Ethical Issues In Nursing Care

Smith informed staff the reason of herself referral for service is due to her rape incident when she hooked up with a guy she met at the bar where she was going to buy crack. Another reason Client is seeking for service is due to her daughter safety and protecting her daughter from the child’s father. Client report that she began drinking several times a week around the age of 13. She stated she started drinking heavily, when she felt depressed and that is an everyday situation. Jessica drinking became progressively worse over the years and she did not notice it was a problem until after she began using crack. Client informs staff that she does not have a history of drug usage in the past aside from alcohol consumption. Client states that there is no history of substance abuse in his family except her father use of alcohol. Client started using crack around age 28 because she was feeling more depressed and did not have a way to control her depression about from this

On 11/4/15 Ms. Brittany Terry and her daughter Lundyn met with CM for an ILP. CM introduce herself as the client temporary CM assigned to her case.

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.

Prior to the interview, I was informed by Supt.Walsh that detainee Hargrow had just received another disciplinary infraction.

Ms. Lewis was referred by Maricopa county correctional health services to receive an evaluation for potential to transfer to the mental health unit. She was serving a 10-year sentence for manufacturing and possession of illegal substances. She had served 1-year of her sentence and reported symptoms of anxiety, obsessive rumination, and sleep disturbances.

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.

Ms. Stevens and her child, Tjayda Stevens are receiving preventive services with Harlem Dowling Westside Center for Children and Family Services (HDWC). Ms. Stevens’ case was referred from ACS and accepted thru HDWC on 03/02/2015. The services provided to Ms. Stevens are casework counseling, community advocacy, housing advocacy, and monthly home based visits to ensure stable family functioning and child safety. Ms. Stevens has been receptive to services since the agency obtained case planning responsibility. Administration for Children’s Services recommended the following service plan for Ms. Stevens to complete parenting and anger management class, individual counseling, and domestic violence.

This facility provides outpatient care for kids who have appeared before the courts on legal matters that involved substance abuse. Aside from traditional counseling, patients are also exposed to a variety of alternative treatment options such as holistic therapy. When mental and emotional problems are in the mix, patients can receive much needed dual diagnosis treatment. The only two payment options available at this facility are Medicaid and loan financing for approved

Mrs. Jones is a 67 year old female who presented to the ED via LEO under IVC through DayMark Recovery Services. Per documentation Mrs. Jones has been non compliant with medications and has been experiencing symptoms of psychosis. At the time of the assessment Mrs. Jones appears calm and cooperative. She does present with tangential speech and vaguely answers questions. She recently was discharged from Novant health 1/3/17 and followed up with DayMark 1/11/17 with new changes in medications. Per documentation she has not been taking medications, answering the phone when called, not eating, and bathing. Mrs. Jones has a history of non compliance. Mrs. Jones reports denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports

The claimant is a resident of the State of Florida and all services were given to her by the Defendant in the State of Florida.

The Victoria Government Department of Human Services (2012) stated “the freedom to make decisions which affect our lives is a fundamental right that each of us should enjoy”. The decisions we make in our lives represent who we are and how we want to be perceived by the world – whilst taking into consideration our own morals, beliefs and goals. Supported decision-making (SDM) is a process by which “a third-party assists or helps and individual with an intellectual or cognitive disability to make a legally enforceable decision for oneself” (Kohn & Blumenthal, 2013). May & Rea (2014) stated that “supported decision-making assumes that all people, regardless of their ability or disability, have some capacity to be involved in decision making”.

On 10/24/2015, CM met with the client to complete Bi-Weekly ILP Review. Client was able to come to the 3rd floor social service. In the meeting client was dressed in black floral skirt and beige sweeter and jacket. Client appears to be happy she was humming. She appears to be cooperative and friendly. She was disoriented to time, place or time. Client appears to be decompensating.

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. of Methadone and she reported maintain a satisfactory dosing level. During the last quartet, Pt. learned about heroin use, resentment, powerlessness and treatment progress. Pt. seemed to understand that she was completely without power, without strength, without any ability to control how much she used during her addiction.

The consumer was able to see the doctor and therapist. The consumer did have a psych eval and was prescribe cogentin for the side effect from the shot he was given at BCA Stronecrest. The consumer was not given any other prescription and was advise to continue to take clonazepam as prescribed. The consumer was not very cooperative with his therapist unable to stay focus on the questions and he became angry and irritable. The writer was able to clam him down to finish his treatment and crisis plan. The consumer was also given a referral for

Marybell asked a stranger for a ride and got into the car with her daughter even though the man was intoxicated. We discussed her thought process in this situation and what a safer alternative could have been. She has not heard back from the referral she recieved from her PCP in regards to the lump in her breast. Marybell also got to see her son this weekend and found out that he was promoted to a specialist, which she is extrememly proud of. Marybell said that she could see that her son could see the difference in her and was proud of her for starting to "dig herself out of the hole she had put herself in" which made her feel good about herself. Marybell said that she had a bit of alcohol with her son on Sunday, but other than that she had gone almost a whole week without a drink. Marybell also has not had a cigerette in almost three weeks, which she is also proud of. Marybell was informed about the cycle of change and that relaspe is a part of the cycle and then problem solved about how to deal with relapse if it should occur in regards to her smoking. Marybell is still smoking marijuana regularly. Marybell 's biggest stressor right now is the threat of her water being shut off due to not paying the bill and we problem solved ways to deal with this until she had a source of