Theresa has lived in nursing homes with constant care since 1990; by 1996, Theresa's CAT scans showed abnormal structure, her cerebral cortex was gone and was replaced by cerebral spinal fluid. Over the span of a decade, Theresa's brain was starting to deterioraet due to the lack of oxygen that it suffered
On 8/2/2015 SO EMT Perez was dispatched to FC-505 regaurding general sickness. SO EMT Perez knocked and announced his presence at the door and was greeted by the residents spouse and then to the resident in question, a Mrs. Barbra Myers. Mr. Myers stated that Mrs. Myers was feeling unwell for the past couple of days but today she was acting unusal and slurring/mubling her words and all around acting uncoordinated. Mrs. Myers seems to be somewhat disorientated but is answering all questions appropriatly. SO EMT Perez performed and assesment which revealed the following; Blood Pressure 148/72, Pulse 101, Spo2 96%, Mrs. Myers is very hot to the touch but does not appear to be perspiring, SO EMT Perez recieved a temperature reading from Mr. Myers '
A-Based on this writer 's assessment, the patient appeared to be alert and oriented. No evidence of SI/HI. P-Next appointment is scheduled on 07/1/2016 at 11am. Patient is aware about being placed on HOLD for the counseling
Dr. Keith requested a mental health evaluation on a Mr. Alewine. He is a 28 year old male who presented to the ED via EMS for chest pains, suicidal ideation, and symptoms of psychosis. Mr. Alewine reported arriving in Siler City from Tennessee after a 16 hour bus trip. He reports after his 16 hour trip, he went to a mechanic shop to call 911 for chest pain and suicidal ideation without a plan after stressing about having a place to stake for a few days. Per documentation Mr. Alewine was asked about current chest pain on a scale of 1 to 10, he reports a 1.
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 patient is a 42-year-old female who comes to the emergency room with a diagnosis of recurrent seizures. The patient is noted to have a long-standing history of pseudo seizures. She is followed by a psychiatrist and neurologist as outpatient. She presented the day of presentation having had 2 seizures at home and seizure in the emergency room. During the seizures she did not lose any consciousness or had no incontinence.
Patient Name: Barbara Williams Diagnoses/Symptoms: Barbara is diagnosed with major depressive disorder, anxiety, insomnia, and bipolar. Her primary symptoms include sleep disturbances, feelings of sadness, hopelessness, trouble thinking and concentrating, fear, racing thoughts, and poor decision making skills. Formative Influences: Barbara had a difficult childhood growing up. Her mother abused alcohol and her father was never involved in her life. In Barbara’s early childhood, her mother committed suicide leaving Barbara to move away from her friends at school to live with her grandparents who took her in for raising.
She is currently on no medication. The clinical indication for the test was migraine, syncope or epilepsy. EEG findings: The patient was calm, alert and cooperative throughout the recording.
Historic trauma stems from relocation, disease, residential schools, the Indian Act, and racial policies meant to assimilate and eradicate Aboriginal people (First Nations Health Council, 2011). Contact between Aboriginal Peoples and non-Aboriginals facilitated the spread of epidemic diseases which lead to the Aboriginal population collapse (First Nations Health Council, 2011). Daschuk, Hackett and MacNeil (2006) note that different severities of diseases experienced by First Nations were directly related to the new realities of the First Nations peoples as they struggled to adapt to the world of the colonisers including economic dislocation, political changes, and changes from traditional diets all created the perfect environment for breading diseases. The government and churches actively colonized and controlled Aboriginal peoples by eroding all Aboriginal systems including “spirituality, political authority, education, health care systems, land and resource access, and cultural practices” (First Nations Health Council, 2011, p. 13). It is important to recognize that colonial structures have purposely sought to “eliminate Indigenous sovereignty, Indigenous governments and Indigenous constitutional orders” (Ladner, 2009, p. 90).
• The readings this week address the issues of introducing trauma informed care principles into the screening (experienced by every client in every service area) and inpatient settings. 1) Please discuss how trauma informed principals can change these settings for the better and provide examples from your experience as to either how TIC principals work or about situations where they might improve the setting and treatment. Trauma informed principals can change the way screening is done in an inpatient setting by many professionals integrating trauma principals into their practice. Awareness of how traumatic experiences are for many individuals and in findings that many of the individual carry unrecognized trauma.
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.
The evidence in file shows the claimant has a history of anxiety and depression. At the MSE on 11/13/15, she alleges a history of anxiety over the death of her mother and she was prescribed Xanax. During the exam, her thoughts were well organized and she appeared to be to functioning in at least the average intelligence
In Chicago, Paige and Leo have married and they are in love for each other. In a snowing height, they have a car accident. Paige has a serious head injury and stays in coma. When she wakes she has partial reflection of her life until five years ago and she dose not recognize Leo. Her estranged parents use the unusual situation to bring Paige back home.
Annually, numerous soldiers serving overseas suffer severe or fatal injuries to their bodies and minds. Many soldiers take their own lives because they have experienced some sort of trauma in combat, or even just because they are lonely, scared, or depressed; however, these soldiers deserve a galore of respect because bountiful soldiers are fighting daily, or they are experiencing great amounts of atrocities and horrors for strangers all over the United States who need their freedom. All the time, I’m seeing videos on YouTube or Facebook, or anywhere on social media showing these soldiers that come home and surprise their loved ones, and every time I watch those, I can’t help but tear up because yes, the soldiers’ loved ones are happy their
Military and stress go hand in hand. There have been many cases about military personal and self-harm and trauma. 22 veterans and 1 active duty solider commit suicide daily. They turn to suicide as their only way of relief. Veterans self-harm to cop with losing someone close to him or her or other traumatic experiences.
