Ms. Lamb is a 48 year old female who presented to the ED via LEO under petition by her sister Carol. Per petition Ms. Lamb has a history of Schizophrenia and has been non compliant for 2 months, hearing voices, and allegedly carrying weapons such as knives and possible a taser. Before the assessment Carol was contacted. She reports her sister has not slept in 7 days or eaten. She reports managing sister's medication, however is unable to due to stressors in her own life, so she proceeded to petition her to get some help. Carol reports her sister, Ms. Lamb, canceled her recent appointment at DayMark and with a Social work by the name of Alisha Lancaster (336) 681-0158 who was coordinating a possible assist living facility to meet her needs …show more content…
She reports finding out her sister has not been taking her medications due to prescriptions that were filled 2 months ago and was not picked up. However, since then Carol is in possession of medications at this moment. Carol reports the altercation she was referring to happen a week ago and "blacked out" or got angry before telling sister she was about to call the police. No reports of medical attention need. At the time of the assessment Ms. Lamb denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She admits to being noncompliance with medications over the course of 2 months, and hearing voices on occasion. She states since her last stroke she has been afraid of staying alone and feels there are ghost in her home. She reports going to her sister home to feel safe. Ms. Lamb acknowledges hearing voices talking to her, however giving no commands. She appears fine with it. She does mention increased anxiety due to the possibility of be placed in a mental health hospital. Ms. Lamb reports only canceling her appointment due to becoming depressed about the loss of her mother 2 years ago. She reports feelings of
Mrs. Hylton is a 45 year old female who presented to the ED via LEO under IVC by her therapist, Melanie, from ADS. Per documentation Mrs. Hylton denies suicidal ideation and homicidal ideation to nursing staff and MCM before the evaluation. She also contracted for safety with MCM. Dr. Horton requested a mental health assessment on Mrs. Hylton. Before the assessment Ms. Melanie and her supervisor Melissa were contacted. Ms. Melissa reports Mrs. Hylton verbally contracted for safety, however left before ADS could type up terms of verbal agreement. Melissa reports afterwards she was not aware of Mrs. Hylton symptoms of psychosis when speaking with her until being informed by Melanie of findings after conversation with Mrs. Hylton. Melanie upon
Many parents are faced with this issue across the United States, but in Katy’s case, she has inflicted with a life changing event a terminal illness that prevents her from working and paying for child care services. Katy received a letter from her employer stating that they will no longer reimburse for child care services because of her not working. Denial of child care has contributed to the exacerbation of Katy’s symptoms and poor health outcome. Therefore, I am requesting a meeting held during this week with Katy and the Department of Social Services (DSS). The discussion will be focused on denial of child care payments and agreement for a Fair Hearing to discuss Katy’s inability to work and her limitations.
The person’s care I have chosen to analyse is that of a 65 year old female, for the purpose of confidentiality she will immediately be known throughout as Mary (NMC 2008). Mary was admitted to the continuing care unit where I was placed. Although Mary had come into the unit as a new admission, she has been known by the trust the unit resides in for over 10 years. Mary has only one known relative, her next of kin whom was married to her deceased brother. Mary was admitted as an informal patient, meaning she had not been sectioned under the Mental Health Act (1983). She was also deemed as having full capacity in regard to the Mental Health Capacity Act (2005).
Other background information that must be cleared up concerns history of traumas, domestic violence, housing status, primary usage of drugs, mental health problem in family, cases of hospitalization, treatment, previous usage of medication. All these items can influence current client's condition. Despite, as Meredith’s sister Sarah also has some personal problems, it is necessary to find out the origin of it; Sarah might have personal disorder that is inherited, so Meredith is under the risk to have it.
Shaniya Robinson arrives at the County Human Services Authority for her monthly appointment with her social worker. Ms. Robinson is a 25 year old African American female who is receiving treatment for schizophrenia from the adult behavioral health services program. During a session the client reports that she is under a great deal of stress because she is having difficulty adjusting to being a new mother. Her five month old baby girl Shanice is teething and cries frequently. Ms. Robinson is also struggling financially because she is currently unemployed; her mental illness makes it difficult to sustain employment long term. And she does not receive support from the child’s father on a consistent basis. The combination of these interactional difficulties is weighing heavily on the client who reports an increase in positive and negative symptoms (i.e. auditory hallucinations and social withdrawal). Because the client does not have insurance she disclosed to her social worker that she self-medicates using marijuana in an effort to manage symptoms. More noteworthy, the client explains that she uses the same method to soothe the baby by blowing marijuana smoke in the infant's face. It is certain that Ms. Robinson divulged such information for several reasons, she wants help and she believes that any information she shares within the context of her sessions are confidential.
According to (Barlow, 2001), Schizophrenia is a psychological or mental disorder that makes the patient recognize real things and to have abnormal social behavior. Schizophrenia is characterized by symptoms such as confused thinking, hallucinations, false beliefs, demotivation, reduced social interaction and emotional expressions (Linkov, 2008). Diagnosis of this disorder is done through observation of patient’s behavior, and previously reported experiences (Mothersill, 2007). In this paper, therefore, my primary goal is to discuss Schizophrenia and how this condition is diagnosed and treated.
The reporting party (RP) was informed by foster child Kahryn current foster mother Shaquita at (909) 714-7859 that he had a scratch on his nose, scratches on his face and a “knot on his face. Shaquita was informed that the child had fallen. The RP had a visit with Kahryn on 5/28/16 and observed some was wrong with him. The RP stated someone named Roy (last name unknown) what to take Kahryn to the hospital during the visit (Roy's relationship to Kahryn unknown). According to the RP, Roy contacted the CFS Social Worker Tamzida Shams the same day and informed the current foster mother he had received permission to take the child to the hospital. Shaquita stated she didn't know anything about that and explained to Roy that she would need to contact her FFA Social Worker Anna (last name unknown).
Mrs. Edwards is a 56 year old female who presented to the ED following an crisis situation at Walmart where she "blacked out". Mrs. Edwards was found with 2 pill bottles on her persons. She denies suicidal ideation, homicidal ideation, and symptoms of psychosis to Hospital staff. At the time of the assessment Mrs. Edwards denies this was an suicidal attempt. Mrs. Edwards states she has blackout before and went to HPR, however the doctors were unable to figure out the cause. She reports 3/15/17 she took her medications as usual around 5 or 6 am when she wakes up and later on that day while in Walmart with her sister blacked out. She denies any mental health history, depressive symptoms, and any past attempts of self harm. Mrs. Edwards has a
The ethical problem encountered in this situation is that the home health agency is asking Carlos, OTR, to evaluate Mrs. Franklin a week later and change the date on the documentation. The core values that might be violated in this scenario will be justice, truth, prudence and altruism. Justice will be violated because the law will be broken if Carlos decides to falsify documentation like the agency is asking him to do. This will violate the second standard of practice of Occupational Therapy, where it is stated that the therapist must abide by the time frames and formats established by practice settings, federal and state law, and other regulatory and payer requirements by AOTA documents. It is also a criminal violation of chapter 2, 10,
As the EAI team was discussing Molly’s case, one of the ED Residents made a few telephone calls. Molly’s PCP reported that during her last visit about 2 weeks ago, Mollie was alert and able to respond to questions appropriately. He confirmed that Mollie’s daughter and son in law have experienced psychiatric problems, adding that the son in law has expressed anger regarding Mollie’s living arrangements. The home health care agency was contacted. The RN and aide both report they have never met the son in law and have had very limited contact with Mollie’s daughter. When contacted by telephone, the daughter provided no explanation for Mollie’s extensive bruises noted on admission to the hospital. The daughter stated that Mollie did not fall, but in fact lowered herself to the floor in an effort to draw
In the video, Whose Records, the client demonstrated frustration with her current counselor and made a request for her medical records in order to transfer to another counselor. During the conversation, the counselor remained calm and respectful to the client regardless of the clients’ disrespectful approach. I do not agree with the challenge approach made by the counselor regarding the client seeing a different counselor every three to four weeks. That seemed to increase the level of tension on behalf of the client. I feel a better approach would have been to allow the client to express her concerns regarding her current treatment. After which, the counselor could explain the process of obtaining her medical records along with requesting the client to sign the appropriate release of information to acquire her records.
There are many different diagnoses for mental problems these days from anxiety disorders to eating disorders and from mood disorders to obsessive-compulsive disorders. However, I am choosing to write about schizophrenia disorder because I believe that this type of disorder is one of the most dangerous of all mental problems. Throughout this paper I will describe the criteria doctors use to diagnose somebody with schizophrenia as well as the specific DSM-5 diagnostic criteria. This will include the clinical symptoms of schizophrenia such as the positive, negative, and disorganized symptoms. Also I will talk about the etiology and the medical and psychological treatments for schizophrenia. Lastly I will write about the impact this disorder has on the person and the people around them in the real world.
Finally, Precious and this social worker read through the “Informed Consent” document together. This was to ensure that Precious understood her rights and knew what to expect regarding her treatment. Precious reported that she understood what was stated in the document, at which point both she and this social work signed and dated the last
A 54-year-old man is brought to the Eemergency Ddepartment by an ambulance because he has been vomiting large amounts of fresh blood. He The patient admits to drinking three six-packs of beer and a pint of vodka on a regular basis for years. This is the second time he has presented with this symptom. Last week, he was admitted in to the same hospital for the same complaint. An endoscopy was performed, which revealed esophageal varices. Banding was done and he was discharged yesterday with no post-operative complications. He suddenly began vomiting blood today in the afternoon. He denies any trauma, eating, or taking any medication prior to the current episode. His physical examination is remarkable for hepatosplenomegaly and shifting dullness with a fluid wave on percussion of the abdomen. He has palpable
Schizophrenia is a serious disorder, which affects how a person thinks, feels and acts. People with schizophrenia will tend to have difficulty distinguishing between imaginary and reality. Roughly 1% of the United State population, or 3 million people, are diagnosed with schizophrenia. There are multiple factors that could cause schizophrenia, such as genetics and environmental. Currently there is no cure, but there is therapy to help manage symptoms.