ipl-logo

Ethical Issues In Nursing Care

574 Words3 Pages

D-The patient arrived on time for her session and informed this writer that she has decided to remain with the clinic as she learned on her own that no detox facility will accept her because she is testing negative and currently on methadone. The patient further mentioned that she is questioning as to whether or not her sister and her mother would help her as they said they would; however, the patient had a moment and looked back when her family did not help her as she struggled with her children. Furthermore, the patient reports, her sister did not give her the $80.00 for her rent. The patient reports that she had asked some guy for assistance. This writer addressed with the patient about her employment status and money management. The patient …show more content…

Furthermore, this writer asked this writer to contact DCF Supervisor Collen to update her on the patient progress, at which this agreed. This writer was able to talk to Supervisor Collen to update her on the patient 's progress and asked will this hindered the patient 's case as a patient at a methadone clinic and the Supervisor reponse was, " No. Everything you shared will take in consideration. What 's hindering the reunification is Marie hair fociles results, which can go back 9 months as she tested positive for heroin. In addition, there 's concerns as to how the patient is taking her medication and the changes of mental health providers. I feel that the mother needs to be consistent with her mental health services and work with us as we are not working against her. One positive thing I can share is that Marie is motivated to get her children back." The Supervisor then provided this writer the patient new DCF worker contact information: Maribel Santos @860-418-8239. This writer thanks the Supervisor for her input about the patient 's case. This writer then relayed the information to the patient, at which the patient was upset. The patient reports that she hasn 't changed mental health providers frequently; she only changed due to the commute. This writer strongly advised the patient to work with DCF pertaining to her case and gather her information regarding to her mental health services to show that she is in compliance with treatment as it would be beneficial for her case. This writer provided encouragement to the patient as a mother and continuing to stay motivated on her fight for

Show More
Related
101 Words | 1 Pages

Circumstance: Ms. Smalls (MHP), Mrs. Gailliard (MHS), Clarence and Ms. Elizabeth Strong (DSS Worker) schedule medical appointment with the MUSC Foster Care Clinic. Action: MHP called Tara Peevy, RN at the MUSC Foster Care Clinic after MHS explained leaving several messages. Ms. Strong explain emailing the referral form to the clinic. Machelle Green explain receieing the referral form, however unable to reach the DSS worker for additional infromaiton.

Read More
291 Words | 2 Pages

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.

Read More
192 Words | 1 Pages

Goal: Cm met with client for weekly follow up I: CM greeted client and followed up on last week’s session. CM reintegrated goal of the Harm Reduction program was to provided a referral for housing. Intern discussed plan of action to help manage the Client’s access to VA benefits and referral for VASH. Intern validated the progress the client is making and his interest in doing well.

Read More
368 Words | 2 Pages

SC placed call to Pa and spoke with Bill Pa’s spouse who reported that doing ok. But she has come combative lately and verbal abusive. Bill spoke at length about her behavior and the impact it has on him. Bill is offended when Pa makes disparaging remarks about him and calls him out of his name. Bill reported that he believes Pa needs a medication review and a change in meds.

Read More
235 Words | 1 Pages

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.

Read More
229 Words | 1 Pages

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.

Read More
645 Words | 3 Pages

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.

Read More
68 Words | 1 Pages

I: CM guided client through ISP goals. CM inquired about client’s upcoming LAMP VASH appointments. CM discussed and encouraged client to get his driver’s license. CM praised client for being honest regarding drug use but also encourage sobriety. CM administered Beck Depression Inventory and review results.

Read More
916 Words | 4 Pages

G- CM met with client for weekly case management, to conduct his 30 day ISP, and to continue working on his housing goals. I- CM continued to assess client’s mental health. CM inquired if client attended his appointment (3/30) with Laurie Garza from LAMP VASH. CM conducted a 30 day ISP with client. CM continued to provide emotion support to the client.

Read More
1454 Words | 6 Pages

Description of the Interviewee Kelly Jo Duprey is a Licensed Professional Counselor, who works at Samaritan Counseling Center and Foundations Counseling Center (K. Duprey, personal communication, September 8, 2015). She started counseling in 2001 and got her license in 2003. She has worked at Samaritan since 2006 and Foundations Counseling Center since 2010 (K. Duprey, personal communication, September 8, 2015). Kelly Jo also became a Medical Assistance Certified Provider in 2008 (K. Duprey, personal communication, September 8, 2015). She has 21 years of experience working with families and children and 14 years of experience counseling families and children (K. Duprey, personal communication, September 8, 2015).

Read More
397 Words | 2 Pages

The representive stated a packet of paperwork with mailed to patinet in 2-3 weeks to be completed and mailed back within the deadline date. They stated a social worker for IHSS will contact patient to schedule an evaltation appointment with patient. Patient understood the MSW instructions about looking out for the packet and contact MSW if futher assistance is needed. Patinet had other concerns about hearing from Medicare regarding not receving the completed Medicare Coverage Re-determination packet, which was due by 09/01/15. Patient stated she never received the packet through the mail.

Read More
182 Words | 1 Pages

Discussion:Ms.Torres expressed concern with Dennard 's behaviors. She reported that Dennard skips school refuses to take his medication and disappears for a couple days/weeks. She stated that his behavior has been declining since October of last year and would like to explore other options to support him. Dennard reported that some of the incident, ie (legal issues) was all misunderstanding. HWE observed Dennard comportment to be defiant, and impatient.

Read More
1464 Words | 6 Pages

And although it seems that Sheila was adjusting well, something in her life might be causing her to revert to the maladaptive behavior that comes along with substance abuse that she had in the past. Sheila was already on a plan through Work First in helping her become self-sufficient, she has obtained a GED, a low-income apartment, and working on skills to keep gainful employment in addition to a part-time job. But in light of the behavior that she has recently been displaying, we may need to get other aspects of social services such as rehab and mental health to get involved in a treatment plan. Sheila has had prior sessions with county mental health professionals in the past, but this issue needs to be addressed right from the onset so that she will not be in a position where she could slip back into that maladaptive behavior and lose her children or her life. There is a lot of treatment that is offered for free with the county through social services, which is different then when Sheila first began her maladaptive behavior in the past.

Read More
1750 Words | 7 Pages

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.

Read More
991 Words | 4 Pages

Desired Outcome: Patient will express belief in self and will use the resources available in the community as discuss in a week. #3 (Functional) “I can’t stand the idea of taking my medications every day, but I don’t know how I’m going to be able to live without it normally.” This related to Karen’s anxiety and her inability to have an understanding and assessment of stressors she faced every day. As evidenced by her med non-compliance, her risk of having boyfriends, and some destructive behavior toward self (not sleeping, not eating) when not taking meds regularly. Desired Outcomes: Karen will verbalize ability to understand the purpose

Read More

More about Ethical Issues In Nursing Care

Related Topics

Open Document