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.
The patient used a four poster walker after the spinal surgeries in 2010 and then graduated to a cane after hardware removal in late 2012. He is now taking Norco 5 mg 4 times daily. He has not had any physical therapy in the last two years and does not recall being given home exercise program from physical therapy. He is not doing home exercises. He has not had any epidural steroid injections and chiropractic treatment for the last two years.
She’s ready for it to be over, and wants someone to tell her she’s doing great. Her husband, Mark was there for the beginning of the labor, and supporting her. Telling her that she can do this, and that this will be good for them. He keep saying that this will solve their issues, it’s a new start. He said those exact words on the other two daughters.
In the ER the patient has stated that few days before admission he has lost consciousness and fell to the ground, however do damage was caused by the fall. After admission the patient had the fallowing testing performed Lexiscan Stress Test: No EKG evidence for Ischemia Chest X-Ray: Heart & lung clear, no evidence of consolidation, pleural effusion, pneumothorax Cervical Spain CT: bones are normal, soft tissue normal , no abnormalities detected on any structures
When questioned about alternatives such as reaching out to her prescriber, the patient said, " Oh, I can 't stand that man. He went on vacation for 6 days and stop my refill. The pharmacy was kind to give two pills and had to complained to the Director at the center about him and the Director had my Rx Scripts refill." The patient is planning seek a different mental health provider due to conflicts with her prescriber. In addition, the patient was advise about her Sertraline is currently expired.
For the Leader Shadowing Case Study, I chose to shadow Dennis Riethman. Mr. Riethman resides in Coldwater, Ohio, where he lives with his wife. Mr. Riethman’s professional history starts back when he graduated from The Ohio State University with a Bachelor of Science Degree in Agriscience Education in 1979. He later went on to receive his Master’s Degree in Agriscience Education four years later in 1983. Right out of college, Mr. Riethman stepped into a teaching job as an Agriscience Instructor back in his hometown of Coldwater where he advised the Coldwater Tri-Star FFA Chapter.
If your antidepressant affects the chemical serotonin in the brain, your body will experience physical and emotional symptoms when the medication is discontinued. #*These symptoms are frequently referred to as antidepressant discontinuation syndrome and will affect one in five individuals who are on antidepressants for six weeks or longer.http://www.webmd.com/depression/guide/withdrawal-from-antidepressants #*These symptoms do not indicate addiction to antidepressants as this class of medications is not habit-forming. Rather, they reflect the body 's reaction to suddenly stopping your medication regimen. These symptoms can be prevented or minimized by gradually going off your
They prescribe opioids that dull the addiction craving but don 't really produce a high, the medications are called methadone or buprenorphine. Finally, the article asks “Should opioids be used to treat addiction?” That is definitely not the way to go about it. If a person had an addiction to smoking, would one treat it by telling them to just go smoke a different type of cigarette? No, that’s why doctors should treat opioid addiction by other therapy that is not addictive Overall the opioid drug problem is beginning to get under control. Researchers and doctors are beginning to understand more and more about different treatment plans, and how to deal with the opioid addiction problem.
Clark states, “Reversing an overdose with naloxone ‘buys’ healthcare providers another opportunity to provide treatment, and we know that with adequate time, treatment works” (Clark, 2014). Another common argument is that addicts abuse drugs by their own personal choice. Nurses can remind people that many people addicted to opioids begin their journey seeking relief from pain. Over time, and often through no fault of their own, their bodies become addicted to that relief. Aside from vocalizing support for this bill, nurses can integrate overdose prevention in their practice.
D-The patient reports he is stable at his current dose and haven 't used any illicit drugs. The patient appears to excited about applying for his 1st take home bottle as it will be helpful to not come to the clinic on the weekend. This writer and the patient completed the 1st take home bottle application and further discussed the take home bottle expectation and what he had learn during the take home group session on 03/03/2016. Lastly, this writer and the patient discussed about he learned during his Methadone Stabilization. A- Based on this writer 's assessment, the patient appears to be good-spirited about his recovery, alert, and oriented.
Patient attended AMS Relapse Prevention Group on Wednesday at 6 am. The topic of the group was “Evaluating Strengths and Weakness in your Recovery Program.” Drug Counselor begins the lesson by assessing how he has been doing. Counselor stated, “It’s nice to see you again. How have you been doing since your last group or counseling session? How was your weekend (free time)?
In turn, as a cognitive message, CBT and a client centered approach helped clients to also identify and respond to not only their individual need but the needs of others in a more empathic, compassionate, and accepting way. Each article includes a randomized cohort but combined the interventions and adaptation of CBT and a client centered approach in order to examine research and provide feedback to substance abuse clients. As we concluded in class often and integration of different models or techniques can play an important role in the application and delivery of a therapeutic intervention and after reading the articles I believe the integration was effective and helped limit the amount of drugs clients used during therapy. In the end, CBT and a client centered approach both take into consideration the conscious mind while allowing clients to examine their individual problems at hand and use of drugs. From what we covered in class and from reading the articles the evidence goes hand in hand and explores how these combined therapies help individuals explore they have the ability to determine their own futures and are not necessarily a product of their past or previous
Jingying Zhu, as the Operations Manager, will introduce us what special job we need to do when we will meet. She is very responsible; I trust her a lot. Our group members had written the introductory part of the Annotated Bibliography Project together on Wednesday. According to our Professor, it was unnecessary to let everyone to do the presentation, so we decided to let Yam Kwok Wai (the Presentation and Design Coordinator) do the presentation, and rest of us will write the context and find some pictures and design the
In the case an alcoholic might be treated using the biopsychosocial model, he will not be asked to practice total abstinence only. Considering the biological and the psychological factors, his family history would be included in the treatment plan. If there is any history of alcoholism in the family, then the alcoholic was predisposed or might have been psychologically affected by the alcoholic parent behaviors. His current family situation (going through a divorce) might also be a cause of his drinking. The treatment plan would include counseling sessions where the patient could talk about how he was affected by his family’s situation and why the need of drinking took over his life.
Treatment for addiction needs to contain a combination of therapy methods due to the complexity of the disease. A common difficulty with addicts begins with the inability to see they have a problem and need to seek medical attention to help fight the disease. First, loved ones, family, and friends must make it their responsibility to get the addict help. According to Neurologist Dr. Marvin Seppala, in a CNN article on July 16, 2013, “Addiction: The disease that lies,” We assume they can make their own decisions, especially when it comes to help for their addiction. In so doing we are expecting the person with a diseased brain to accept the unacceptable, that the continued use of drugs is not providing relief from the problem -- it is