" The mother used to drink heavily years ago. The mother denied substance use. Alesia was baker act due to anxiety and depression and has been at the facility for a month. The report indicated that after Alesia found out the mother did not show up to pick her, she had an anxiety attack. FOCUS OF THE FFA…
Daimarkus is a 27-year-old AA male who presents to CRU 2 from UPC. He is on ACOT for PAD. Patient stated he was in prison for 3 years for attempted armed robbery, he was released on the 04/14/17. He was recently discharged from DVH. According to his Psy eval from UPC, he was stayed on COT whiles at DVH.…
Donald is a 30-year-old, single Caucasian male who presents to CRU 2 from Abrazo Maryville Campus via ambo. He is SMI with SW Network Bethany Village. He has a history of bipolar and psychosis. Donald OD'ed on 27 pills of Zoloft, 27pills of Seroquel and 27 of trazodone. Patient has an extensive hx of SA.…
The resident was assessed however refused to go to the hospital. The RP stated the resident disclosed she was afraid of Rita the caregiver. The caregiver was suspended upon further…
Jessica is a 21yo, G1 P0, who was seen for an ultrasound evaluation and consultation for FTS. The patient has a history of opiate use disorder involving heroin addiction. She has used this off/on with the father of the baby and has actually used it recently. She states that she recently entered your Subutex program and is now on 8 mg Subutex b.i.d. and believes that she is doing better.…
Mr. Chavis is a 24 year old male who presented to the ED via LEO under IVC through DayMark Recovery Services. Per documentation Mr. Chavis presented to DayMark Recovery Services with suicidal ideation, stating he wants to die and plans to do it soon. He reports in the past week cutting himself uncontrollably, making multiple lacerations to his right arm. In addition, Mr. Chavis engaged in pathological substance abusive behaviors. At the time of the assessment Mr. Chavis is calm and cooperative.…
Mr Singer is a 61 year old male who presented to the ED with uncontrollable behavior at his living facility. He does not presents to ED with aggressive behavior or agitation. Mr. Singer denies suicidal ideation, homicidal ideation, and symptoms of psychosis to nursing staff. At the time of the assignment Mr. Singer presents calm and cooperative. He states today he became angry because one of the nurses tried to take away his pens, that he was given to by another nurse as a Christmas gift.…
On Wednesday, July 27, 2016 at approximately 1951 hours, Health Unit Coordinator (H.U.C.) Elliot Satcher met with SO Christopher Paz and requested Security assistance for a patient in E.D. room #24. Security Officers Christopher Paz (408) and Ariel Weiland (419) responded to the scene. Upon arrival, H.U.C. Satcher stated patient, Natalie Drolet (DOB: 06/21/1970 - FIN: 85959499), was "depressed, agitated, and being verbally abusive" towards Registered Nurse Cindy Rodriguez. Security stood by until patient Drolet was seen by an E.D. Physician.…
What psychotropic medications is this client is taking? What are the target symptoms for each medication? What are the major nursing concerns, given this client on these medications? What diagnostic tests/lab tests would you expect for this client on these medications? Risperidone Tab, and Risperdal Consta are medications the patient is on.…
Jane Smith, was referred by the Courts for treatment because of an OWI arrest. Ms. Smith was involved in a hit and run accident of a parked vehicle and denied it was her fault. She failed the sobriety field test and later admitted it was her who was driving her car when she hit the parked vehicle. Ms. Smith enjoys drinking six twelve oz. beers three times a week.…
On 5/17/17 case worker received a call from Mrs. Nuckols asking if integrated behavior health (IBH) mail out a written correspondence to DHR. The worker told Mrs. Nuckols that this point, she has not received any correspondence. Later that evening, the case worker received a letter from IBH. The letter addresses Mrs. Nuckols 3 diagnosis. Mrs. Nuckols currently diagnosed with Bipolar Disorder, Generalized Anxiety Disorder, and Post-Traumatic Stress Disorder.…
Patient is a 42-year-old male who presented to the ED with an alleged overdose on 50-60 prescribe pills of 450mg PO Daily Trileptal. Patient stated: "I took pills because I was having mood swings." Step- father brought patient into the ED. At the time of assessment, patient endorses feeling suicidal without a plan. Patient reports not being able to go see his son as the primary factor contributing to his current distress.…
On 11/10/17 I met with Ms. Perez at the Chesaning rehab center for a team meeting. Ms. Perez was in her hospital bed. She continues to have weeping edema to her right arm and the lower extremities. She had a recent appointment with, Dr. Malik wound doctor. He was very happy with the progress of the abdominal fold wound.…
The patient is a 20 year old male who presented to the ED via LEO under IVC with alleged suicidal ideation with multiple plans. Per documentation the patient threaten to cut his throat, jump off a bridge on 85, or get killed by LEO when they came to get him. The patient reports conflict between his mother and him is the contributing factor to his distress. Patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. per documentation patient states, " my mother got mad at me about a bill she got for stealing my disability check and she told me to go kill myself."…
Nursing Care Plan Cayla Wegner Bryant & Stratton College Mental Health Professor Trudie Johnson November 16, 2015 Admission Mental Status Assessment JH was a 47-year-old Caucasian female who came to the ICU with an intentional drug overdose. Her neighbors called 911 after waking up in the middle of the night to her vomiting in the bathroom. Ambulance record: 47-year-old patient was found lying on the neighbor’s bed. Patient had 5-6 beers the night prior with her neighbors; they were good friends. There was a note found written by JH stating, “I love U ALL I’m sorry.…