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 …show more content…
Hylton a month. She reports Mrs. Hylton expressed to her she hallucinate all the time, however understands when hallucinating, she is hallucinating and can control her impulses. Melanie reports attempted to come up with a plan for Mrs. Hylton to go to Old Vineyard today because there was an bed available. She reports Mrs. Hylton had to be at Old Vineyard 2/9/17 at 10am tomorrow. Melanie expressed concerns for Mrs. Hylton well-being because she was home alone, haven't contract for safety, and was experiencing auditory and visual hallucinations. She reports before she could finish making a plan and contracting for safety Mrs. Hylton left with her mother. Melanie reports last year Mrs. Hylton attempted suicide by alcohol consumption. A MCM assessed Mrs. Hylton and during the assessment she appeared to talk to a man who she said was in the room, however was not visible by …show more content…
Hylton denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports today she was asked to come in to ADS to sign an authorization of release of information in hopes of finding substance abuse treatment for her legal issues that the court suggested she engage yesterday. Mrs. Hylton yesterday after court, she proceed to consume an unknown amount of alcohol due to feeling stressed over court. Mrs. Hylton reports informing her primary care physician to tell Melanie at ADS she did not feel well and was not going to her weekly Wednesday meeting this afternoon. She states, "I didn't want to go, I was tired and stressed out, I asked my doctor to call for me." She reports being called by therapist Melanie to come in to sign some papers. Mrs. Hylton reports she was under the impression her going to ADS was to aid her in finding a inpatient treatment program for substance abuse. She reports going in to ADS around 2 pm. She denies consuming alcohol before going to the meeting, however reports having "3 cups of acohol" mixed drinks after leaving ADS. Mrs. Hylton states,"I had things to do, I had to make sure my dog, who is older and sickly, I had to make sure she was okay, and I told them I would go tomorrow because I didn't want to go there with no clothes and haven't showered." She reports still smelling like alcohol because she had not showered before going to ADS, after a night of drinking." Mrs. Hylton reports she
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.
This case study is an interpretation of a problem or situation that has occurred within a LPC’s (License Professional Counselor) care. As information is gathered, the depiction to this specific problem in this case study may also include additional information that may deem so to be necessary, in order to place possible solutions or actions that could have or will arise from the situation. This document will consist of a step by step analysis of the factors which impact the case, mostly in the order of what appears to be the most ethically sound decision. This document involves Stephanie’s (therapist) treatment of Martha Rose (client). The therapist, Stephanie, has been given a case through referral from an unknown source; Stephanie is working with this new case in SC (South Carolina).
At the time of the assessment Mr. Edmonds and family are in the residence. QP set up in the kitchen of the residence to began processing Mr. Edmonds information. Mr. Edmonds denies suicidal ideation, homicidal ideation, and symptoms of
The vignette described a woman who comes in for a session in an agitated state. The psychologist has worked with her for a few weeks and she was not overtly suicidal or homicidal. On this visit, the psychologist decided to refer her to an inpatient due to her becoming unreliable and taking 17mg of Xanax in 30 hours instead of 2.5mg prior to her appointment.The decision making process for this vignette is very important because of the dilemma involved. The ethical decisions-making process I am going to engage in will be the Canadian Code of Ethics for Psychologist and the decision- making process that accompanies it.
Mr. T is a 48-year-old Korean-American male admitted to Mercy Medical Center for heart palpitations following a call to the Behavioral Health help hotline. As a result of the call to the helpline, the police were called and Mr. T was initially brought to the Emergency Department. He told medical staff he was depressed and had ingested somewhere around 10 Xanax pills. Mr. T has bipolar disorder with possible borderline personality disorder characteristics. He was “nasty” to the staff and refused to give consent to treatment regarding his heart condition, for which he has a pacemaker, as well as any type of psychiatric evaluation.
Ms. Rizera was calm and cooperative throughout the assessment. Ms. Rizera reported her father is currently in jail and has been for a while and one of her sibling sent him a letter. Ms. Rizera reported she became up-set with her step-mother informing her of this because of the attention her sibling was receiving from her father as a response. It appear to trouble her that her father has not been in her life much due to serving several sentences for past charges. Ms. Rizera denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reported one previous hospitalization while in New York for reporting suicidal ideation to her mother. Ms. Rizera reported at the time her father was in jail and she was staying with her mother. She expressed attempting to find way to leave her mother's home due to relational
A hospital was encouraged strongly by a husband that his wife mental status warren assessment. Therefore, the woman was hospitalized voluntarily for depression. The husband provided information to the hospital on the women’s current state because the woman has failed to display coherent behavior and effectively communicate with personnel at the time of admission.
The purpose of this assignment is to demonstrate my reflection and understanding in the Role of the Mental Health Nurse in an episode of care supporting and promoting the recovery of service users. According to the National institute for Mental Health (2004) recovery is a process to restore something or return to a state of wellness, is an achievement of quality of life that is acceptable to the person (Ryan 2012).
Andrea Yates’ life started out completely normal. She graduated number one in her high school class, became a registered nurse for the Anderson Cancer Center in Houston, and met the love of her life and got married. Her life sounds as normal as anyone’s does. Four months after she gave birth to her fourth child, something changed. She tried her first suicide attempt by swallowing 40-50 sleeping pills. She was hospitalized to a psychiatric facility and diagnosed with major depressive disorder. Her doctor’s attempt to medicate her was unsuccessful. She was discharged due to insurance restrictions and according to Charles Patrick Ewing, a forensic psychologist and attorney who wrote the book Insanity, Murder, Madness, and the Law “her family contracted to keep a close eye on the patient.” Several months following her hospitalization, her mental health declined. She lost 13 pounds, had no energy, slept all day, and had memory and conce...
In recent years, there’s evidence to suggest that mental health nurses experience stress and burned out related to their work, Stress, as an result of stressful workplaces (Bernard et al,2000).
Nurses encounter various challenges in the workplace. One of the most alarming trends is that they often become the victims of physical violence. It should be kept in mind that healthcare settings account for about 60 percent of all violent assaults that occur in various American workplaces (Gates, Gillespie, & Succop, 2011, p. 59). Additionally, more than 50 percent of nurses report that they suffered from physical abuse, at least once (Gates et al., 2011, p. 60). In turn, this tendency makes nurses even more vulnerable to the effects of stress. Moreover, they are likely to feel dissatisfied with their jobs. This paper is aimed at reviewing the scholarly articles that can illustrate the origins of this problem and its impacts on the experiences
In the real world deciding on what you want to do for the rest of your life can be scary and most certainly confusing. There are over thousands of different careers and lifestyles that could suit you. How do you know if you have chosen the right one? The idea of patients with mental disorders being kept in institutions did not become popular until the 17th century (“Psychiatric Nurses” Volume 5 150). A career such as Psychiatric Nurse Partitioning has its pros and cons, but the journey to becoming one is something that will miraculously change your life.
The thought of life coming to an end is a scary thought for anyone, but for someone who is depressed and suicidal it may seem to them as a release of some kind. In reality is suicide going to solve these patient’s problems? The patient may think so, but it will not solve any issues or problems. Suicide is a pertinent solution that no one can return from. My experience with depressed and suicidal people or patients is small. This is why I chose to write about patients who are depressed and suicidal. Even though my experience is small. I want to learn what can be done for these patients, and how I can be a better advocate for them.
History: Patient is a 10 y/o female with past psychiatric history of MDD without psychotic features, IED, ADHD who was brought in by the police department on a 5150 hold for danger to self and danger to others. Per police report, Dalton Sharon called 911 and “stated her dad is hitting and choking her. When [Police} arrived, mom said she was upset because she wouldn’t go get cheeseburger for her.” The police report also notes that upon arrival, the patient had “destroyed her room and broke the bed. Made spontaneous statements that she did not want to live anymore.” In the emergency room,