The patient is a 64 year old female who presented to the ED with acute psychosis. The patient denies suicidal ideation, homicidal ideation. Patient endorses seeing others in her hospital room and speaking with them. Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. At the time of the assessment the patient appears not to be oriented with time, place, and situation.
“It’s easy to slip into a parallel universe” stated Susanna Kaysen in her memoir Girl, Interrupted when describing the nature in which one falls into the alternative world of mental illness. Unlike a physical illnesses which generally are more recognizable, mental illnesses must be diagnosed based on abstract assessment measures which are inevitably subjective to the discretion of the mental health professional. After being forcefully detained for almost two years, Kayson compiled a memoir based on her experience in a psychiatric facility upon being diagnosed with borderline personality disorder. Although Kaysen never fully accepted her diagnosis, multiple actions and behaviors she exhibited throughout her memoir were indicative of the presence of borderline personality disorder.
Cindy Lou Who reported that she has not had any thoughts of hurting someone else last three months. She reported that she has not made homicidal times in the last three months. Treatment history Cindy Lou who has not participated in treatment within the last 90 days.
Another major factor of Thao's medication error was fatigue. That had been picking up extra shifts, including the one in which she worked on the fourth of July. Her lack of proper rest and not giving her mind time to receive those eight hours caused the confusion between the two IV containing the two kinds of medication. Despite the fact that Thao had been a nurse for several years prior to the event, Thao did not follow the proper protocol to ensure that patient's safety. She gave her un-prescribed medication which resulted in Jasmines death.
There are concerns with regards to underlying mental health for Selena Goodall. During the intake, Ms. Goodall reports that she was diagnosed with bipolar. Then during the course of the six month with working with Ms. Goodall, she then reports that she was also diagnosed with ADHD and mood disorder. She was unable to provide dates of when she was diagnosed and where. According to Ms. Goodall, she reports that she diagnosed as a child.
David was sitting at the hall way for five hours and he complained that he needed to lie down. Afterwards David was taken to a nursing home because the VA hospital couldn’t been reached and later David had a stroke after being admitted to the nursing home. David pass away weeks later. b. In your opinion, who might have acted on behalf of
Wednesday, October 22 Reading Response 2 “Living Will” by Danielle Ofri is about an author who is a doctor who came across a patient that is suicidal. “They All Just Went Away” by Joyce Carol Oates is about a young lonely girl who finds herself attracted in entering abandoned house and is entranced by other peoples lives and what they left by. Although these stories are very different, I believe both the authors share a similar idea, but different outlooks, of how the main characters in each essay struggle to do the right thing. “Living Will” gives us a better perspective of what doctors today have to face with their jobs. The author, Danielle Ofri, came across a severely ill patient, Wilburn Reston, which really makes her think.
A nurse watched me talk to her and later explained she has autism and had been hospitalized in the rehab unit for over two months from a motor vehicle accident where her best friend died, and she was severely injured. The client clearly expressed her main concern was being discharged from the hospital. She had become acquainted with the hospital setting and formed relationships with her health care team, especially the nurses and aids. The client verbally and physically expressed she was unhappy about terminating the relationships she had formed at the hospital.
One hour there after retractable vomiting appeared but she concealed her suicide attempt so she was treated with probability of Gastroenteritis. About 15 hours thereafter delusion, hallucination, gate disorders and speaking difficulties became apparent and she was referred to a hospital. Emergency room physician during history taking find the truth and the patient referred again to the Sina hospital toxicology center of Tabriz University of medical sciences. The patient had slurred speech, ataxy, vertigo, midsize pupil reactive to light , resting tremor , reduced muscle forces and Deep tendon reflexes were reduced( in addition to initial symptoms and signs).Her vital signs were : BP= 80/50mmHg, PR= 78 beat/min, RR= 18/min and BT=
The perils of psychiatric medicine greatly affected Esther’s life. In chapter 10, when Teresa, their family doctor, refused to prescribe stronger sleeping pills for Esther anymore, because Esther was unable to sleep and read anymore. She (Teresa) referred Esther to a psychiatrist, Doctor Gordon. In Chapter 11, Esther later on realized that she was not sleeping for seven nights.
Ms. Sallie Mae Fisher is at risk for fall due to the current makeup of her home. As one can see in the video, when Sallie stood up to answer the door, she trips on a mat that she kept on the floor. Luckily, she does not fall and continues walking towards the door to open it for the home health nurses. Ms. Sallie Mae Fisher is also dealing with polypharmacy, which can contribute to her at risk for fall due as well. During the video, she expresses signs of confusion when talking to the nurses.
Theresa Marie Schiavo's case is very complicated to determine if the right decisions were taken, when it all came to keep hope on someone's life or just let that person die because of a brain damage due to lack of oxygen to her brain for several minutes. This tragic event occurred in a not very clear situation, where some still have doubts about what could cause this illness to Terri, where the husband, Michael Schavio was the only witness or the person responsible for Terri's illness. Even more complicated, it’s the years where Terri's life has been dependable on his spouse decisions to decide if death should be the best option for her, she was in a vegetative, able to breath and keep her blood pressure, but most important she needed a tube
The case of Carter vs. Canada is one of triumph for Canadians to question their civil liberties and constitutional privileges to an extent that had not been experienced in the courts history. The decision to abandon the previous law restricting the practice of doctor assisted suicide was justified by the court in the context of those with severe illness as well as a mental disability, in which prohibits their overall wellness. In regards to Life, liberty and security, it comes to a progressive conclusion that both the Supreme Court of Canada and Tina Carter both unilaterally agree that Canadians who are suffering unbearably at the end of life should have the right to choose a dignified and peaceful death. To explicitly regard the constitutional legitimacy of physician-assisted suicide within the charter of rights general limitations, the law currently contradicts the charter.
The Cyntioa Brown Essay Social workers daily experience cases that are intriguing. However, a social worker presented with a case that involve adolescents and trauma is presented an intricate and prodigious case. The trauma experienced by adolescents in these events put adolescents at a high probability of at-risk behaviors and disconcerting life events. The Cyntioa Brown case is a prime example of how an adolescent who has experienced traumatic life experiences displayed at-risk behaviors associated with disconcerting life events.
Domestic violence has been around for many years. Domestic violence however wasn’t considered a major problem or crime until the highly publicized court case in 1972 of Ruth Bunnell. Bunnell was killed by her husband after the police failed to intervene. In the years before Bunnells death, since the police failed to intervene even though Bunnell had called them twenty nine times prior to her death about her husband’s abuse of her and her daughters Bunnell was eventually killed by her husband. The police department was sued because of this and the suing party won.