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Received a report on 10/7/15 stating Ms. McGinnis was not given medication properly and scoring a 0 on MMSE. Son, Michael McGinnis reported he gave her dose of Methadone because she was hurting. Ms. McGinnis admitted to WBMC on 10/6 with chest pain and hypertension. While on medical unit, she was confused, pulling the cardiac monitor off, yelling, screaming, cursing the nurses, disrobing, and refused meds. On 10/7 she transferred to Senior Care she remained until 10/28 3:30.
Mrs. Jones is a 67 year old female who presented to the ED via LEO under IVC through DayMark Recovery Services. Per documentation Mrs. Jones has been non compliant with medications and has been experiencing symptoms of psychosis. At the time of the assessment Mrs. Jones appears calm and cooperative. She does present with tangential speech and vaguely answers questions. She recently was discharged from Novant health 1/3/17 and followed up with DayMark 1/11/17 with new changes in medications.
Ms. Stevens and her child, Tjayda Stevens are receiving preventive services with Harlem Dowling Westside Center for Children and Family Services (HDWC). Ms. Stevens’ case was referred from ACS and accepted thru HDWC on 03/02/2015. The services provided to Ms. Stevens are casework counseling, community advocacy, housing advocacy, and monthly home based visits to ensure stable family functioning and child safety. Ms. Stevens has been receptive to services since the agency obtained case planning responsibility. Administration for Children’s Services recommended the following service plan for Ms. Stevens to complete parenting and anger management class, individual counseling, and domestic violence.
Pt. is currently in Phase 7 of the tx program. Pt. has been able to maintain abstinence from mood-altering substances, her drug screen results has shown no evidence of ongoing BZP use. During the recent quarter, Pt. has maintained a positive balance in his AMS account. Pt. maintained his full-time employment status and self-reported that he has no issues or concerns with his current financial status. Pt. remains at 130 mg.
CCIB Intake received incident report from reporting party Julia Bobadilla, Social Worker (562) 437-4114. The reporting party (RP) reported being contacted by school office of Williams Elementary 7530 Arnett St., Downey, CA 90241 (562) 904-3564. The school office reported observed what appeared to be a burn to foster child Amber Gonzales ' DOB; 11/14/08 right hand. DCF Arlene Barragan investigated. On 3/17/17 foster mother Alma Yepes took the foster child to the hospital located at 11500 Brookshire Ave., Downey, CA 90241 (562) 904-5000 for an examination, the wound was cleaned and wrapped.
Pt has history of drug abuse and numerous admission to substance abuse program for heroine and crack/cocaine abuse. She was able to maintain abstinence for certain period of times only during incarceration. Pt has recently arrested after fighting with a woman, whom pt perceived as threatening. Pt was arrested since pt's attack led to the other woman's injury. Pt is currently on probation for 4 1/2 years for second degree assault and theft.
The mother reported that she has two sisters with who she is close to. She indicated that her parents are alive and together. She indicated that she experienced no abuse as a child. She did not experience any traumatic events as a child. She reported she was an average student with no behavioral issues.
Josie’s death shouldn’t have happened, and would’ve probably been avoided if someone took the time to truly listen to her mother’s concerns. Reading Josie’s story opened my eyes to the dire need of communication between the medical team and patients and/or family members. Sorrel, Josie’s mother, tried numerous times to alert the medical team of the changes observed in her daughter, yet no one listened. She highlights the severe breakdown in communication and the necessary steps needed to rectify our medical
Patient is a 51 year old Caucasian female living alone in her own home. The patient has a history and current syntoms of geralized anxity disorder, social phoina and panic attacks, which she takes madications for and sees a psychrist 2-3 times per month in Havasu. Patinets lives with six cats and the house environment is somewhat cluttered. The patinet is orinally from Glendale, CA., has a brother in Palmdale, CA, who is stays in contact with sometimes. Pt has a daughter in Big River, who is not supportive of her, but has three grandchildren who visit her.
The mother has four priors the two prior adult intakes with physical injury by Paramour. She was listed as a victim with mild retardation. Shaquana states at the time of the two adult priors in 2006 and 2009 the play fighting she did with the paramour at that time sometimes have gotten a little rough. Another prior the mother was a HM during family violence investigation in 2012. One last prior she was the AP with no indicators in environmental hazards, substance misuse alcohol, and substance misuse-illicit drugs.
The initial level of care Goldfarb will be receiving will be inpatient drug and alcohol treatment. Based on Goldfarb’s mental state and suicidal thoughts, inpatient is the best options for her in regards to keeping her and others safe. Furthermore, Goldfarb is hesitant about discontinuing the medication and is more likely to relapse if out in the community. An example of her having a higher chance of relapse would be having a social environment that enables her to take the prescription and lose weight.
She has struggled with making friends at the facility and does not wish to engage in many activities that are offered throughout the day. It is a new situation for her and she is having difficulty coping with the daily schedule of the center. She can no longer care for herself independently and must rely on staff members for assistance with her activities of daily living, bathing, dressing, and getting in and out of bed. She has outbursts of anger and tearfulness towards staff when they try to assist her. Barbara is now realizing she requires more assistance than prior to her admission which has left her feeling overwhelmed and anxious about her health conditions in the future.
Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.
22 November 1964. It has been a year since my husband ,former president, John F. Kennedy, was assassinated. I still wake up thinking that I will wake up next to him. The kids wake every morning either cranky or in a happy mood not really understanding what happened. It’s been a year since my husband was killed, one year without him, one year with Lyndon B. Johnson took over and became president.
There was an experience where a nurse was assigned to him and she gave him hundred percent attention and took complete care of him. She kept him relaxed, communicated on a personal level and listened to him. Consequently, as we discussed earlier, this has improved Mr.Taylor’s experience. Key facilitators for Mr. Taylor’s health care experience Mr.Taylor is generally satisfied with the health care provided by the dp clinic chosen by him. The surgeon he visited was brutally honest with him which helped Mr.Taylor understand the seriousness of the injury.