D-Met with the patient upon his arrival. This writer addressed with the patient about TEAM's decision of not reinstating him for treatment due to his non-compliance of his multiple AWOLs and following through with Hartford Dispensary with regards to making his payment to the clinic. According to the patient, he did everything on his end with the Hartford Dispensary, but the clinic wants him to be taper off on his methadone. This writer questioned the patient if he had obtained a letter from his prescriber stipulating that he cannot get off on his benzos script and no response to this question. When the patient was questioned as to whether or not he did indeed paid the Hartford Dispensary, he says, " I did, but if I have to do it again, I will."…
Counselor met with Pt. for his monthly individual session. Counselor and Pt. discussed his new treatment plan update objectives and interventions. Pt. agreed to sign the AMS Record of Services sheet. Counselor helped Pt.…
The Department of Human Resources received a report on Ms. Mary McGinnis on 10/7/15 alleging Michael McGinnis, caregiver/son of Ms. McGinnis, had not been giving medication properly. Patient scored a 0 on MMSE and son reported to ER doctor he gave her a dose of his methadone because she was in pain. On 10/13 worker made first victim contact at Senior Care. Ms. McGinnis was alert but unable to answer questions appropriately or aware of surroundings.…
This writer addressed the patient's AWOL from yesterday as she reported that she overslept. This writer informed the patient about the risk of missing her dose as she is placing herself at risk for relapse, which the patient agreed to this writer comment. The patient admits to using crack cocaine by smoking, but only a…
This writer address with the patient about his UA result dated on 5/15/2017 as there were mutliple reschedule and cancellation from this writer and the patient. This writer address with the patient about the opiate and benzo use. The patient was admit that he haven't relapse on any benzo since his last conversation with this writer and honestly feels that the benzo could potentially have been in the "dope." This writer discuss the seriousness with the patient about his recovery and discuss clinical intervention with the patient. First and foremost, this writer discuss with the patient about his depression but according to the patient, he is not depress anymore.…
Pt. verbalized how his current prescribed medication (methadone 90 mg) is working well. Primary Counselor asked him if he is having any recovery concerns and whether the he has used any drugs or alcohol since his last AMS therapy session. Pt. denied having any mental health issues at the moment. Pt. reported that the last time he used heroin was with his girlfriend. Pt. identified himself as a 21 year…
Primary Counselor met with Pt. for his monthly individual counseling session. Counselor and Pt. discussed his progress in recovery, his medication compliance and side effects, any personal concern and/or problems and current car accident. Pt. reported that he has been arguing with his girlfriend over money issues. Pt. indicated that his current prescribed medication is working well.…
AMS Primary Counselor requested that the patient meet for a brief session before dosing to his personal history and current recovery status. Counselor reminded her that she needs to attend one hour group or individual session for this month. Pt stated that she cant stay today for a session but she agreed to attend group on Friday, 12/30/16 at 10 am. Counselor told her that self-initiated participation in all program activities is the way to get the most out of treatment. Pt. requested a take home request form and discussed what she was working on with previous…
Thank you for taking the time to read my letter and your service to our state and nation. I am a nurse and work every day to help people be well physically and mentally and I can’t help but notice the destructive nature of opioid addiction touching all socio-economic levels of society. I write you to request your help in addressing an ongoing and lethal problem happening all over our state and country. The problem I refer to is the ease of our citizens to attain and abuse powerful and addictive pain medications. I ask that you put forth legislation that would crackdown on “pill mills” and make it harder for doctors to prescribe such potentially damaging medicines.…
To treat the client, we need to identify what the priorities of treatment are. To do this, we need to identify the main points to address, which one should be addressed first, and provide a rationale for why this was the case. First, while the client exhibits indicators for both substance use disorder and childhood trauma, I chose to prioritize treating the client’s substance use disorder first. The biggest priority is to help the client maintain a sense of control and safety with their use of Vicodin and alcohol.…
The clinical supervision is really a very beneficial experience. In the past two weeks, I was with my preceptor at the clinical site (supervising students) and also in the simulation lab at the University of Tampa. On 10/02/15, I went to St. Joseph`s Behavioral Center with my preceptor for supervising the student`s clinical rotation. In the morning, students gathered together in the front lobby and the preceptor discussed with the students their plan for the day.…
Abstinence-based treatment of opioid addiction utilizes substance abuse therapy, but not medications, to aid in the treatment of addiction to opioids. Addict is shorthand for opioid addict. For example, the statement “Some addicts abuse heroin” is the same as saying “Some opioid addicts abuse heroin.” The word ‘addict’ derives from the Latin word ‘addictus,’ which means to become a slave (http://bit.ly/20Isq0N). Addiction is shorthand for opioid addiction.…
The patient reports she learned a value lesson and not allows anyone to trigger her to violence. This writer commends the patient for recognizing her trigger. This writer and the patient completed the aftercare/discharge plan and discussed the patient tx plan goals. This writer asked the patient as to what traumatic event trigger her to use illicit drugs and the patient response was, “ I lost my father at the age of 12 due to prostate cancer and the same for my step-father at the age of 14. It first started with alcohol then the drugs, you…
Within the past year, eleven million Americans abused an opioid pain reliever and two million became dependent on them. Opioids are one of the most accessible drugs because of how often they are prescribed and are often seen as a gateway to other drugs. Seeing that most opioid abusers are aged twenty-five to forty, it is safe to say that many have children or will have children. As with any type of drug, opioid use has a significant effect on the daily life of the user, which in turn, affects their loved ones. Children whose parents are abusing opioids have shown to be more delinquent, have more mental health problems, and have a higher chance of accidental overdose.…
Conclusion Already, the President, governors, government organizations and researchers have started to take steps to understand and deter the abuse of opioid addiction. The Associated Press released a statement that President Donald Trump is promising to increase efforts to fight against the country's opioid addiction epidemic. President Trump has been quoted saying that his administration wants "to help people who have become so badly addicted" (AP, 2017). The president announced a new commission to fight against the opioid epidemic at an event Wednesday at the White House with New Jersey Governor Chris Christie leading it (AP, 2017).…