Thank you for referring Rina Polastri, a 56 year-old teacher who currently works as a Vice Principal. Rina is a non-smoker and keeps a pet cat that she has had for a number of years. Rina is generally in good health and takes no regular medications. Over the last couple of months, Rina has been aware of an uncomfortable sensation with her breathing. Specifically she reports an inability to achieve deep inhalation but is not aware of any problems with expiration.
Patient’s family history was uneventful. There were no vertebral or skeletal abnormalities seen. On intra oral examination, no developmental anomalies were seen in relation to the tooth or supporting structures. A high arched palate with dental caries was noted in relation to 75 that was deep. IOPAR was advised in relation 75 and Lateral cephalogram was advised to rule out bony deformations.
The patient is a moderately built white Caucasian female, well-groomed with a steady gait. The patient has fair eye contact; language: intact. Speech is regular rate and rhythm, Thought process: logical and goal-directed; Association is intact but tangential and circumstantial. She is alert and oriented to time, place, person and situation; concentration is intact, recent, remote memory and fund of knowledge is intact and average; mood and affect: anxious, worries about her children and continued relapse on alcohol. She denies suicidal or homicidal ideations; no psychosis, Insight is poor, verbalizes understanding of mental health status, and necessity of treatment, judgment is poor, agreed to comply with treatment.
Ms. N is a 74-year-old female patient, who presents to the nursing home for admission by her daughter with complaints of being confused, falling and urinary incontinence over the past three weeks. Her daughter, Doris sates she is unable to care for her mother at home anymore and wants to permanently admit her. Ms. N presents with several problems that can be placed on her preliminary list. First problem is Ms. N’s recent lifestyle change from being completely independent and driving herself to her part-time job at the local library, to being completely dependent, all within one month. This alerts that some illness is affecting Ms. N, which has caused her to be affected by these changes in such a short period of time.
The Fault in our Stars Held prisoner by the cancer flooding her lungs with fluid Hazel has lost her ability to interact with people, Hazel is lost to her books and herself, feeling guilty. She is aware that there is nothing she did to cause the cancer but she only tries to decrease the pain she believes that she is somehow causing her family. She gives in to death and gives up rather than make a profound impact on the people around her. She begins to explain this as she narrates “Late in the winter of my seventeenth year, my mother decided I was depressed, presumably because I rarely left the house, spent quite a lot of time in bed, read the same book over and over, ate infrequently, and devoted quite a bit of my abundant free time thinking about death,” Green, p.78. She realizes that she spends precious time obsessing about death, she is wasting her life grieving about something she cannot control, predict or change.
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. She also realized that she has not had taken a bath, washed her hair and changed her clothes for three weeks either.
Which is probably because she is aging: “Susie’s one step ahead though, being three years older. It used to annoy Annie that she would never catch up. These days she’s not so bothered.” Annie feels very disconnected from her family, and exceptionally from her mom and dad. She has never seen them as separate people, she even mention that she used to wish her father was dead, so her mother would love her more: “I used to lie in bed sometimes and wish he’d die so she’d love me more.” She really want to feel loved by her mother and she feel like the only way that will ever happen is if her dad dies. Annie is described as a very cautious and careful, she is careful with her words and doesn 't say directly what 's on her mind.
In both stories, the main characters were dealing with the struggles of motherhood and being a wife. The main character in the story, “I Stand Here Ironing” was a single, working mother raising five children at the time. She was caring and providing for her children, while back then it was a man’s job to do so. The main character in “The Yellow Wallpaper” was suffering from depression after having her baby. She felt as if she could not care for her newborn as she is supposed to, so it brought her into a deep depression.
Impression Post concussive syndrome with headache, neck pain, and vertigo. There are not very many medications that I can start her on for her post concussive headaches. I normally would consider amitriptyline, but she is already on two antidepressants, plus she is not going to be here for very long, so I am going to try a more short term approach. She has had a Medrol dose pack in the past without any adverse
She has declined wanting birth control. Tara has no diagnosed mental health disorders on file. She denies any usage of drugs or alcohol, however her foster care mother has stated that on multiple occasion Tara’s has returned home intoxicated while out with her 25-year-old boyfriend. Tara has two siblings, a younger brother (Theo Jones) and an older brother (Dan Jones), whom she has indicated that the latter has sexually abused her from the age of 9 until age of 11 when her mother