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."…
Cameron Group topic: Understanding Addiction PO attended group on time and moderately participated in the group activities. PO learned the definition of addiction, the addiction process, and the different types of substance(s) withdrawal symptoms. PO shared his substance use experience with peers, and identified reasons to stay clean and sober. PO completed the weekly treatment progress, which indicated he attended 2 sober meetings last week. Verification was provided.…
I am currently employed as a Primary Care Paramedic by BC Ambulance service. I 'm writing anonymously with the aid of my coworkers to discuss concerns about working conditions as a part-time employee. There have been some interest in the public recently* regarding response times of ambulance paramedics to 911 calls, including some on the mainland which resulted in death*. In both of these circumstances, paramedics were blamed for not responding promptly. As a result, we are now being very closely monitored* by BCEHS and questioned about any delays.…
D-The patient arrived on time for his appointment and this writer agreed to allow the patient to dose first before his session. The patient received a dose increase this past Saturday and reports stability with his current dose thus far. According to the patient he admits to not using for two weeks, but relapse on Father's Day. The patient used heroin (2 bags by IV) and cocaine (1 bag by IV) .When…
Throughout the entire semester, I incorporated evidence based practice into my clinical days. Whether if I was performing a skill or if I was observing my nurse do a skill, I was thinking is this evidence based. I observed nurses use water instead of alcohol to clean an area on the skin before pricking a patient’s finger for a blood glucose check; this I knew was evidenced based. Some none evidence based thing that I observed were using 5/8inch needles when the nurse should have been using a 1inch length or not using two hands when assessing a patient’s fundus. I met my midterm goal of telling the nurse nicely that this is not what we learned in school.…
Being at the Phoenix Center today made me see how people’s attitude can affect a person. Patient’s in detox centers such as Phoenix have set schedules to abide by as part of their treatment plan. It is nesseccary for them to attend to these private and group meeting to help them stay on track. Many of them see these meeting as pointless and stupid but they are very beneficial to their progress. These patients are also grogy and tired as they are coming off of drugs and alcohol, and the medications they take also make them tired as well.…
It is not uncommon that patients are discharged early and return to the emergency room with symptoms of leakage after several days. The patient delay that is created has far-reaching consequences, with late leaks (>5 days) being associated with more complex treatment and adverse outcome. It is of upmost importance to treat this complication as early as possible, and thus establish an early diagnosis. Clinical observations could be of more importance in speeding up this process.…
1. When I started in college, I was unsure of what degree I wanted to get. One thing I know for sure is that I wanted to be in the medical field. I was choosing between ultrasound, radiology, nuclear med, and nursing. I tried thinking what are my possible chances of getting a job and chances of success in each place. I chose nursing which is a degree with a growing demand and greater opportunities.…
While observing Occupational Therapy Assistant Fatima deCouto-Garcia, (a BCC program OTA graduate), at The New Bedford Rehab Hospital, we were tasked with focusing on recognizing the performance skill deficits and contextual factors that brought a client to seek Occupational Therapy services. The facility we visited is considered an acute long term rehabilitation hospital and the patients we observed each had complex multi-facetted symptoms, diagnosis and treatment protocols. For the purpose of this reflection we will focus on one patient, a 45 year old woman, Jane Doe, who 6 weeks prior had her left leg amputated above the knee. Jane was described as a homeless, diabetic, suffering from depression. The high level of Jane’s daily methadone dosage was preventing her acceptance to a skilled nursing…
My clinic client that I observe has his therapy session on Tuesdays at 10:15. He is around 3 years old and originally had the diagnosis of language delay. His diagnosis has changed from that to developmental articulation disorder and expressive language disorder. One thing that surprised me was that most of the activities during the therapy session are the client is just playing and then the clinician tries to get him to produce words and utterances. One specific experience that I remember was the first session I observed.…
I had an opportunity to observe a feeding session at an outpatient pediatric clinic. J.B. is a four-year-old boy who was diagnosed with autistic spectrum disorder. The client was referred to occupational therapy for autism-related food aversion. Mother concerns that J.B. does not eat a well-balanced diet because the client only eats muffin, and mother supplemented his diet with Pediasure. The feeding treatment consisted a 4 ounces of applesauce and 20 goldfish crackers.…
I agree with you, Aaron and I discussed this over the phone. He was upset that he wasn’t able to shadow with the director and thought asking him to complete a speaking engagement within the same day was poor timing. I do believe that my city investigators spend more time explaining and educating individuals about what we do than any other investigators, especially with the SLU Medical Students Aaron did agree to accept a speaking engagement; he just wanted to be skipped this one time.…
The topic of my essay is drug addiction in the United States and how it is a disease. I will provide information from my research to support my argument of why it is a disease and not a choice. There were studies that had shown that the brain of an addict is affected when they use their drug of choice by way of brain scans. Addiction is a disease which if not treated properly can spiral into something far worse. Many people begin with a mental illness such as depression.…
Education of addiction is the key in prevention of this disease. As long as we treat addiction as if it’s a choice, we are holding back the proper treatment that actually helps people. Addiction is one of the most serious health problems in the United…
Brain changes in addicts are not abnormal, and do not prove the brain disease theory which is the first argument that drug addiction is a choice and not a disease. The overall argument in this essay is whether…