Elizabeth Flanagan is an 84-year-old woman living with her 37-year-old son Brendan in their own home. They were seen at home in psychiatry consultation. Both the patient and her son were interviewed for the purposes of this assessment. Patient has previously been seen by Marla Cappell, physiotherapist with our medical reached team. Please see her excellent report which is on the chart. The patient was originally referred to Geriatric Medical Services after a couple of falls, which resulted in displaced fracture. The son was a little bit vague about the history of the fractures. He knew that there had been 2 significant falls. Marla Cappell's note indicates that there was a fall at the end of July tripping over a loose rug that left her with an undisplaced fracture of the right greater trochanter, and she had 2 weeks of bed rest followed by 2 weeks of rehabilitation at St. John's. She was to follow up in outpatient rehabilitation at St. John's, but was too anxious to use Wheel-Trans and had been referred to specialized geriatric services for assessment. She had a second fall on October 5, 2013 descending the stairs at 2:00 a.m. to check that her son had locked the side door, and again was admitted to North York General Hospital with pain in her right arm and right hip and transferred to St. John's for rehabilitation after that. Following this most recent stay at St. John's rehabilitation, she was referred to home physiotherapy services through CCAC because of her anxiety about Wheel-Trans and getting to her outpatient services.
It is because of the anxiety that she has been referred to our services and was seen today at home.
Her son identifies that the primary issues are around appointments. He feels she gets very repetitive,...
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...ally was not very interested in that option. Another option might be a very occasional p.r.n. of Ativan 0.5 mg for episodes of anxiety as long as it was being administered by the son and was not being given more than 2 or 3 times a week. In general, however, she expressed a wish not to take any extra medication and given her history as a nurse, it may be difficult to persuade her to take medications even if her capacity to make those decisions is impaired.
At this point, I do not plan to visit again, but I am happy to do so if the son wants to have her reassessed or if her situation changes or if the family doctor wishes to re-refer, or if the suggestions I have made here have been tried and not found to be successful.
Thank you very much for involving me in the care of this pleasant family. Please do not hesitate to contact me if I can be of further assistance.
by fossilized rocks and the skulls of apelike men. The poet laureate of the age, Alfred, Lord Tennyson, the voice of the Victorian people, expresses his horror and bewilderment at the implications of these scientific discoveries in "In Memoriam A. H. H." In sections 54, 55, and 56 of this lengthy poem, Tennyson finds his belief in God weakened and his faith foundering in the face of scientific fact. In the face of evolution, geology, and natural selection, ... ... middle of paper ... ...eration
As if molded directly from the depths of nightmares, both fascinating and terrifying. Serial killers hide behind bland and normal existences. They are often able to escape being caught for years, decades and sometimes an eternity. These are America’s Serial Killers (America’s Serial Killers). “Even when some of them do get caught, we may not recognize what they are because they don’t [sic] match the distorted image we have of serial killers” (Brown). What is that distorted image? That killers live
Murder Castle “I was born with the devil in me. I could not help the fact that I was a murderer, no more than the poet can help the inspiration to sing. I was born with the evil one standing as my sponsor beside the bed where I was ushered into the world, and he has been with me since.” (qdt. in Roland 12) Mudgett, better known as H.H. Holmes, said this during a confession in 1896. Holmes is diligently studied and sometimes admired because, not only was he America’s first major serial killer, the
Holmes was first charged with insurance fraud, and then the murder of Benjamin Pitezel (H.H. Holmes Biography, 2015). He was never charged with the deaths of any of his victims in Chicago due to the inability to positively identify any victims (H.H. Holmes, 2004). Holmes gave numerous stories to police about what happened in “The Murder Castle”, and admitted to at least 27 murders, but again, the exact number is not known. Holmes acted as his own lawyer in the case of murder and insurance fraud against
more than the poet can help the inspiration to sing – I was born with the Evil One standing as my sponsor beside the bed where I was ushered in the world, and he has been with me since” (Troy, Taylor). This statement was a quoted confession from Dr. H. H. Holmes himself in 1896. Holmes was the first major serial killer in America, even though he came after many others in his time. Thomas Neil Cream, the Austin Axe Murderer, the Bloody Benders, and Jack the Ripper came before him. His name was originally
One of the first men to single handedly terrorize the nation was Herman Webster Mudgett, more commonly known as H.H. Holmes. As a rather successful businessman with a degree in medicine, few would suspect the horrible secrets he kept locked away in the hotel he had built as his own personal torture chamber. By the time he was arrested, Mudgett had already taken an upwards of one hundred lives in a way that would shock the world. Born on May 16, 1861 in Gilmanton, New Hampshire to devout Methodist
The Hotel of Horrors There was a man with a name of Herman Webster Mudgett, but most people know him by the name of H.H. Holmes(“H.H. Holmes”, 2017:Grey, 2016: Upton, 2014). I had first heard about this weird part of America’s history through one of my favorite television shows, Supernatural. He is known to be one of the most cruel serial killers in the United States, and no one really know the exact amount of people he has killed. But how did he kill so many people without getting caught sooner
It is a divided issue whether D. H. Lawrence is to be considered a friend or a foe to the feminist movement. On one hand, he advocates an egalitarian man-woman relationship, on the other, his notion of equality seems rather subject to qualification. His reference to the ideal monogamous partnership as "phallic marriage" (Spilka 7) is certainly a cue that must be taken up. Why is marriage "phallic" unless the phallus is privileged in the expression of sexuality? (de Beauvoir 205) The idealisation
activity I have ever been involved in is 4-H. I have been a member of the Cheerful Champs 4-H club for almost ten years. When you join a 4-H club the members and leaders become your friends and family. 4-H’s mission is to provide a positive environment for kids to grow and succeed through. With such an environment 4-H hopes to give kids confidence and empower them to do whatever they hope to achieve. Empowerment turns kids into leaders and teachers. After being in 4-H so long you learn how to lead and teach
According to the USCIS the H-1B visa was created to employ ‘foreign workers in specialty occupations that require theoretical or technical expertise in specialized fields’. The visa is valid for three years from the date issued and may be renewed for another three years. Visas may be applied for during a short period of time at the beginning of each fiscal year in October. The H-1B is considered a ‘non-immigrant’ visa but it does have dual intent. This means a holder of the H-1B can have current legal
(Rollyson 1). Within one year of ... ... middle of paper ... ...ed "H. G. Wells." Enotes.com. Ed. Joseph Palmisano. Enotes.com, 2004. Web. 27 Feb. 2012. . Hartesveldt, Fred R. van. "H. G. Wells." Dictionary Of World Biography: The 20Th Century (2000): 1-3. Literary Reference Center. Web. 27 Feb. 2012. Loveday, Veronica. “H. G. Wells.” H.G. Wells (2005): 1-2. Literary Reference Center. Web. 9 Feb. 2012 Rollyson, Carl. “H. G. Wells.” Magill’s Survey Of World Literature, Revised Edition (2009):
John H. Johnson was born January 19, 1918 in rural Arkansas City, Arkansas. His parents were Leroy Johnson and Gertrude Jenkins Johnson. His father was killed in a sawmill accident when little John was eight years old. He attended the community's overcrowded, segregated elementary school. In the early 1930s, there was no public high school for African-Americans in Arkansas. His mother heard of better opportunities for African-Americans in Chicago and saved her meager earnings as a washerwoman and
“Piano” by D. H. Lawrence The poem Piano, by D. H. Lawrence describes his memories of childhood. Hearing a woman singing takes him to the time when his mother played piano on Sunday evenings. In the present, this woman is singing and playing the piano with great passion. However, the passionate music is not affecting him, because he can only think about his childhood rather than the beauty of the music that exists in his actual space. “A woman is singing” softly to the speaker “in the dusk
Question: i. To explore 4-H marketing strategies in involving the Hispanic population in Clark County to decrease high school drop out in the Hispanic community. b. Background of 4-H i. The 4-H pledge provides a foundational understanding of the goals of this more than 100 year-old youth development program. This comprehensive approach to youth development offers young people important developmental opportunities to foster a successful transition to young adulthood. The 4-H Program was created in
The 4-H Club is an international program that offers children more understanding of the world and nature around them by building academic competence, personal confidence, and a lifetime based on successful experiences, as shown by research and personal anecdotes. Using the philosophy of “Learning by Doing”, the 4-H Program is based on a “do, reflect, apply” method, because young people thrive academically when they are actively involved in the learning process. Researchers observed that young people