D- Client arrived on time with her child, Fiona, for her scheduled appt. with this writer. During the course of the session, this writer and the client discussed a recent fax sent by the client’s PCP about the client hx Hep. C.…
On 10/10/2015, at approximately 0243 hours, your affiant was on routine patrol in a marked patrol vehicle. Your affiant observed a red Ford pick-up truck travelling west in the 700 block of West Centre street (State Route 54). The truck had numerous cracks throughout the entire length of the windshield impairing the operator's visibility. The truck turned right into the parking lot of Boyer's Market. The operator stopped the truck next to vacant parking stales and was blocking the travel lane.…
D-This writer met with Nursing Director Chrystal to see whether or not the patient can in fact dose inside since her last conversation about the bed bugs. According to the Nursing Director, the patient did her home inspection and addressed the bed bugs situation. She then granted the patient to dose inside of the clinic. This writer cleared the patient's HOLD so that she can dose before conducting her counseling session.…
Mr Harwood, is a widow, who got admitted to the hospital on 30-6-2011 with the complaints of pain, weakness in the right shoulder and unable to lift arm overhead. Mr Harwood has had history of fall on outstretched arm from descending stairs at home . X- ray and MRI revealed a partial rotator cuff tear for which orthopaedic surgeon advised a surgery . But, patient preferred non - surgical treatment and she was managed with medications and physiotherapy.…
According to the TWEAK assessment the patient is an at- risk drug user. She received two points for the tolerance question as she indicated smoking marijuana every day and using cocaine on the weekends in which in the last 12 months she has increased her cocaine consumption. She went from snorting one line to five to ten lines in order to achieve the same effect. Also, she stated she smokes a couple of rocks of crack ever pay period. She received two points for the worried question as she reported that her grandmother kept her from using as much before she passed away last year.…
Case Q: Whose Hospital? Background of the situation: In June of 1979, the medical staff at Brendan Hospital held a mass meeting at the hospital to discuss various allegations against CEO, Don Wherry. A petition was signed by half the medical staff and by half the employees of the hospital at the mass meeting.…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…
D- The patient discuss how she spent her Easter Day and shared with this writer about a letter she wrote for her son, who is currently incarcerated. The patient reports she hasn't written a letter to her son for a long time and now, felt good about it. Her son responded to her letter and discussed his experience with his mother via letter. This writer discussed about tapering off methadone and the patient reports she is not ready as of yet because she had tried prior and was experiencing withdrawals.…
This session gave a good example of the negatives and just “what-ifs” these drugs may entail. This session was an eye opening experience to know just like that his life was taken over something that really wasn’t “happening”. It relates because many drugs cause psychological adjustments, and changes that a lot of people using never know about or don't care to learn before they start using…
Diagnosis The client, Gwen Cummings, comes to the inpatient substance use treatment facility presenting with apparent symptoms of severe substance use disorder and potentially childhood trauma. According to the criteria from the DSM-5 on Substance Use Disorder, the “substance is often taken in larger amounts or over a longer period than was intended” (American Psychiatric Association, 2013). Gwen shared that she and her boyfriend recently woke up late prior to their attendance at their friend’s wedding, unable to remember the details leading up to the end of the night. This, and other shared accounts from the client indicate that she met the first criteria for substance use disorder.…
The patient is a 57 year old male who presented to the ED under IVC paperwork through Randolph Health and Rehabilitation Center. The patient assaulted his roommate with a cell phone cover, which resulted in multiple lacerations on the individual. Patient denies suicidal ideations or symptoms of psychosis. During the time of the assessment the patient was wake and calm.…
Client Participation: D: Topic was on Dim 4, 5, and 6. Understanding different types of relapse warning signs; recognize the components of a full program of recovery; understanding the process of relapse decisions. Pt. attended group on time and engaged in the group discussion. Stated that she will use the information she learned to enhance her recovery.…
This writer met with the patient list above to address the negative metabolites based on her UDS results on 05/4/2017. The patient appeared to be confused about why she was negative and asked questions about what is metabolites, of which this writer explained to the patient. The patient immediately denies falsifying her urine and says " Why would I do that...... I do not what happen.... I did not do anything to the urine.…
Diagnosis The 68 year old man was on the roof cleaning the gutters as part of his normal chores for his home. While upon the roof he felt different due to some slight chest pains. The chest pains were frequent and moving along his left shoulder. After withstanding this pain for about 5-7 minutes he decided to come down.…
CHS was unable to effectively manage billing and reimbursement across the organization which resulted in an increase in billing costs, fall in collection rates, and accounts receivable rose to a point where the value of the acquisition was diminished in some cases. In addition, poor claim management also had a negative effect on billing and reimbursement. The findings from the audit allowed CHS to take a step back and look at the key components that impacted the organization negatively. CHS began with assessing the current state of affairs. The assessment focused on three functional areas: financial, technical, and operational.…