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Anthony is a 40-year-old Asian American male who presents on the unit from RRC-W. He is SMI designated and on COT. He is ACOT for non-compliance. Per clinical team, client has been ignoring his diabetic condition due to increase psychosis and delusions. His team believes once he is stabilized on medication, he will begin to recognize his diabetic condition. Upon arrival, client refused intake assessment and vital signs. He will benefit from meeting with provider to discuss medication
Men rea is used in determining whether an act is considered a crime, and is applied to an act if there is indication that the act was committed with intent or knowledge or a degree of recklessness. The mens era of murder is having malice intentions prior to killing someone, so the person has an intent to murder. The argument that helps support that Martineau did not have the mens rea for murder, is the fact that he did not shoot the couple, and instead it was his friend Tremblay who had fried the pellet pistol. Martineau cannot be held accountable since he had no malice intentions to kill the couple, his intentions were strictly centred with the break and enter, there is no evidence
Since the second wave of feminism in the 1960’s women have demanded for equality rights. The R V. Ewanchuck case created many disagreement’s with feminists on the topic of rape myths. It has not only been seen as a precedent for the criminal law but as well an eye opener for the society to create awareness for this act. Since society continues to support most rape myths, it overlooks the act itself and puts the blame and responsibility on the victim as opposed to the perpetrator. This has created a rape culture within society. The term rape culture was created to demonstrate the ways in which victims were blamed for sexual assault, and how male sexual violence was normalized. Feminists are exploring the world of rape myths in Canadian law
In defining a patient’s non-compliant behavior the four criteria have been suggested: 1) Is the patient’s medical problem potentially serious or does it pose significant risk to life; 2) Has at least one treatment plan, been correctly followed. 3) Has the patient had easy access to the treatment or treatments; and 4) Does the patient deviate, significantly from most patients, with regard to medical advice, treatment, or follow-up care (Kliensinger, Fall 2003, p. 18).
RJRTC’s vision and mission statement intertwines with each other. The vision of RJRTC is to achieve market leadership by transforming the tobacco industry. On the other RJRTC’s mission statement wants to lead change in the tobacco industry by driving innovation throughout their businesses, redefining enjoyment for adult tobacco consumers, reducing the harm caused by smoking, accelerating the decline in youth tobacco use, and resolving controversial issues related to the use of tobacco. The mission of the company emphasizes that they care not only about their company and consumers but for everyone else who has or will be affected by tobacco in some way. Although everything is well written on RJRTC’s website, some people may still find it hard to believe that the company is not more in favor for the money that is attained each year rather than the people lives that they affect. Due to the fact, the tobacco companies in the past more than likely knew that smoking caused a lot of health risks and choose to not to acknowledge it after scientific research showed evidence of what cigarettes did to the
The authors also mentioned that AGPCNP must always fully understand the PSDA state law specific to their clinical practice. Patients in healthcare facilities toady are informed about their right in care of an emergency situation. In additional to the threaded discussion, patients are informed about their rights to get advanced healthcare accommodations, and any related information that pertains to the legal impact and state laws regarding all healthcare decisions. The PSDA requirement ensures that health care professional receive education and training that is appropriate and in subordination with the specific laws, regulations, organizational policies, and procedure. Legal requirement vary from state to state as to what is included, whether or not witnesses are necessary, and what can be designated. Documents should be signed prior to becoming ill or incapacitated so that there are limited questions as to how to handle one’s care. As mentioned by Vail, Barr, and Cherry, all healthcare decisions made by the patient should be respected and supported even if the decision is not agreed upon by the family or healthcare providers. Facilities need to educate their admitting staff as well as the nurses and other staff members how to mandate the PSDA so that they can teach their patients as well as witness proxies being signed on their
The patient (James Laney), indicated he tossed a piece of paper and missed the trash can in his room. The employee (Johnnie Edmonds, RN), yelled at him in a harsh tone to pick it up. The patient indicated he was unable to walk to the trash can due to his infected diabetic foot ulcer, which was the reason why he threw the piece of paper and missed the trash can. The patients also indicated the nurse was confrontational in discussing his plan of care after the event. He informed the nurse, he did not want him to provide care for him during the remaining of the shift. The patient alleges he was dis-respected by the nurse, because he continued to come in his room and taunt him after being asked not to enter his room, and requested another
Patient is an 88-year old white female. She was admitted to Friendship Village on 01/26/18. She is currently being treated for acute kidney injury (AKI), Coronary artery disease (CAD), and high blood pressure (HTN). The patient has a history of appendectomy, bunionectomy, hysterectomy, thyroidectomy. She was sent from Banner Desert Medical Center patient arrived by the EMS patient was unresponsive on the couch her husband found her, her husband attempted CPR. Patient mentioned having heart attacks in the past and injuring herself prior to coming to Friendship village that resulted in getting two pins put in her hips and having teeth knocked out of her mouth but this time when she had her recent heart attack she said was told her condition is
The patient is a 24 year old female who presented to the ED via LEO after an altercation with her fiance. The patient reports suicidal and homicidal ideations. The patient denies symptoms of psychosis. The patient reports that she has a vague memory her reason for being in the ER.
Based on the documentation submitted, from 06/15/2017 through 07/04/2017 and 07/07/2017 through 08/28/2017, the claimant does not have functional impairments. As it relates to hypertension, fatigue, and hyponatremia, according to the provider, the physical findings were suggestive of a cerebrovascular disease affecting the left hemisphere which was a complication of her hypertension. However, there was insufficient objective evidence to substantiate a severe functional impairment during the period of review. Although she had an elevated blood pressure measurement (ranged from 152/90 to 190/110 mmHg), the report dated 07/19/2017 stated that she was feeling better overall. Her laboratory testing dated 08/04/2017 were within normal limits and the appropriate conservative options were provided (Amlodipine, Apresoline,Clonidine, Aspirin). As it relates to her hyperglycemia, the most recent laboratory testing revealed a glucose level of 88 (normal). As it relates to osteopenia, the Bone Density test only revealed mild bone thinning and according to the provider, her calcium level was just slightly elevated. As such, the claimant is not considered disabled from 06/15/2017 through 07/04/2017 and 07/07/2017 through 08/28/2017, strictly from the perspective of Internal
Offered an evaluation that included did lab work and a chest x-ray and she at first agreed to this and she did ask for a neb treatment and neb treatment was administered. She felt that it was urgent that she return home and that she felt safe and felt that she was reasonably stable and declined our offer of a chest x-ray, blood work, and urinalysis including UDS. She did also ask for Tessalon Perles. Prescription for those and a cough syrup in improvement over the Robitussin she was taking at home. While she was here she had 60 mg of pseudoephedrine administered and 200 mg of Tessalon Perles. A neb treatment was given. She is advised to seek help with her own physician and her PCP is apparently Michael Larue and she agrees to this plan. Prescription is written for Tessalon Perles 200 one t.i.d. number 15.
This writer met with the patient as he was a no show to the Cocaine Group. According to the patient, he had overslept. He missed his dose on 01/24 due to being in Massachusetts and was unable to make it to the clinic on time. This writer addressed with the patient about the sole purpose of being referred to the Cocaine Group and his inconsistency of not attending the group. This writer says, " Iri, I have verbally warned you about this. I haven't placed you on Step as I continue to work with you, but this cannot be ongoing and plan needs to be put in place." This writer rendered a Step 1 treatment violation of which the patient understood this writer's position. The patient says, " My next UDS result should be negative. Can I stop attending
Arrived on scene with patient who responds to verbal commands, patient has a medic-alert bracelet identifying him as a diabetic. Patient is irritable and confused. Patient is protecting his own airway. Sign and symptoms sweaty, pale, confused, not breathing normally, not allergic to anything, medication the patient has been taking is Glucotrol, patient is a diabetic, last oral intake was lunch at 12:15, event leading to injury was nothing just finish working and was heading home.
Noncompliance is a major issue in health care and “one of the most important single modifiable factors that may compromise clinical outcomes and effective health-care delivery” (Sciberras, Gregori, & Holt, 2014). Patients that do not follow the recommendations of their physicians are hard to manage, and they tend to present some significant risk management concerns for physicians. In spite of physician’s best efforts to instruct patients, many physicians are dealing with behaviors that show that patients are putting themselves and the physician at risk of not sticking to the treatment that has been prescribed. Patients that are noncompliant is a common cause of patients being injured and could result in a lawsuit. There is not a simple answer to this problem. Some physician’s solutions consist of education and communication between the patients that is noncompliant. With the proper procedures and documentation some physicians may choose to withdraw from caring for patients due to their noncompliance of treatment. For example, over five years ago one of my younger sisters was diagnosed with diabetes. Her sugar levels would go up and down and it was a constant struggle for her. She would not go to all her doctor’s appointments and when treatment was prescribed she would not follow the advice that was given by her physician. Being that she was not adhering to the treatment she would have to make constant trips to the emergency room. The physician decided to prescribe her with insulin pump to help regulate her sugar levels. The insulin pump was small in size and it was not noticeable that she was wearing it. For a couple of months, her sugar levels were steady and all of a sudden the frequent trips to the emergency room started to occur again. We soon found out she removed the insulin pump. When she went back
Hello Nadine, this email is to follow-up with the message I left on your telephone voice mail. I received a phone call from Elena, who expressed the nursing director Mr. Gordon would not allow her to see the patient in light of the fact that the patient was still being skilled. According to our record, the patient was admitted to Avante of Lake worth on December 1, 2017, the patient was placed on cc December 3, 2017. I talked with Mr. Gordon the DON, who expressed that nobody informed him that the patient was on Vitas. There was a doctor order on their chart to admit the patient to Vitas yet he maintained that nobody spoke with any of the staff at the nursing home regarding the patient admission to Vitas. I inquired as to whether the Vitas