She then shared the information with her husband, on the same day, her husband called the patient and reporting told the patient he intend to use the information against the patient in an upcoming legal proceeding. Smith doesn’t work the clinic anymore,…
On 10/29 worker called Mr. Michael McGinnis to set up an interview. Mr. McGinnis refused to set up an interview time. When questioned about his mother’s positive methadone reports he admitted to giving her methadone during her first admission to Senior Care but denied giving her any medication after discharge from Senior Care. According to Mr. McGinnis, his mother was doing well until admission to Senior Care and she received all new…
On 9/6/17 I met Mr. Reid at the office of Dr. Rampersaud. I have printed and provided Mr. Reid the information on how and where to get medications filled along with a form for him to fill out for reimbursement of prior out of pocket expenses. I also provided Dr. Rampersaud with a letter with requirements and instructions on filling medications. I met Mr. and Mrs. Reid at the appointment with Dr. Rampersaud.…
Ms. Newby is a 30 year old female who presented to the ED via LEO under a custody order. Dr. Ryan Snyder requested an evaluation on Ms. Newby to determine disposition. Per documentation Ms. Newby threaten to stab her mother today with a knife. per documentation Ms. Newby has been seeing and hearing people around her home when no one is there. reported to ED staff she has a history of mental illness and has been treated for the same.…
Mr. Lee has had very busy past several months. He has been not been honest in his reporting to this provider and violated the following treatment rules: -If your offense involved children, you shall not be alone with minor males or females. Whenever you have prolonged social contact with minors, an adult that is approved in advance by your treatment provider and is aware of your offense history and the behavioral rules that you must follow when around children must monitor you. -You shall not consume alcohol or use illicit substances, including prescription medication that is prescribed to another individual. -You shall not engage in any romantic/sexual behavior with any individual without my prior knowledge and approval.…
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.…
ntake/status alert/R.O.I/ CalOMS The client came to us from DBH for a 30 to 90 day treatment episode. Client was cooperative during his intake process, and completed the necessary paperwork to be admitted into the program. Client reported during his intake that Methamphetamine was his primary drug of choice and that he has been abusing it for period of 3- years. Client reported that he was 21 years of age when he first started using Meth Client was asked how many days has he used Meth in the past 30 days ? Client reported that he has used Meth 1 day out full 30 days before coming to treatment.…
On 3-2-17 at approximately 1100 hours, I contacted Brabeck, Julie via telephone. I asked Brabeck J. if her husband came home or if she had spoken to him and she said no. I asked Brabeck if I could have her husband’s cell number to try and contact him, Brabeck said she had his phone. I responded to her address and contacted Brabeck, Julie. Julie was still very intoxicated and I could smell the strong odor of alcohol on her breath.…
Problem # 5: illicit opiate use Goal(s): to become drug free Status: active Objectives/Progress: Pt. has been able to maintain her commitment to abstinence from all illicit substances as indicated by submitting 10 negative UDS results and she reported no relapse in over 3 years. Pt. maintained her Phase 7 privileges over the last quarter. Pt. demonstrated good use of tx skills by balancing work and treatment obligations. Pt. reports that she is taking her subutex medication as prescribed by AMS Doctor and she maintained stability.…
Many college students believe that they will end up making more money than their uneducated peers. There are many citizens who are unaware that they have the potential to live a world of debt after graduating. Robin Wilson, author of the article “A Lifetime of Student Debt Not Likely”, clearly concludes that student debt is unlikely in the title of the article itself. The real truth is student debt can be highly likely. Although it is easy to agree with Wilson’s conclusion it is easy to see debt in an entirety can also be prevented.…
Whenever he wants to use meth, his former boyfriend is the person is the provider. Recently, his former boyfriend offered to trade the meth for sex in return. The client complied and used the drug. During a session, the client informs the counselor that throughout the sexual interaction he began to feel uncomfortable…
“The healthcare team, composed of these professionals with the addition of healthcare administrator, often must decide on critical issues relating to patient’s needs” (Fremgen, 2015, pp .4). This assumption, in my point of view, what the medical receptionist was unethical and should have not held Jeanette symptom for several hours before sending the message and the receptionist should’ve been more attentive and put patients’ needs at the highest, who is in critical and life-threatening…
Millions of post-grads find themselves with student-loan debt in amounts that are outstanding. While the Pell Grants and other forms of aid exist, balances amount so high that students find them paying them off near their later years in life such as fifties or even sixties. Many claim that jobs acquired after attending college to not supplement enough for a successful lifestyle and for payment of this debt. This leaves many to question the the worth of investing in a higher education. Does it pay off in the long run, even with tremendous student debt?…
Game of Loans Education should not be a debt sentence. However, according to Mark Kantrowitz in The Wall Street Journal, the average student this year will have to pay back more than $35,000 in student debt (Sparshott). Statistically, that is more than buying a new 2016 car or truck, which averages around $33,560. For a college student that is just graduating and makes less than 30K a year, that is outrageous!…
Dr. Johnson gave me a bag full of prescriptions and I used the Drug ID function on my Lexi-Comp to identify each vial. Close to the end of my shift, a nurse approached the pharmacy asking us to do a medication reconciliation on a patient who had recently been admitted to the floor. This had been his second time being admitted to the hospital in the last week so he was no stranger to the floor. Dr. Johnson explained to me that since he was a recent admit, she could print his past medication list from his last visit and we could use that as a guide for our reconciliation. When we entered the room, the patient seemed lethargic and confused, after introducing ourselves, I began the reconciliation process.…