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Drugs for antidepression
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SUBJECTIVE Mrs. Baker seen in MCCRC on 03/02/2018. She is eating her lunch and doing quite well. She has become much less of a nuisance to other residents, is not at all loud. Does not want into rooms nearly as frequently, it maybe because the ones that are most sensitive to this intrusion have left. She has been on Risperdal 0.25 in the morning, 2:00 p.m. and twice that dose at bedtime as well as a small dose of Depakote as a mood stabilizer. She is on ranitidine for GERD that had been problematic. She is not on an antidepressant that would account for better appetite. She has gained 2 pounds. On the negative side, her hemoglobin remains at 9.9 with an MCV of 104. Her TSH again was 0.05 and a free T4 was 1.6 with her upper limits
Dr.Bain ordered a CT scan of Cynthia’s chest to rule out a possibility of an aneurism. Dr. Bain also did another CT scan of Cynthia’s abdomen to evaluate her liver. Additional lab work and thyroid testing was done. Around 5:00pm she was discharged with instructions to follow up with her primary care physician Leah Avera, M.D within one week. In Cynthia’s discharge summary that was signed by Dr. Pesante, states, in part, "it just seems like Cynthia’s problem may have more so been either some kind of infectious process or possibly a thyroid
Public health officials estimate that up to 50% of all antibiotics use in the U.S is either unnecessary or in appropriate.
T. Paulette Sutton is one of the world’s leading experts in bloodstains and is the former Assistant Director of Forensic Services and Director of Investigations at the University of Tennessee, Memphis. She has been involved in nationally known murder cases and has worked hard during her long career to make a position contribution to the legal system. Sutton says, “Its best for my fellow man that we get the killers off the street.” Since 2006 Sutton has been officially retired but continues to teach, consult, and testify about her area of expertise.
The wrongful conviction of Tammy Marquardt was also aided by the misconduct of the parties involved. Goudge (2008) claimed that Smith, other medical experts and prosecutors operated with a “think dirty” mindset, which presumes guilt first, rather than the ‘innocent until proven guilty‘ doctrine highly valued in the justice system. “The Goudge Commission found the actual words ‘think dirty’ in instructions from Ontario’s chief coroners, pathologists and police chiefs in 1995” (Shapiro, 2011). In Ms. Marquardt’s case, there is no way to conceal the fact that the professionals of the adversarial system did not satisfactorily perform their roles. It has already been demonstrated that Dr. Charles Smith “saw his role as supporting the prosecution,
In the story “Intervention”, Marilyn is stuck in her past and feels regret for the shame she put Sid through. She lets guilt get the best of her which leads to her depression. Marilyn’s mistake leads her to blame herself for everything causing her to lose the sense of control she has. She hides her feelings about her concern of Sid’s drinking and refuses to help him. The story “Intervention” by Jill McCorkle includes the sentence: “She can’t stop what she has put into motion, a rush of betrayal and shame pushing her back to a dark place she has not seen in years.” This sentence is referring to Marilyn’s depression giving her a lack of control. She can easily manage situation but denies the control she has, which is present throughout the whole
Rosa Lee Cunningham is a 52-year old African American female. She is 5-foot-1-inch, 145 pounds. Rosa Lee is married however, is living separately from her husband. She has eight adult children, Bobby, Richard, Ronnie, Donna (Patty), Alvin, Eric, Donald (Ducky) and one child who name she did not disclose. She bore her eldest child at age fourteen and six different men fathered her children. At Rosa Lee’s recent hospital admission to Howard University Hospital emergency room blood test revealed she is still using heroin. Though Rosa Lee recently enrolled in a drug-treatment program it does not appear that she has any intention on ending her drug usage. When asked why she no longer uses heroin she stated she doesn’t always have the resources to support her addiction. Rosa Lee is unemployed and receiving very little in government assistance. She appears to
I carried out this case study on Mrs. Casey (Pseudonym), any 86 year old woman who underwent an elective left total hip replacement (THR). After the OT student studied Mrs. Casey's past medical history in her medical chart, it was noted that she had previously undergone a right THR in 2011, which had been successful and free from complications. Ms. Casey had no other significant past medical history and had been an independent and active woman before the progression of her arthritis. Ms. Casey was required to have total hip replacements carried out on both hip joints as a result of severe Osteoarthritis (OA), which lead to stiffness, pain, and an eventual decrease in mobility, affecting her quality of life and involvement in meaningful occupations.
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
Mrs. A is a 71-year-old widow with CCF and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother 's ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs. A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her prescribed medications are:
Devin McCraney and Sharika Allison were the District Finance officer and Comptroller, respectively, for the Beaumont Independent School District (BISD), Beaumont, TX. From August 2010 until October 2013 they managed to embezzle over $4,000,000 from the school district by creating fake companies, issuing purchase orders and invoices that paid directly to an account controlled by both McCraney and Allison. From there Allison, who had taken out the DBA of “Millennium Consultants”, would write checks that were the deposited into their personal bank accounts. BISD did regular business with Millennium USA, an actuary company that would give annual workmen’s comp analysis.
Jane had not slept for 72 hours and had poor diet and was observed not to be drinking fluids. Jane has a diagnosis of Bipolar
Through assessment, I have come to the understanding that these symptoms come from an underlying issue of abandonment. She is experiencing a negative cognitive shift where she has trouble seeing anything positive about herself leading to a lack of appetite. She is showing significant symptomology of an eating disorder, this coinciding with her high levels of irrational thoughts and faulty cognition (Lask, 2000). Her eating disorder has led to the problematic behaviors of panic disorder and it has to be dealt
The patient denies any chest pain, shortness of breath, any new neurologic complaints. No nausea, no vomiting, no dysuria, no
Kody Brown of Sister Wives was in for the shock of his life last week when his daughter Mariah revealed that she was gay. Kody had no idea that Mariah was going to reveal this news, but her father is actually taking the news really well. People got the chance to talk to Kody Brown, and he shared how he feels about Mariah's announcement and loving his daughter no matter what her sexual preference. Kody supports his daughter. On the preview for next week, he is seen saying that he isn't happy she is gay, but is happy she knows herself.
Mrs. D. was admitted to the unit in 2011. She is 84 years old widow who was diagnosed with dementia, diabetes mellitus type II, hypertension, high cholesterol