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The reporter stated at this time, Zane’s urine has not been tested and samples of meconium will be sent to lab for testing once it’s collected. At delivery, Ms. Glass did not test positive for any drugs, but during pregnancy she tested positive for marijuana, cocaine, and alcohol. The reporter stated Ms. Glass tested positive on the following dates: 02/02/16, 05/10/16, and 06/21/16. According to the reporter, Zane did not have any complications or adverse side effects at delivery; the child is scheduled for discharge on 07/18/2016. Ms. Humphrey stated Ms. Glass has been diagnosed with Bipolar disorder and she reports receiving counseling at Pine Belt Mental Health. The reporter stated Ms. Glass also told staff she’s compliant with her prescribed
According to Jessica Nordeen’s Deposition, she mentioned that she looked over the pamphlet about drinking during pregnancy that Gregory Buchner gave to her, and she quoted “ Well, the Doctor gave me a pamphlet, and I kind of looked over it. I wasn’t too happy about being pregnant, so I wasn't very interested reading about it. I guess if you really want to have a baby, you want to know all about
“The plastic bag recovered from the car seat contained seven separate plastic bags containing off-white material, which field-tested positive for crack cocaine. In light of the proximity of the bags of cocaine to Ms. Watson, she was charged with Possession of a Controlled Substance with Intent to Distribute, a felony. As the owner and operator of the vehicle, Jeffery Cox was arrested and charged with the same felony. A search of his person after the arrest revealed $1,450 in cash and several small empty plastic bags with a powder residue that field-tested positive for cocaine.”
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.
Neonatal Abstinence Syndrome (NAS) is a group of problems a newborn experiences when exposed to addictive drugs that the mother consumes during pregnancy. NAS is a growing concern in the United States and can have significant adverse effects on newborns. Shortly after birth, the infant can display many physical symptoms of withdrawal. In addition, substance abuse during pregnancy can cause premature birth, low birth weight, seizures, birth defects, Sudden Infant Death Syndrome (SIDS), and possible long-term cognitive and behavioral problems. The 2010 results from the National Survey on Drug Use and Health: Summary of National Findings reported incidence of substance abuse among pregnant women within the United States....
Drug and alcohol use in pregnancy poses a threat to the neonate’s development and the obstetric provider has an obligation to screen for substance use. Substance use in pregnancy can place the developing fetus at risk for in-utero opioid dependence, fetal-alcohol syndrome, preterm labor, and other consequences of maternal alcohol, tobacco, and illicit drug use.(6) Within the past three years La Crosse County has seen a marked increase in the amount of heroin use.(7)
A considerable amount of literature has been published on the impact of working hours (8 vs. 12 hour shifts) on fatigue among the nurses. These studies revealed that twelve-hour shifts increase the risk of fatigue, reduce the level of alertness and performance, and therefore reduce the safety aspect compared to eight-hour shifts (Mitchell and Williamson, 1997; Dorrian et al., 2006; Dembe et al., 2009; Tasto et al., 1978). Mills et al. (1982) found that the risk of fatigues and performance errors are associated with the 12-hour shifts. Beside this, Jostone et al. (2002) revealed that nurses who are working for long hours are providing hasty performance with increased possibility of errors.
The child that I tested will be referred to as K.L. I tested her on April 14th 2016. K.L. is 2 years old, with her exact age being 2 years 9 months and 14 days. I called and asked her mother if she would mind dropping K.L. off with me for a few hours so I could perform the test, and then pick her back up after the test was complete. This test more accurate when the caregiver is not present. K.L. has a step sister and a baby brother on the way. She has always been in the daycare setting, because her grandmother is a provider. K.L. was delivered full term via planned cesarean section due to her mother’s small pelvis. There was no complications during this pregnancy. K.L. weighted 8 lbs. 4 oz. and was 20 ½ inches long at birth, now weighting in at ...
test to be administered. In which the drug test came back positive for crystal meth and marijuana. He
How would you feel if you knew that the doctor inserting the stent in your heart was on the 24th hour of his shift? Understandably so, most likely worried. Thoughts going through your head would definitely include what would happen if this doctor fell asleep or inadvertently caused a severe injury as a result of drowsiness. Unfortunately, these are realities that all patients who are treated in teaching hospitals face. Medical residents often work unimaginably long shifts, sometimes exceeding 24 hours. Levels of fatigue by the end of these work periods have contributed to accidental injuries and deaths; it is no secret that humans make more errors when they are tired (Bates). Why not just limit shifts to a standard eight- or twelve-hour day? Continuity of care. This concept has caused physicians to widely believe that they are immune to the symptoms of fatigue. Only recently has the medical community begun to implement some work hour restrictions. While continuity of care is definitely important to patient safety and equally as important to teaching medical residents, the potential rewards do not justify the inevitable risks. Fatigue in medical residents is a serious issue and a cause of worry to patients worldwide.
Upon concluding my neurobiology course, I spent some time reflecting on what I've learned about the nervous system and its functions. I thought about how much progress has been made in the last couple of decades alone in defining and understanding certain aspects of neuronal functions, and must admit that I am very impressed. However, there is still so much we don't know about this area, and nowhere has this notion proved more true than in my exploration of Chronic Fatigue Syndrome. As will soon be clear, this disease is highly debilitating and can greatly lower the quality of an individual's life, yet to date there are no definite findings about the etiology of this illness. But even more importantly, this illness shows the importance of understanding and being able to assess the different workings of our nervous system and its complex nature. Unfortunately, the study of this same disease also shows the human inability to yet do so.
Alarm fatigue is a growing problem that causes nurses to feel overwhelmed and not perform to the best of their abilities. Many people don’t understand the concept of alarm fatigue until they are in a hospital and hear the different noises going on first hand. Alarm fatigue occurs when nurses or other health care members have sensory overload due to the alarms, which then lead to ignoring the alarms raising concerns with patient safety (Horkan, 2014).
The play begins quickly, launching into the root of the family’s problems as early as page 12 wherein Willy states “I’m tired as death” (12) and only escalates as the play progresses. Willy being tired is understandable due to his long hours driving along the New England coast, but his use of death to describe his level of tiredness is hinting at this his suicidal tendencies to follow. From this moment on all the problems stem from confusion between dreams and reality. One of the first realizations of reality from illusion was when Biff notices his mother’s grey hair. She responds “Oh it’s been grey since you were in high school. I just stopped dyeing it that’s all.”(55) Although Biff does not actively think of keeping his mother young as
The two disorders I have diagnosed Sara Goldfarb with and will be discussing are “severe amphetamine-induced psychotic disorder with onset during intoxication” and “minor amphetamine use disorder in a controlled environment”. The diagnosis of amphetamine use disorder is “in a controlled environment” due to the fact that Sara has been involuntarily institutionalized, and therefore has no further access to the amphetamines her ethically-challenged doctor provided (American Psychiatric Association, 2013). Sara can also be diagnosed with “amphetamine intoxication” at multiple instances throughout the film; many side-effects and diagnostic criteria stimulant intoxication, such as excessive sweating, euphoria,
Fatigue in aviation has always been a significant issue when it comes to the safety of the crew and passengers. Fatigue in flight is not the only issue. There is also a serious safety issue in other areas of aviation such as maintenance, air traffic control (ATC), and even in areas such as baggage claim and gate security. One can find evidence of fatigue in just about every aspect of daily life. A majority of vehicle accidents can be contributed to fatigue in one way or another. One can even see it in the late night college student trying to finish a paper before its deadline. Although the last example doesn’t have any serious safety concerns it is still a very real instance of fatigue. The area of transportation has seen thousands of incidents where fatigue has
Sleep is a very important factor in the human function. Our body and brain is able to reset itself and rejuvenate while we sleep. When we do not get the required amount of sleep, we start to feel lethargic and foggy minded, because our mind and body wasn’t able to replenish itself. Sleep is imperative that an insignificant rest deficiency or lack of sleep can affect our ability to remember things; decisions and can affect our temperament. Chronic sleep deficiency can get the body to feel agitated and it could lead to serious health problems such as, heart problems, stress, acne, and obesity.