The patient is a 55 year old male who presented to the ED via LEO with visual hallucinations of individuals stealing from his yard without responding to him then disappearing. The patient reports crying and being scared.
During the time of the assessment The patient was alert with his daughter by his side. The patient reports that 3 days ago his pain from his many illnesses as caused him unbearable pain. Patient expresses that he feels any day could be his last. The patient reports that he thinks that today's visual hallucinations where from the use of cocaine earlier in the day. The patient reports that it all started when he saw some individuals collecting wood near his property. The patient expresses that he told these individuals that he has a lot of wood and offer to provide some to them, they refused. Further, the patient reports that then he saw strangers taking the metal from his pool and land. The patient reports that he told them to stop, however they did not respond and the patient shot his rifle in their direction. The daughter reports that the patient called the police 3x before they arrive out to his home. The patient most recent drug screen confirms cocaine, methamphetamines, Oxeycodone and benzo's. The patient admits to realizing that the individuals were not real and wants help. The patient daughter reports a non compliance of medication due to the patient not refilling them. The patient reports self medicating o cope with pain. The patient denies HI,SI, or audio hallucination, however endorses visual. …show more content…
TACT consulted with Dr. Hill and it was recommended to refer for inpatient hospitalization for safety and stabilization. TACT assisted the ED doctor in completing IVC paperwork. TACT will search for appropriate
During the time of the assessment The patient was alert with his daughter by his side. The patient reports that 3 days ago his pain from his many illnesses as caused him unbearable pain. Patient expresses that he feels any day could be his last. The patient reports that he thinks that today's visual hallucinations where from the use of cocaine earlier in the day. The patient reports that it all started when he saw some individuals collecting wood near his property. The patient expresses that he told these individuals that he has a lot of wood and offer to provide some to them, they refused. Further, the patient reports that then he saw strangers taking the metal from his pool and land. The patient reports that he told them to stop, however they did not respond and the patient shot his rifle in their direction. The daughter reports that the patient called the police 3x before they arrive out to his home. The patient most recent drug screen confirms cocaine, methamphetamines, Oxeycodone and benzo's. The patient admits to realizing that the individuals were not real and wants help. The patient daughter reports a non compliance of medication due to the patient not refilling them. The patient reports self medicating o cope with pain. The patient denies HI,SI, or audio hallucination, however endorses visual. …show more content…
TACT consulted with Dr. Hill and it was recommended to refer for inpatient hospitalization for safety and stabilization. TACT assisted the ED doctor in completing IVC paperwork. TACT will search for appropriate