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. The patient BAC was .34 when lab were conduct. The patient reports a non-compliance with his medications for 3 weeks. The patient reports that he was unable to fill them a few months ago with DayMark. The patient reports that he has been depressed recently. Furthermore, he reports that both of his parents died years ago around this time of year and he tries to block out the thought of both their deaths. Patient report that both his parents died of cancer. The patient was asked about his statement while in route to the hospital where he sated, "If I had a gun I 'd be dead." The patient states, " I was just rambling off, it was more talk." The patient reports a history of Alcohol use, which began in his teens. The patient reports no history of attempted suicides and no weapons in home. The patient expresses that his motivation to stop drinking is not strong even with his wife concerns towards his habit.
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Gentry and Kellie Moran, LCSWA. The both share the disposition that the patient should be reevaluated in the morning. TACT will contact the patient wife, Caroline, for further information on the patient behaviors. The patient was made aware that he is under IVC and the conditions of that
Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.
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.
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.
Jessica Stemp is a 27-year-old female army veteran with no pertinent past medical history presents with insomnia and irritability. Jessica, an administrator assistant at the chaplain services at Veteran Affairs was urged to come in by her employer or boss following a verbal and physical altercation two days ago with a client who wanted to reschedule an appointment with her boss - This event happen in light of her potentially being laid off because of her performance at work as well as her tardiness. She doesn’t remember the progression of the encounter however, she just remembers shoving the client. She describes how this never happen before.
medication, alcohol) or another medical condition A: As evidenced by: Client decided to seek treatment at the VA hospital. Client’s mother noted that he began to experience depression, insomnia, and flashbacks of his wartime experience 1: Supported by: “he has been very depressed ever since he returned from the war. The client reported that during his tour he killed a civilian, “for the fun of it.” 4: Supported by: “He became preoccupied with watching TV news stories about this event.” B: Supported by:” Client’s mother noted that he been very depressed ever since he returned from the war 1: Supported by: “The memory of the incident continues to haunt him, and he is racked with guilt.”
he child's maternal grandmother stated Anna has a history of domestic violence, drug use, and suicidal ideation. The reporter stated Anna has been diagnosed as bipolar and is currently on suicide watch by local law enforcement. Tamara stated Anna was recently released from jail and had plans to spend time with the victim and the reporter while she gets back on track and pick up her medications. Anna left the home on 10/20/15 and has not returned and the reporter has received text messages from Anna stating plans to take her life and heard from others that at this time Anna may be suicidal and plans to come pick up Addyson. Tamara stated she's had custody of Addyson all her life and contacted her lawyer; Ms. Wright's lawyer told her there was
With the immense deliberation of litigating the approach of physician-assisted suicide, there are some components that are questioned. One subject matter that is deliberated on is the possibility of lessening the health care disbursements and how it might influence the participation of patients and physicians. The capital spent on terminally ill individuals raises suspicion on the exact payments disbursed. For example, high operating technology is percepted to be purchased at an extravagant amount of revenue for affected patients.
One of the main objections to autonomy-based justifications of physician-assisted suicide (PAS) that Gill talks about is that many people believe it does not promote autonomy, but instead is actually taking it away (366). First, it is important to clarify what autonomy means. According to Gill, it is the ability of a person to make big decisions regarding their own life (369). Opponents of PAS argue that it takes away a person’s ability to make these big decisions and so it is intrinsically wrong for them to choose to take their own life.
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.
Summary: Governor Jerry Brown has recently signed a bill which legalizes physician assisted suicide in the state of California. By doing so, California is following Oregon, Washington, Vermont, and Montana in becoming the fifth state in the US to legalize such medicine (ProCon, n.p., n.d.). Drugs like this will only be offered to terminally ill patients, and will require the patient to reaffirm that they want the drug several times with waiting periods between each in order to be sure that this is something that he or she wants to do. It is also expected that many hospitals will refuse to offer this drug to patients because it could bring bad publicity and have a negative effect on patient relationships (Lovett & Perez-Pena, 2015). There are a lot of arguments against this bill, for example, people claim that terminally ill patients might be talked into accepting
Lee Johnson, who lived in Oregon, was a retired federal worker who began a subsequent career as a furniture maker. He then developed brain cancer. Although the disease was inevitably going to kill him, he took the necessary precautions intended to extend his life. However, his condition worsened and he became bedridden and endured blurred vision, soreness, and a lot of pain.
The patient is a 52 year old female who presented to the ED via EMS with bizarre behaviors. Per documentation neighbors found the patient screaming in her house. Per documentation LEO found the patient attempting to drink a closed bottle of alcohol hand sanitizer fluid. Patient presents with disorganized thoughts and irrelevant subject matter when asked questions about behavior upon arrival. Nursing staff was asked about status before the assessment and reports improvements in the patient bizarre behavior.
The enigmatic Hamlet once said, “To be, or not to be, that is the question.” In Hamlet’s soliloquy, he ponders on the idea of suicide and whether it would be a practical solution to all his problems, in other words was it better to live or to die? A situation parallel to Hamlet is the landmark case Cruzan v. Director, Missouri Department of Health, where it discusses how the Constitution protects a person’s right to die and how states can regulate it. During 1983, a woman by the name of Nancy Cruzan laid in an eternal vegetative state after being involved in an auto collision, where she sustained severe injuries and was put on life-sustaining equipment. In addition, after five years with no signs of recovery, the Cruzan family asked to terminate her from the tubes that were feeding her, but were denied by the staff, without approval of the court.
Kleiman, who believes that laws prohibiting assisted suicide must be abolished, is a professor of public policy at New York University 's Marron Institute of Urban Management, whereas Byock, who is completely opposed to any law change, is a professor of medicine at the Geisel School of Medicine at Dartmouth College. Kleiman and Byock have both compelling and opposing viewpoints on this controversial subject, and rule the other to be highly unethical.
Snyder requested an assessment on Mr. Huffman. At the time of the assessment Mr. Huffman appears calm and cooperative. He appear deficits in his verbal and nonverbal social communication skills. However, he is able to answer many of my open-ended questions. He currently denies suicidal ideation, homicidal ideation, and symptoms of psychosis.