Brenda reported that when she is feeling down, she has poor hygiene and she does not take care of herself. I will meet with Brenda weekly to talk further about her extreme mood changes. We will be meeting once a week for the next four weeks. I will evaluate her for the need of future sessions. She may also be evaluated by a psychiatrist to identify whether medication would be beneficial to…
On 2/25/2016, CM met with the client to complete Bi-Weekly ILP Review. Client was was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She didn’t made eye contact. Client reported she is happy because she met a new acquaintance and they went out for breakfast this morning.…
She said that she wants to be more positive but that it’s real hard for her. o Leydi seems to listen to the information I give her and verbally agrees to follow treatment. But she soon forgets of her commitment and only follows treatment for a couple of…
She struggles to hold conflicting thoughts. Such conflicting thoughts increase her anxiety. She became tearful during the session especially when she was reflecting on her wish to be a good person who is…
At first it was difficult for Jache to have emotional stability due to having little to no amount of health care experience. To suddenly care for a declining patient makes it understandable for a person of Jache’s experience and age to easily display dejection. Especially for someone like Jache who is filled with compassion. However, in times of stressful situations Jache skillfully maintains her composure and always attempts to find solutions to any issues that needs to be…
Jacqueline Matthews’ living situation seems to play role in worsening her symptoms. Is it possible if she can get connected with housing department or other programs to help her in gaining independent living? After meeting with her on numerous sessions, I think her living situation is too chaotic for her and becomes a major barrier for her recovery. Also, do you mind faxing or e-mailing me the copy of her treatment goals?…
Estefania is 23-year-old Puerto Rican female that recently moved from Puerto Rico to Massachusetts with her mother and two siblings. She is very expressive verbally and physically when engaged in conversation and generally portrays friendliness. During the first session Estefania came in describing her feelings of sadness. She explained that she had many changes in her life from moving to the United States for school and even past relationship issues. Estefania mentioned her last relationship and how it had ended in bad terms.…
The therapist met with the patient for an individual session. The therapist introduce herself and was quickly able to establish a rapport. The patient is 22 years old African American female with one 5-year-old son who is currently in CPS custody. She reports testing positive for Cannabis. She reports surrendering her son in January 2016 and he has been in foster care since.…
Patient was a 5’3” woman, about 140 pounds. She was wearing a pink top and lavender floral skirt. What caught my attention most is that her nails were long and painted hot pink. She sat on the end of the table, starring at me and my peers as we walked into the unit to greet everyone, then she would shift her focused and stared at the wall. I can tell that she has Parkinson’s at the first glance, she has unsteady gait, which required the walker to ambulate.…
My clinical experience so far has been quite interesting, because I learned basic clinical procedures and preventions that I know will benefit me as a nurse in the near future. During lab, we discussed infection control, personal hygiene, and isolation precautions. These procedures impact my personal health and wellness, because I need to ensure that I am using the proper techniques in order to keep me safe. Also, I know that it is important to make sure my patients are not at risk of developing hospital associated infections.…
Honestly the score was higher than expected and rather stressful just knowing. In a strange way this last statement is meant to be taken as a joke. After reading the article, Anatomy of an Illness as Perceived by the Patient, humor will have to become a priority in my life. The relationship I have with my son's father will not improve any time soon. There is a need within me to develop stronger coping skills that do not allow his troubles affect or effect us, such as using a form of detachment.…
During my second clinical appointment I arrived at the interview feeling a little less anxious than I did when I met my client for the first time. I had spent the week reflecting on our interview and conversation and the positive feelings and assumptions I left the first clinical with. I learned during our pre-conference that having assumptions can be positive as long as you keep an open mind. Throughout the second clinical I realized some of what I had assumed and felt about her and her life was fairly accurate. I got the feeling from the manner she portrayed initially, that she had been married and had several children; whom she stayed home to raise.…
After suffering a very painful injury in high school from competitive swimming due to overtraining and improper body mechanics, my need to return to the sport gave me a life altering exposure to the impact of healthcare and wellness. To regain my strength and ability to swim I went through several months of physical therapy. My time working with the physical therapist made me realize that if I had only known more about my body and how it works than I most likely could have prevent the majority of the pain and suffering I had overcame. This experience also got me thinking there are probably more people like myself that have gone through injuries or illnesses that could have been preventable. As I started to consider college and future careers,…
Today at Simulation Lab I performed health history on a patient. Firstly, I commenced by preparing myself for the interview. Although I was nervous, as a nurse I had to be confident and prepare myself mentally and kept an open mind to meet the patient. In addition to preparing myself, I prepared the environment, making sure seating and arrangement was in place and the room was comfortable and private. Having done this, I utilized Florence Nightingale’s theory of environmental need.…
In the novel Great Expectations by Charles Dickens, we see many colorful characters roaming about the streets of old England. One character in the book however, was named Miss.Havisham and, although she is a fictional character, the way she is portrayed, in real life she would be diagnosed with a few mental disorders, such as, Major Depression, PTSD (Post Traumatic Stress Disorder), and OCD (Obsessive Compulsive Disorder). Miss. Havisham is suffering from depression. Miss.…