RBCs) is lower than normal in the body. The protein is answerable for carrying oxygen in the body’s tissues, which is important for body tissues and muscles to function successfully (Oxygen at altitude,2009). Short of sufficient iron the hemoglobin is not producing enough making someone become anemic, several causes can develop iron deficiency anemia, such as breast breastfeeding, menstruation, blood donation, endurance training, digestive conditions, foods, and caffeinated drinks. And in this case study Ms. A has a bigger cause for iron deficiency anemia that is during mensuration
Patient is a 45 year old male who presented to the ED with suicidal ideations with a plan to stab self with with his ninja sword. Patient also endorses homicidal ideations with a plan to "disembowel" his boss and people in New York that have treatment him poorly, with his ninja sword. He expresses feelings of anger, irritability, tearfulness, sadness, and worthlessness. Patient reports people continuously speaking negative towards him his whole life as heavily contributing factor to his depression. The patient reports a history of emotions abuse from his mother and bullying from others throughout his life. He denies symptoms of psychosis and does not appear to be responding to any internal stimuli.
The patient is a 14 year old female who presented to the ED under IVC with suicidal thoughts and plan. The patient endorses auditory hallucinations. The patient denies homicidal ideations and visual hallucinations. The patient reports depressive symptoms as: anger, isolation, sadness, worthlessness, insomnia, fatigue, and hopelessness.
The patient is a 29 year old male who presented to ED with suicidal ideation. Patient expressed relational issues, substance dependence, and non compliance with medication. At the time of the assessment the patient acknowledges having current suicidal ideation with multiple plans. He states, "My current thought is suicide by cop." He reports homicidal ideation, whoever will not give specific individual do to him not wanting to incriminate himself. He states homicidal thoughts are towards anyone who owe him money or has do him wrong in the past. He relational issues are directed towards the mother of his child. He describes depressive symptoms as feelings of sadness, irritability, isolation, and loss in usual pleasures.