Mr. Zerweck is a 19 year old female who presented to the ED via LEO after being found wandering in the streets and attempting to climbing a tree. According to LEO she was found talking to her self and praying, appeared to be reaching for things that were not present, and agitated. Ms. Zerweck denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Before the assessment it appeared had been under the influence of some substance. However, while Ms. Zerweck was being treated medically her father called nursing staff informing staff Ms. Zerweck made a suicidal statement while on the phone. He reported his daughter informed him when she was released she was going to jump off a bridge and if hospital staff asked her if she was suicidal …show more content…
she would deny. Patient denied statements to Dr.
Samtani and multiple hospital staff members. This clinician spoke with Ms. Zerweck father. He informed this clinician of alleged statement. He appear to want doctor to not release Ms. Zerweck until he could set-up detox treatment for his daughter. He reports no knowledge of Ms. Zerweck mental health history or attempting to harm herself. He reports he is primarily concerns with her substance abuse and feelings if she is release she will continue to use drugs and not seek treatment. At the time of the assessment Ms. Zerweck denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She acknowledges calling her sister and informing her she was about to be discharge. She states,"after I told them that they were trying to find a reason to keep me here until they can find me some help." She adamantly denies statement. Ms.Zerweck expressed willing to go to detox treatment and engage in outpatient services if …show more content…
available. She reports no history of mental health. According to Ms.
Zerweck UDS she tested positive for Meth, cocaine, and marijuana. She reports at the age of 14 she started to use cocaine and since then has use heroin as a primary drug of choice. She states, "I'm more addicted to the needle." She express withdrawal symptoms as sweats and
nausea. this information was reviewed with Dr. Samtani and Howard McQuirter, LCSW. They both share the disposition that the patient should be discharged pending her agreeing to follow up with outpatient services. Patient agreed t ofollow up with outpatient services as recommended. The patient's family has been made aware of plans concerning the patient. Patient contracted for safety, was given outpatient referral information, and completed a crisis plan. Jamaral Rease, LCSWA
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
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
Karmen is a 50-year-old married who told her psychiatrist that she was considering suicide through overdosing on Advil. She complains of severe back pain that has left her with a “poor mood”. She talked about the injury for a long period of time. When doctors did not validate her injury, she described feeling abandoned. Karmen had gained weight and was upset about that. She did not take making suicidal comments seriously and often just used them as a threat towards her husband. She craved the attention of the doctors, and was flirtatious with the person who interviewed her. Karmen’s husband said that she talked about suicide on a regular basis. Karmen became sexually active early in life and has always gone for older men.
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
Since Claire did attempted suicide the week before, the nurse should screen her for current suicide intentions. Screening should be done with tools that are appropriate for the patient in terms of age and other personal characteristics (e.g. mental health and) physical health history. (Adam, 2013 p.384) Nurse should then minimize the risk for suicide by following the suicide precautions in the hospital by creating a safe environment for Claire during the time she is actively suicidal and impulsive, self-destructive acts are perceived as the only way out of a situation. (Varcarolis, 2015 p. 473) (E.g. make sure bathrooms have breakaway fixtures, remove dangerous objects such as ropes, belts, or cords, and ensure that the patient doesn’t hoard medications.) (Valente,
On 2-1-17 at approximately 1353, hours, Cortez Dispatch requested Deputy Haynes respond to the address of 812 Central Ave, space 6, In the Town of Dolores, County of Montezuma, and State of Colorado, for a possible suicide attempt.
Today's society is now introduced to one of the most controversial issues; assisted suicide. Just like in other controversial arguments, there are many people that feel that it is wrong for people to ask their healthcare provider to end one's life; while others feel that if the person is terminally ill and has given their will to die, that they can be assisted in suicide. Though both sides are reasonable many people believe that people should not take part in helping someone take their own life, assisted suicide should be legal because, it plays a factor of conquering one’s feelings, gives an option to those whom are terminally ill or in immense pain, and every human
disease that Stephen Hawking has) 5 years ago. This is a condition that destroys motor nerves, making control of movement impossible, while the mind is virtually unaffected. People with motor neurone disease normally die within 4 years of diagnosis from suffocation due to the inability of the inspiratory muscles to contract. The woman's condition has steadily declined. She is not expected to live through the month, and is worried about the pain that she will face in her final hours. She asks her doctor to give her diamorphine for pain if she begins to suffocate or choke. This will lessen her pain, but it will also hasten her death. About a week later, she falls very ill, and is having trouble breathing.
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...
A man sits in a hospital waiting room, anticipating the test results that are about to come. While sitting there he over hears a doctor tell a young lady her diagnosis. She is a woman of her late twenties with a husband and family by her side and she has just been diagnosed with a terminal illness. This is a tragedy that no one ever sees coming. Would this woman want to die rather than deal with the pain or maybe she will stay strong and suffer through it all, for her kids and for her family. However, perhaps there is one option that she does not have that maybe she should; any victim of a terminal illness should also have the option to end his or her life through the means of legal euthanasia.
and causes suicide can be prevented. Suicide is an intentional attempt to kill oneself whether it is
Diane: A Case of Physician Assisted Suicide. Diane was a patient of Dr. Timothy Quill, who was diagnosed with acute myelomonocytic leukemia. Diane overcame alcoholism and had vaginal cancer in her youth. She had been under his care for a period of 8 years, during which an intimate doctor-patient bond had been established.
One of the most important books of the Bible Paul ever wrote was the book of Romans. Romans is considered by most christians today, the summarization of why we believe what we believe and why Christ died on the cross. The book of Romans was written in the time of Paul who was going all throughout the world and the places God called him to to spread the news of the Gospel. The book of Romans was written for both Jews and Gentiles. It was written for the Gentiles to break the idea that only Jews were worthy of a relationship with God. It was a way for the Gentiles to be freed of the idea that there was a class system in the kingdom of God. It was to let them know they could be saved and brought into paradise just by faith. Conversely, the book
Suicide, it's not pretty. For those of you who don't know what it is, it's the
Have you or do you know anyone who self harms? Or perhaps you knew somebody who committed suicide. Although it is a terrible thing to talk about, put yourself in that persons position. What drove that person to harm them self, or end their life? Suicide and self harm is more serious than any other addiction.