Carleton Pyfrom II requested that I accompany him in the evaluation of a patient who is stating that he is suicidal. Mr. Pyfrom II and I met with him upstairs in the quiet room. The patient stated that he wanted to “blow his brains out” because he was on a high dose of pain medications and has not been able to get them here. Mr. Pyfrom II questioned the patient about his circumstance and he stated that he had a stroke and has been on pain medications, which were prescribed by Dr. Patellis, he is here today to see Dr. Katoch. After future evaluation it was determine that the patient had a referral on file to a pain clinic, but since he would not be assigned by Medicaid to our practice until 4/1/2016 we had to wait until 4/1/16 to make his referral. Mr. Pyfrom explained that his referral would be made tomorrow, 4/1/2016. …show more content…
Pyfrom was out of the room I made an evaluation of the patient’s mental state and assessed that the patient has no really intension of harm to himself or others, he was just feeling frustrated that he could not get his pain medications and that his pain is unbearable. I explained to him that our providers do not prescribe pain medications at the strengths which he has become accustomed to receiving. I went on to explain that statements of self harm and/or intent to harm another has to be reported since we are mandated reporters, additionally no providers will give pain medications if they told that the patient is suicidal, first the threat of suicide must be addressed before any medication can be prescribed. I suggested that this type of threat usually will not get him the type of attention that he is seeking. He stated that he understands and will refrain from making these statements in the
INTRODUCTION: This case involves the suspect being arrested for public intoxication and unable to care for himself in violation of PC 647(f)-Public Intoxication. The suspect was later placed on a WIC 5150-Mental Health Hold. INVESTIGATION:
The decedent was later released from the hospital after being cleared by the psychiatrist for discharge and later committed suicide by shooting himself in the head. The Respondent, Cayuga Medical Center, is where multiple physicians; Christopher Scianna and Drew Koch, a registered nurse; Meghan Beeby, and an on-duty psychiatrist; Auguste Duplan, had evaluated the decedent’s health and mental
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.
In doing so, doctors also disregarded the patients’ autonomy in their decision to have themselves committed for their altered mental state. Invalidating the patients claim and affecting their trust, which is the pinnacle of the patient-doctor relationship. With psychiatric patient even more so because there must be a level of trust in the person’s claim and in their determination, that they might be having a breakdown. A beneficial scenario for the parties involves would have been if the doctors’ actions promoted more good, or beneficence, and gave Jessie better tools to cope with his PTSD. Instead, of taking an inactive approach, which allowed the situation to escalate to the point he became a danger to himself and others.
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.
When AA reported at the hospital in January in a bad state, Shockingly, his was released with plans to admit him the next day because there were no beds. Admission in a home care facility happened the next day through the help of Crisis Resolution Home Treatment (CRHT) who gave directions on how he could be put back on clozapine but didn’t really perform the task themselves. They however falsely indicated they could be called at any time but according to them, their role ended when they brought AA to the home. Something they didn’t tell the resident caregivers. When AA’s condition become worse and was extremely manic the caregivers called the CRHT who prescribed lorezapam and haloperidol to calm him, the police were also called in.
It will be my responsibility to implement a risk assessment in order to have a clear image of the actual behavior. The risk assessment will consist of questions such as symptoms, precipitating events, sources of distress, onset, and duration. The assessment would also assess Shia’s current lethality to hurt her self or others, or if there are any past gestures. Based on reported self-harming behavior, it will be my responsibility to notify Shia’s grandmother (Huey, Remley Jr., 2010). However, if there were evidence that there is any lethality, a safety plan or contract would also be necessary.
Each case entails careful interviewing, accurate patient history, interprofessional cooperation, and compassion and patience to stabilize patients. With patient WW, the complicated social history and suicidal episode accounted for a longer stay than average and even after discharge, the patient still may not be able to return to completely normal functioning. Cost of care is substantial and reimbursement for services and resources can be tricky. Each case has to adhere to specific guidelines for reimbursement related to
Sainz told me the following information: Sainz was approached by Lane, who told her that he felt suicidal and was planning on hurting himself. Lane reportedly did not specify how he was going to kill himself. Based on Lane’s and Sainz’ statements made to us, Clinician Vasquez formed the opinion that he was a danger to himself. We placed Lane on a WIC 5150-Mental Health Hold. I transported Lane to the Olive View UCLA Medical Center for evaluation.
The goal is to determine the cause of the client’s pain resulting in suicidal ideation, increase family support, identify positives within the family structure and eventually leading to a treatment plan. As a counselor, this information will provide me with a gauge on how better to help the client and family. Suicide Interventions One type of intervention I would use is if appropriate is a suicide contract. The contract provides accountability for the client and therapist. I would utilize the ACT Model.
This patient was not treated with the ethical respectany patient should receive when seeking help/treatment. It is very alarming that a physician whose job is to take care of other humans would disregard giving a proper
R/s Lynette is cutting herself at school in the bathroom. R/s Lynette took the blade from the pencil sharper to cut herself. R/s Lynette stated that she hates being home and she doesn’t feel safe there. R/s the grandfather Lewis has legal guardianship of Lynette.
The two passages are very distinct content-wise and also use different styles of rhetoric. Sonya Fatah describes the transformation of a confused man, who is adventuring new things in his life to find his true persona; yet he is eager to stay in the stardom for as long as possible. Siddhartha Deb illustrates the life of a dexterous upper class entrepreneur, namely Arindam Chaudhuri. The biographers differ in writing styles as Sonya strictly reflects the events in Jamshed’s life which highlight his transformation, without using unnecessary jargons and details. However, Siddhartha plunges into irrelevant descriptions and adds his own personal opinions and insecurities in his article.
Internal pain, external pain, suicidal thoughts, drugs, and societal pressures, Craig Gilner experiences it all. Craig is a 15 year old boy from Brooklyn, New York, who lives with his family. One night when he plans to kill himself, he calls the suicide hotline, and they tell him to go to the nearest hospital and he does. Behind the doors, a huge world of experience and recovery awaits him. In the “short-term facility for adult psychiatric”(Vizzini 185), Craig meets new patients and works with others to heal himself.
The patient for the purpose of this essay will be referred to as