PO is referred to ASAM Level 3.5 inpatient treatment services at ABHS with Co-Occurring disorder Program. PO is recommended to re-engage Spectrum for Intensive Outpatient treatment upon successful completion of inpatient treatment. PO will benefit from developing and building sober social support and gaining insight and knowledge to minimize relapse potential and improve chances at long term sobriety. PO will benefit from learning skills/strategies to cope with social pressure, interpersonal conflicts, anger issues, and addictive behavior. PO has a high potential for relapse due to her pattern of frequent interpersonal conflicts.…
Psychiatrists say they will attempt to manage patients through ACT alone, but most end up on a CTO. Giving the patient an opportunity to co-operate with the treatment is better than deeming them to be unlikely to adhere as soon as the process starts. Most clinicians try not to immediately place the person on a CTO; they would prefer to develop a therapeutic alliance with the patient and then place them on a CTO if necessary. This is possible with ACT because it provides a safety net when testing a patient’s ability to adhere to their treatment plan. One family member explained that “when you’ve got an ACT team coming in…and you do go off your meds, they’re going to be aware”.…
Focus: Ms. Smalls (MHP), Ms. Givens (MHS) and Antazia review the finial treatment plan and discuss upcoming school meeting. Intervention: MHP provide MHS and Antazia a copy of the finial treatment plan. MHP review the treatment plan in detail with MHS and Antazia. MHP redirected Antaiza after Antazia had a tantum. MHP and MHS discuss being consist with interventions and rules in the home.…
The main aim of rehabilitation or medical care is to narrow the gap between a patient’s expectation, hopes, goals and achievement and what actually happens [27]. Also, the trend of the medical care is to demonstrate treatment efficacy by means of quantifiable outcome measures. Thus, the variety of interventions provided to people with cancer and survivors of cancer should be accompanied with appropriate measures. Some health care models were used to fill the gap such as “Patient Centered Care”. Providing patient-centered care requires comprehensive inter-professional and multidisciplinary treatment planning.…
The decision to have any type of surgery can be an emotional thought provoking process. A feeling of nervousness and anxiety often helps fuel the decision to visit a doctor. Finding the best surgeon helps in making the decision process easier. Dr. Howard Marans an Orange County orthopedics is listed as one of best surgeons in the area for many reasons.…
Treatment Plan Rationale As avoidance is one of the major factors contributing to Sophie’s current struggle to cope with life, therapy should focus on addressing her alcohol use, procrastination and EA as well as cognitive fusions, including her SI. As she has had two years of CBT with seemingly no progression, there may be evidence to suggest that attempts to change the content of Sophie’s maladaptive thoughts and beliefs have not been successful in helping her make behavioural changes (Hann & Mccracken, 2014). Therefore it could be argued that ACT might be a more effective therapy as it promotes behaviour change regardless of content of thought (Ruiz, 2012). Further to this there is some evidence to suggest that ACT can be effective for…
After meeting with Frank and hearing the reason why he has come to therapy there are a few follow up questions that will help me better understand what is going on and how I can help. All of the follow up questions fall under three major categories: identity, friend’s death, and views on counseling. Exploring’s Frank identity is important because growing up in a Latino and Catholic home means that there are certain values and traditions followed that shape not only the person’s life but their world view. Questions that are pertinent to exploring his identity are asking what values he holds due to being Latino and/or being Catholic, is he a devout Catholic because of tradition or personal choice and has he experienced any discrimination because…
Care Plan: 1- What is the main drug related problem in this patient? 2- How will you approach this patient to advise him on smoking cessation? 3- How will you approach this patient to assess his willingness for smoking cessation and degree of nicotine dependence?…
How I would response is by telling them that relapse is not considered a failure or a result of not hitting bottom, however it’s very common in addiction and sometimes even expected. Most of the time relapse can further help an addict gain a greater insight to what triggers are setting their addiction off and how to avoid the situations and behaviors that caused them to relapse. Every addict is different and a relapse in does not need to be labeled as failure, some people do not have the support of family or sober friends and this is just a part of their recovery process. Some people don’t have the support of others and if they relapse noone is there to make them feel accountable or even guilty.…
Treatment Plan and Release Schedule: Holden has PTSD, which requires a different type of treatment plan than some other illness. That will require a treatment plan over the course of 10 weeks. That 's been if his illness gets better by the time. The first step would be to create an evaluation of Holden’s PTSD level. To best recommend the appropriate treatments.…
Following the assessment process the nurse used her critical thinking and decision making skills to make correct nursing diagnosis and formulate the care plan (DeLaune and Ladner, 2002). Care plan is the written document which outlines the patient’s identified needs and includes the plan of action to meet those needs (Marjorie, 2010). The nurse identified and set the goals in collaboration with the Anne, as a part of patient centred approach (person centred nursing, 2010) .Carl Rogers (1959 believed that the patient is competent to make decision for his own life irrespective of the practitioners view for the better treatment, and he considered this is the vital part in the patient centred approach. Therefore the assigned nurse discussed all…
The biggest and most known disease in the world is cancer and once a person has it, there is no way to make it completely go away. Cancer patients all around the world go through chemotherapy, and although I can’t fix the side effects that it has on people, maybe I can make some adjustments so that it does not feel and look as bad as it is. My grandmother suffers with lymphoma and has to undergo chemo twice a month and I can already see the toll it has taken on her. She has been losing hair very quickly, and is almost completely bald. I want to change it so that the chemotherapy does not ruin the cells that are responsible for hair and nail loss.…
REASON CHIEF COMPLAINT: Progress note for speech therapy and feeding therapy. S Patient continues to come to ambulatory care once a week for his feeding and speech therapy. He has participated in five speech therapy session since his initial evaluation. O Status of Goals: 1. Patient will correctly demonstrate a yawn/sigh to reduce tension in the vocal mechanisms during 5/10 trials.…
While it is not possible to determine the exact environment the patient will enter, this guide gives the patient direction and a way to have more control over the supportive services he or she decides to…
The treatment process can be overwhelming and difficult at first. A. Every case is handled differently and can be challenging for yourself and the physician treating you. It can become a long drawn out process which makes you want to stop trying, because results are often slow and tiresome. That’s what happened in my case.…