Dementia Pharmacist Case Study Examples
On 7-31-2015 Officers were dispatched to a disturbance at 6884 N.Ridge Rd. Upon arrival, Officer McClure and I Officer Butram spoke with Maranda Degennaro. Maranda had a strong odor of an alcoholic beverage coming from her person. Maranda’s speech was unclear and she was visibly upset. Maranda was unable to stand without assistance.
On 01/23/2016, at approximately 1428 hours, your affiant was on routine patrol travelling north on State Route 924 (North Main Street). Your affiant observed a black Subaru station wagon travelling south on State Route 924 approaching a steady red traffic signal located at the intersection of Main and Coal Streets. The operator of the Subaru continued through the intersection and travelled through the steady red light. Your affiant activated the emergency lights and conducted a vehicle stop on the unit block of North Main Street. Your affiant approached the operator and requested his license and vehicle information.
CCIB received a referral #0424-8590-7518-9033739 via fax from Juana Torres regarding Kenneth Salazar (3) (DOB 5/27/2013). RP reported on 3/14/17, Kenneth was physically abused by his teacher 's aide Rosa Espinoza. RP reported she picked him up Kenneth from his Headstart program and took him home. RP reported Kenneth was wearing a sweater and the she asked him to take it off and he did.
On the final visit, the Complaint says, he was given 120 pills of Oxycodone, even though had been discharged from a mental health and addiction treatment facility three days before. He had spent a week as an inpatient for anxiety and panic
RP spoke to Ms. Oliver and asked for her licensee and Ms. Oliver admitted that she was not a licensed facility. RP asked if she has been administering the medication
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.
CCIB Intake received referral #0651-1009-4066-0071107 dated 10/30/16. The reporting party (RP) was Oneil Malcolm, Facility Manager. The RP stated on 10/30/16 while supervising minors Devante Pinson and Jacob Sigala, Devanet was observed taking Jacob 's phone charger and walk towards his room. Jacob was observed stepping in front of Devanet asking repeatedly for him to return his charger. As Devante walked away he moved Jacob out of his way using his left hand.
1. Have began the process of updating the forms for Psychiatric Evaluations as well as the forms to document follow-ups visits (Medication Management). The purpose is to improve the flow of information, simplify its use, assure the appropriate content, and facilitate arriving to the appropriate billing codes. 2. Met with all extended providers, as well as doctors to continue to ensure consistency in the delivery of quality care and the utilization of best practices, Participation in the MACRA/MIPS on a weekly basis 3.
D-The patient was placed on HOLD to address her no show for last week. This writer asked the patient if she was okay with tomorrow 's appointment based on her appointment letter. The patient to do the session today since she 's already present and waited for this counselor. This writer agreed to conduct the session. Reports stable on her dose and deny the need for a dose decrease as she denies any cravings/withdrawals.
Prior to the interview, I was informed by Supt. Walsh that detainee Hargrow had just received another disciplinary infraction. I interviewed detainee Hargrow on wing 1A privately. I questioned Hargrow if he was on any medication and he said “Haldol and Klonopin, but did not know his diagnosis’s.
MHP took the member home once his prescription was filed. The member states he forget to make follow up appointment with the doctor for next month. MHP told the member she will schedule follow up appointment and will let him know the date and time. The member report that he still want to find a senior citizen apartment. MHP told the member that he will be responsible for paying for the first month rent and security deposit.
They were to report on patients’ side effects, patients use of the drug, and both patient and physician subjective evaluations. Physicians who were interested in participating in this research would be paid three hundred dollars for ever patient they entered into the study, as well as an additional three hundred for the patients who participated in a one year follow up evaluation. The payment in this case was considered compensation for physician’s time and effort.
There are different types of dementia and are described as follows: Fig 1.2 (a) different types of dementia with their percentages There are different types of dementia are Alzheimer’s, vascular, mixed, dementia with lewy’s body and frontotemporal dementia etc. and there are other types of dementia too such as AIDS dementia, Parkinson’s dementia etc. The Alzheimer’s is most common form of dementia. Let us describe the each of them in detail: Alzheimer’s dementia: Fig 1.2(b) area of brain affected and cross-section that is seen from the front in Alzheimer’s dementia.
Pursley seemed very confused about what was happening and attempted to leave. Based on Pursley 's behavior and the objective symptoms of alcohol use, Deputy Carrillo and I placed Pursley under arrest and into handcuffs. We walked Pursley to the holding area where Deputy Catano #4487 searched Pursley 's purse incident to her arrest, and located numerous medications that were not in appropriately marked medication bottles. There were approximately six different types of mixed medications loose in her purse, one of which was a pink pill marked E401. This particular pill is a prescription amphetamine which, without a prescription, is a violation of California Health and Safety Code section 11377 (a).
Limitations recognised throughout the SDM process were related to risk of further deterioration in the Consumer’s mental state. As the Consumer was slowly taken off his medications, in a safe clinical manner, his presentation deteriorated. The Consumer’s sleep pattern worsened due to the elevation in his mood, there was a noted increase in impulsivity and poor boundaries with others on the inpatient unit, leading to the Consumer becoming vulnerable. There was a prominent increase in erratic and aggressive towards others, leading to the assault of a staff member on the inpatient unit and subsequently required the use of restrictive interventions. The decline in mental state resulted in the Consumer’s father, case manager and treating team coming together for a family meeting with the Consumer present in which the previous medications the Consumer had been previously prescribed were recommenced in an attempt to re-stabilise his presentation, unfortunately this was a substituted decision made by the consumer’s father and treating tream.
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