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Patient Relapse Case Study

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D-The patient requested to see this writer as she was emotionally upset about her cat being diagnosed with cancer. The patient views her cat her second child of which she adores dearly. This writer provided sympathy about the concerning factor surrounding her cat and coping skills that could be beneficial to the patient. Then the patient shared about other stressors about her mother falling at the skilled nursing facility for the past 6 months and her nervousness to ask for a raise from her employer. Alternatives were discussed to address her stressors of which has been ongoing. The patient admitted to this writer that she relapse yesterday-2 bags of heroin by inhalation due to withdrawals of sweats, vomiting, difficulties sleeping, and excessive yawning. …show more content…

Her only response was, " I tried, Charlene. But with all of this going on and feeling sick, I relapse." This writer questioned the patient if increasing her dose is appropriate because it clear to this writer that the patient is struggling with chronic stress as it could potentially affect her health. This concern was relayed with the patient of which she agreed. However, the patient feels the need to increase on her methadone as she tends to says, " I am experiencing withdrawals." This writer questioned about the patient's mental health treatment, referring to her counseling. The patient reports that she shares her experience about her stressors, but prefers talking to this writer due to comfortability. This writer strongly recommends for the patient to utilize her mental health counselor/therapist as a support network and appreciate the patient feedback towards this writer. Please note, this writer completed the HCRC internal form and recommends TEAM to review this progress

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