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Methadone treatment case study vignettes
Methadone treatment case study vignettes
Methadone treatment case study vignettes
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Recommended: Methadone treatment case study vignettes
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.
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.
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.
D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
The patient is a 53 year old male who presented to the ED via EMS intoxicated and reporting suicidal thoughts. The patient denies homicidal ideations and symptoms of psychosis. The patient endorses depressive symptoms including: tearfulness, isolation, and insomnia. During the time of the assessment the patient is awake, alert, cooperative, and clam. the patient reports that he had been drinking to 2 pints of alcohol earlier during the day.
D-The patient arrived early to his scheduled appointment. The patient reports that he is not doing too well with his dose as he needs more time to adjust. He denies a dose increase. This writer addressed the two AWOL during this past week and the patient blames it on transportation and arrived late to the clinic. This writer and the patient discussed alternatives and the patient signed the AWOL notice.
AMS Counselor met with Paient for a unscheduled individivial session. Counselor assisted Pt. to clarify his goals and discuss strategies for changing. Counselor encouraged Participant to verbalize a realistic description of his medication compliance, which he failed to do so yesterday. Pt. reported that he has been regularly taking his methadone medications as prescribed by AMS Doctor and responding as expected.
Methadone Maintenance Treatment The Methadone Maintenance Treatment (Camh) helps patients overcome an addiction of opioid dependence. The treatment uses methadone as a replacement for the opioid. Methadone is a narcotic drug that helps suppress opioid withdrawal symptoms, reduce cravings for opioids, not induce intoxication (e.g., sedation or euphoria) and reduce the euphoric effects of other opioids, such as heroin (Camh). MMT is beneficial to the patient in many reasons.
Opiate group participants had to be stable on an opiate agonist for at least 2 weeks prior to testing. Potential participants were excluded from both groups if there was history of a neurological condition, a psychiatric disorder, heavy alcohol use, brain injury, used illicit drugs in the 24hrs prior to
The importance of confidentially and HIPPA. Random substance abuse testing. Instructions for handling issues within the group. 11:00am-11:30am-The group will complete the icebreaker activity. Instructor will provide the clients with a daily journal/reflection
D-This writer met with the patient as he arrived late to his counseling session. Reported stable on his current dose and denies the need for a dose increase when offered by this writer. Patient reported of his confidence of producing a negative UDS result for the month of October and the next following months afterwards as he declared, " I haven't been using." This writer asked the patient about the status of the IOP. Please note, the patient attempted to avoid the question by discussing his new employment with XL Center.
The opioid crisis in the United States has become the headline of every newspaper across the country. According to the Center for Disease Control, seven thousand people are admitted to emergency services for misusing prescription opioids (Understanding the Epidemic, 2015). Additionally, according to the Substance Abuse and Mental Health Services Administration, 435,000 people in the U.S. report being daily heroin users (Opioids, 2015). Methadone maintenance treatment (MMT) programs are long term recovery options used for people meeting criteria for opioid use disorder into treatment and living a recovery lifestyle. MMT programs are long term recovery options.
mends the Controlled Substances Act to increase the number of patients that a qualifying practitioner dispensing narcotic drugs for maintenance or detoxification treatment is initially allowed to treat from 30 to 100 patients per year. Allows a qualifying physician, after one year, to request approval to treat an unlimited number of patients under specified conditions, including that he or she: (1) agrees to fully participate in the Prescription Drug Monitoring Program of the state in which the practitioner is licensed, (2) practices in a qualified practice setting, and (3) has completed at least 24 hours of training regarding treatment and management of opiate-dependent patients for substance use disorders provided by specified organizations.
Rehabilitative approach give a second chance for offender to go back to the community but they fist need to tread their addiction on drugs, to prevent them to re-use drugs and provide them with counseling to help them deal with problems and receive treatment. Some individuals may take months in treatment and counseling regardless of all the help they receive they go back on drugs and all the effort, time and money that was used to rehabilitate it was not enough to prevent them from re-use drugs. The punitive approach use in United State send people in jail or prison for the illegally use of drugs in which can cost millions of dollar to house offender. On the other hand, punitive approach it will be useful to violent offender who represent risk
I have chosen to do my research on methamphetamine. I will talk the danger and how methamphetamine is becoming a growing problems within our community. According to the National Institute of Justice article Methamphetamine Abuse: Challenges for Law Enforcement and Communities. This article states that “fifty-eight percent of county law enforcement agencies surveyed by the National Association of Counties in 2005 listed methamphetamine as the number one drug problems in their area.
