Vickie is a 60-year-old female who suffers from moderate to severe plaque psoriasis (L40.0). Her symptoms include dry, red, intensely itchy, scaly plaques located on her hands, legs, feet, arms, and back, with joint pain throughout her hands, wrists and knees. She also reports that her wrists are so extremely sore that she cannot bend them at times and that the plaques on her feet is severely painful which has caused her to stay home from work because she couldn’t walk. Vickie has tried and failed various treatments including triamcinolone, clotrimazole betamethasone, and diprolene. Your denial states that Vickie must use systemic therapy, however, systemic medications such as Methotrexate, she is not a candidate for treatment with Methotrexate
due to the adverse side effects (which can be fatal) of these treatments. As stated in the package insert from the manufacturer “Methotrexate should be used only in life threatening neoplastic disease or in patients with psoriasis or rheumatoid arthritis with severe recalcitrant, disabling disease which is not adequately responsive to other forms of therapy.” Phototherapy is not an option as it requires the patient to travel a long distance in which she does not have the ability to do. The denial also states that she must have a history of an adverse reaction, contraindication or inadequate response to Humira, Stelara and Cosentyx. These suppress the immune system and these medications carry warnings for an increased risk of serious infections and malignancies. Studies have shown that more than half of patients treated with Taltz therapy achieved complete resolution of psoriatic plaques within weeks of treatment. Follow-up data showed that 54% of patients treated with either of two doses of Taltz had 100% improvement in the Psoriasis Area and Severity Index (PASI 100). More than 70% achieved PASI 90, and more than 80% met criteria for PASI 75 response. Without Taltz, I fear Erich’s condition will worsen, causing unnecessary increased pain, suffering, and embarrassment, along with the significant reduction in quality of life and psychosocial disability
Cynthia Adae was taken to Clinton Memorial Hospital on June 28, 2006. She was taken to the hospital with back and chest pain. A doctor concluded that she was at high risk for acute coronary syndrome. She was transferred to the Clinton Memorial hospital emergency room. She reported to have pain for two or three weeks and that the pain started in her back or her chest. The pain sometimes increased with heavy breathing and sometimes radiated down her left arm. Cynthia said she had a high fever of 103 to 104 degrees. When she was in the emergency room her temperature was 99.3, she had a heart rate of 140, but her blood
A summary of the case details (provide the circumstances surrounding the case, who, what, when, how)
Renee Heikamp, 19, and case worker from the Catholic Children’s Aid Society (CCAS), Angie Martin, were charged with criminal negligence resulting in the 1997 death of newborn baby, Jordan Heikamp. The charges were dropped shortly after Jordan’s death, due to a lack of evidence from the investigation of a 63-day inquest. (CBC, 2001). Renee Heikamp and her baby were residing at the Anduhyaun shelter that services Aboriginal women fleeing abuse during the time of his death. Jordan Heikamp had starved to death, weighing only 4 pounds, 4 ounces less than what he weighed at his pre-mature birth, in May 1997; a photograph shown to witnesses at the inquest revealed the corpse of the baby who was little more than a skeleton.
Hazelwood v. Kuhlmeier of 1987-1988 Background: At Hazel East High School, the school has a sponsored newspaper called “The Spectrum” that is written and edited by the students. In May of 1983, the high school principal, Robert E. Reynolds, received the edited version of the May 13th edition. Upon inspecting the paper, he found two articles that he found “inappropriate.” The two articles contained stories about divorce and teen pregnancy. An article on divorce featured a student who blamed her father’s actions for her parents’ divorce.
The court’s decision based on the treatment of young people in this case emphasizes on the concept of social justice, which means the fair allocation of wealth, resources and opportunity between members in a society. The appellant in this case, Louise Gosselin, was unemployed and under the age of 30. She challenged the Quebec Social Aid Act of 1984 on the basis that it violated section 7 of her security rights, section 15 of her equality rights in the Canadian Charter of Rights and Freedoms and section 45 of the Quebec Charter of Human Rights and Freedoms. For the purpose of this essay, we shall explore the jurisprudence analysis of section 7 and section 15 of the Canadian Charter of Rights and Freedoms. Section 7 states that everyone has the
I chose to explain Casey Anthony’s behavior using the eight stage theory of identity and psychosocial development by Erik Erikson. If Casey claim against her father and brother is true about them sexually molesting her throughout her childhood, then that would have played a big role in her life and also the fact that she and her mother had a terrible relationship with a lot fighting and abuse toward one another didn’t help her case. If we take a look at Erik’s fourth stage industry vs. inferiority, it states that during this stage school aged children are very social stage of development and if they experience unresolved feelings of inadequacy and inferiority among our peers, we can have serious problems in terms of competence and self-esteem.
Milwaukee teacher Katherine Gonzalez had a twisted way of helping her 11-year-old "chronically depressed" student cheer up.
Carla Washburn, an incredible, inspirational woman that has sadly witnessed the 3 closest male figures in her life all pass on. This has resulted in Carla becoming depressed over the unbearable experience. Carla embraced in giving back to the community and that’s not surprising because she’s a person of spirituality. While, Carla is the client and is suffering through grief, it’s likely she’d benefit immensely from creating a program to work with the kids in the community and may give her a sense of worth she’s been seeking since these 3 tragedies.
Ashley Smith was a young girl that was placed in a juvenile detention centre at age 15 for throwing apples at a mail man. Her short sentence quickly extended into a life sentence because of so many infractions within the prison system. Ashley suffered from extreme mental health issues and was place in a psychiatric prison facility, however this facility was shown in the documentary to be corrupt and their actions with Ashley were extremely illegal. Furthermore, Ashley wasn’t given the proper help and treatment that she needed, instead she was physically and verbally abused by guards in the prison, and she ultimately passed away in the prison. Her death is still being debated about whether
On 08/05/2016 at approximately 1:50 AM, this Investigator with Investigator V. Shroyer arrived at 12211 N. Paradise Village Parkway, Phoenix, AZ for Case # 537001 report of Child Neglect for victim Fiona McFadden (DOB: 03-05-2013) against her mother Monica Katich (DOB: 09-17-89). Upon arriving on the scene, this Investigator met with the report source, Phoenix Police Officer E. Gomez # 7977 in reference to Phoenix Police DR: 2016-00001441605. According to Officer Gomez, Phoenix Police received an emergency 911 call from Monica Katich that her friend later identified as Ashley Brook Post (DOB: 06-21-83) had overdosed on Heroin. Upon Officer Gomez arriving on the scene, Monica told Officers Gomez and Officer Cambell (#9021) that her friend Ashley
Michelle Johnson of Pioneer State Mutual Insurance Company referred this file for medical case management. Instructions were given to meet with Megan Steele and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery.
Vicki Richardson was born on 3/08/1956 to . Her parents divorced due to conflictive abuseive relationship. Vicki never had a relationship with her father. Her father passed away in . Her mother is still living, but she has no interest in having a relationship with her mother. Vicki was raised in . Vicki has a stepbrother and stepsister, She does not have a close relationship with either her step brother or step sisiter. Frank is 45 years old. He lives in Okawville, IL. Vicki stated that she had a happy childhood and she was raised by her granparents for 6 months of her life. When she was in trouble she was yelled at for punishment. Mrs. Richardsons yearly income is $150,000. Her bills are as follows: utilities $ 85 monthly, phone bill $225 monthly, propane $800 yearly and she divides the remainder of her income between saving and recreation. She plans on keeping the medical card for the child after the adoption is finalized.
After Erin Corwin, the wife of a marine went missing in 2014, no one knew where the excited expecting mother could have vanished to.
Cerebral palsy is a disorder of movement, muscle tone or posture that is caused by an insult to the immature, developing brain, most often before birth ( http://www.mayoclinic.com/health/cerebral-palsy)
However, Vicky’s reaction may vary. Vicky may oppose the plan and challenge her boss right after the meeting by persuasion and convincing. If this action doesn’t work, then Vicky may take it to the next level, which is to inform the top corporate people of what unpleasant consequence might they face from the federal government if they accept the Wendy’s plan. If this action also doesn’t work, then finally Vicky must report the plan to the federal government, so the law will take action.