On 9/172015, CM did a visual to locate the client. The client was located and CM completed Bi-Weekly ILP Review. The client was not seeing by this worker on 9/15.2016, because this worker was absent. In the meeting the client was dressed in a black long floral dress. She was well groomed. Client has a high stomach. CM is concern that the client might be pregnant. CM referred the client numerous times to the onsite medical staff and urine test was done with negative pregnancy. CM also inquires if the client is sexually active. Client reports “she is not sexually active. She mentioned her high stomach is due to fibroids”. CM also provided the client with two metro cards on 9/11/2015, to go to Woodhull Emergency Room because client stated she …show more content…
was having toothache. Client failed to bring back discharged papers. Client states she went to Woodhull Hospital Emergency Room and she was told the dentist was not in the building and she needed to make an appointment. Client is undocumented and a victim of domestic violence. Unfortunately she doesn’t qualify for the U-Visa because client doesn’t have any legal documentation as proof that she was DV. Client was advised to seek source of income. Client mentioned it is hard for her to seek source of income due to her right leg that she injured here at the shelter. CM inquires how she got her leg injured. Client replies “ her leg is broken, when she had an altercation with another resident that no longer resides in the shelter" CM also inquires if the client files a police report. Client replies “No”. CM also mentioned to the client the incident happened in January 2015, and you were offered to go to the emergency room by onsite staff; in which you refuse. CM continues to mentioned to the client on numerous occasion this worker gave you metro cards to go the emergency room for an X-ray of your foot and to schedule an appointment with the mental health department and once again you refuses medical referral. Client report no substance abuse history. Client report toothache and stomach problem but she is not accepting any medical referral. Client met with the onsite psychiatrist on 12/17/2014, and she was diagnosed with Axis1: Adjustment Disorder with mixed anxiety and depressed mood-309.28 (primary). She was given a referral to psychotherapy at Woodhull Mental and her neurology but client refuses medical referral. Client also reports she being bullied by a few residents in the shelter but client is not able to say to this worker who are the clients. CM will follow up with the harassment. Client housing plan is to move out independently, or Project Reconnect in which client state she will not leave without her son. Client has an active ACS case.
She has a mandated visitation with her son every Monday and Wednesday. Client sometimes is not complaint with ACS visitations, Court Hearing and Judge Recommendation. CM mentioned and gave client Bilingual Parenting Classes beginning 9/22/2015. CM advises the client to contact Edwing Gould Case Planner Ms. Caryn McCarthy and Ms. Gomez/Legal Aide.
Client is non complaint with the shelter rule and regulation. She has numerous Infractions from Security stating that the client does not vacate the dorm at 9am. CM addresses this issue with the client numerous times but client doesn’t grasp the information. CM will reiterate the shelter rule and regulation. Client must comply with curfew and maintained a clean area in her bed area clean. Client must adhere to 10PM Curfew.
CM observation: In the meeting client appeared her stated. She was cooperative and appropriate in the meeting. She sometimes made eye contact. She appears to have the intellectual cognitive and functioning disorder. She doesn't grasp information like everyone else and her conversation is always one side geared towards her son. She continues blamed everyone, including her lawyer, LHMC and Case Planner of doing anything to help her get her son back. Client needs to be re-evaluated for intellectual learning disability. She must seek alternative
housing. Client must walk in Woodhull Hospital Emergency Room to have her foot evaluated. Client agreed and signed. Next Meeting is
FACTS: Dr. Robert Lee Berry (Defendant) was a practicing anesthesiologist, who practiced with Dr William Preau and Dr. Mark Dennis. He was also shareholder in Lakeview Anesthesia Associates, LAA (defendant). Berry also had staff privileges at Lakeview Medical Center (LMC) (Defendant). In Nov 2000, Lakeview (Defendant) investigated Dr. Robert Berry after nurses concern. In March 2001, Berry was found groggy, unfit to work and sleeping in a chair, Based on this incident and suspicions that Barry was stealing Demerol from the hospital, he was terminated from LAA and Lakeview and his LMC staff privileges were withdrawn. Afterward, Berry applied for job as anaestheologist in Kadlec Medical Center (plaintiff). Before employing Kadlec, the facility sent a letter to Lakeview requesting recommendations and included a questionnaire with specific questions to be answered.
HPI: MR is a 70 y.o. male patient who presents to ER with constant, dull and RUQ abdominal pain onset yesterday that irradiate to the back of right shoulder. Client also c/o nauseas, vomiting and black stool x2 this morning. He reports that currently resides in an ALF; they called the ambulance after his second episodes of black stool. Pt reports he drank Pepto-Bismol yesterday evening without relief. Pt states that he never experienced similar symptoms in the past. Denies any CP, emesis, hematochezia or any other associated symptoms at this time. Client was found with past history gallbladder problems years ago.
At the end of the previous school year, Carol, and her daughter’s teachers noticed that Carol’s daughter was not progressing in her studies, and an evaluation conducted by the child study team revealed that she had a specific learning disability. An IEP meeting was scheduled, and conducted. The determination was made to place Carol’s daughter in the same resource room as Carol’s client Jody, for half of the day. Carol instantly realized that this decision put her in a predicament where a dual relationship would be created. She would then cross a clear boundary, and become a parent of a classmate, as well as the professional she has already established herself as to Jody and her parents. This would undoubtedly lead to instances in which both her client, and the client’s family would be interacting with her at both school functions and on class trips. She knew that allowing this to happen was against the BACB Guidelines for Responsible Conduct for Behavior Analysts. Carol voiced her opposition and explained the ethical quandary to those attending the IEP meeting, and what would occur if her daughter was placed in the same room with her client. Carol stated that she would speak with her supervisor, but it was probable that he would determine that she would not be able to continue working with Jody. Carol felt that having to become accustomed to another behavior analyst
There are a variety of ways counselors can use assessment in counseling. According to Whiston counselors use (2017) assessments as a tool used to measure people behavior. Assessments can be informal and formal (Laureate, 2013). One significant part of assessments is to evaluate progress between the client and counselor.
The American Psychiatric Association (APA) Code of Ethics (2002) is the foundation for psychology’s professional practice and ethical responsibility. Although it is important to know the ethical standards, professionals must also apply them into practice. The current case example examines the importance of professional consultation, when faced to identify ethical dilemmas in clinical practice, make ethical decisions, and gain insight into self-awareness. This case also highlights the importance of implementing self-care in clinical practice, especially when treating patients who present with severe symptomatology.
The purpose of this visit was to initiate therapy to resolve the cycle of conflict between the child and mother. My client is very hyper and instigates conflict with her mother. Because of her low self esteem she does not want to attend school so she is excessively absent. She hits and kicks her mom when she tries to wake her u...
Ohio Dep’t of Rehabilitation & Correction are the poor-quality patient care that Tomcik received and Tomcik’s health being at risk. Once engaged in a doctor-patient relationship, physicians are obligated to provide the best possible care for the patient by utilizing their skills and knowledge as expected from a competent physician under the same or similar conditions (“What Is a Doctor’s Duty of Care?” n.d.). However, in Tomcik’s situation, Dr. Evans did not deliver high-quality care, for he administered a perfunctory breast examination and thus did not follow standard protocols. There is evidence of indifference conveyed by Dr. Evans, and the lack of proper care towards Tomcik is an issue that can be scrutinized and judged appropriately. Additionally, Tomcik’s health was at risk due to the failure of a proper physical evaluation and the incredibly long delay in diagnosis and treatment. The negligence from Dr. Evans, along with the lack of medical attention sought out by Tomcik after she had first discovered the lump in her breast, may contribute to Tomcik’s life being in danger as well as the emotional anguish she may have felt during that time period. Overall, the incident of Tomcik’s expectations from the original physician and other employees at the institution not being met is an ethical issue that should be dealt with
1. Christine’s leadership abilities could benefit by having knowledge of the stages of group development. Specific to her situation, it seems that aside from the very first group meeting, Mike was not present for the forming stage of the group. As a result, questions such as “What can the group offer me?”, “Can my needs be met and still contribute to the group”, and other discovery inquiries did not get answered for Mike so he has not felt part of the team so he has withdrawn from the group. As a leader, Christine could have encouraged to Mike the importance of being present for group meetings so he can be part of the team. For example, at the lunch room incident when Mike walked away, she could have talked with him individually and explained to him that she perceives that he does not feel welcome and has been avoiding team meetings. Christine could address the how important it is to attend the team meetings, explain to him the “WWIFM” (what’s in it for me) aspects and the fact that team needs him as he has so much that could contribute and add value to the team. She could also indicate that the team’s success will only be possible when every member contributes. By doing so, she can help ensure that Mike is able to join the group during the forming stage and hopefully move quickly to the norming and then performing stages.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.
Client Services Professional with experience serving customers, managing confidential information, and multitasking in a fast paced customer-focused environment.
The client has a responsibility when it comes to what they need to prep before surgeries or outpatient testing. For example if a patient is going to have a colonoscopy the client must know all the rules and regulation from their provider to prep for this procedure days in advance. The client will be handed specific rules beforehand that will summarize what one must and must not complete to get ready for the procedure. The client must interpret and fulfill these directions. If the client does not follow the instructions as stated then the procedure will not be performed. Not only does the doctor have to fulfill his duty to his client the client has to be responsible on their end to also fulfill the provider needs. Doctor’s must keep in mind, that it is the client’s decision to decline care. A doctor cannot pressure or push a client to
There is no clinical evidence of psychomotor disturbance. At times he struggled to maintain adequate eye contact. Although he was apprehensive to speak at first his speech was coherent, spontaneous, appropriate with normal rate, volume and rhythm. He described his mood as “overwhelmed.” Objectively, his mood was a combination of sullen and angry. His affect is full range, appropriate, with spontaneous emotional reactivity. There were no clinical features of psychotic illness. His behavior is appropriate for a frustrated teenage male. His memory for recent and remote events is intact. He is well oriented to place, time and person. His concentration and attention were both adequate but he did disassociate at times. Additionally, he was preoccupied with the event and its ramifications. He was able to add and subtract figures without difficulty. His general level of intelligence and fund of general knowledge appears to be above average. His level of personal hygiene is adequate. He was able to communicate clearly and he was able to achieve goal directed ideas without difficulty. He denied any current suicidal or homicidal ideation. Client disclosed ideations of hopelessness, shame and guilt. I was able to maintain adequate rapport with him throughout the interview and he was able to follow directions. He denied any auditory or visual hallucinations. Client denied having “real time” flashbacks of the traumatic event. However, he disclosed unwelcome and intrusive memories of the event that occur sporadically outside of therapy. The client has poor insight into the nature of his
Client presents to therapy with depression, frustration and anxiety. Client reports that she feels stuck in her current relationship and that she would like to leave her partner but feels that she can’t because she does not want to lose custody of her daughter. Client reports that recently she has no desire to do anything around the house during the day and doesn’t want to spend time with her partner when he gets home from work. Client reports that she adores her child and feels her child is the “only reason she gets up in the morning”. The client reports that her inability to keep the house
One way that could be chosen is that of follow specific and certain CRCC codes. One CRCC code that could be incorporated in proceeding with Bill’s case is that of client’s rights of part A of section 3 of the CRCC code (Code of Professional Ethics for Rehabilitation Counselors, 2010). The reason that this specific CRCC code of client’s rights could aid in Bill status is that of it is up to Bill to make sure he can handle the stress of living in an apartment and working with at a vet his own numerous incapacities (Code of Professional Ethics for Rehabilitation Counselors, 2010). Another CRCC code that could be incorporated in proceeding with Bill’s case is that of information shared with others of part B of section 3 of the CRCC code (Code of Professional Ethics for Rehabilitation Counselors, 2010). The reason that this specific CRCC code information shared with others could assist in Bill status is that the counselor must not divulge too much information out to others, even if the individuals are looking out for them such as Bill’s mother saying that Bill should say to her for the reason that it is what he requests (which is not what Bill desires) (Code of Professional Ethics for Rehabilitation Counselors, 2010). One more CRCC code that could be incorporated in proceeding with Bill’s case is that of Proper Diagnosis of Mental Disorders of Part G of section 3 of the
This essay will explain what is meant by excellent customer service, outline an excellent customer service structure and give ways in which it can be maintained. It will also state the impotence of customer service to a business or entity.