D: PO is a 40 yrs. old white American, showed up for scheduled assessment appointment on time. PO appeared to be calm and relaxed, and was engaged throughout the session. PO reports no current use of substance(s), Methamphetamine and cannabis as his drug of choice with the last use date of 06-06-2014. No signs or symptoms of intoxication or withdrawal was reported/observed.…
* List all of the diagnoses that you believe this patient to have and a rationale for these diagnoses. According to the patients symptoms of anhedonia, insomnia, decreasing appetite, and decreased energy level I would diagnose this patient with depression.…
Curley Blink, Case Number 27 Today October 2nd, I have a patient by the name Curley Blink (Case Number 27). Curley Blink is 30 years old man, he works with his dad on a farm and he is married. I got to talk with him and a couple of his peers and also his wife for a short amount of time. There names will not be said for protective reasons except John Steinbeck who allowed it. He wrote a book called Of Mice And Men about his life on Curley’s farm.…
The patient is complaining of nightmares involving his involvement in the WWII, neuroleptics, and severe migraines. The severe migraines and shaking is coming from withdrawal of chlorpromazine. He is very delusional and certain things make him really agitated, one being words. In addition he is alcoholic, which suffers from post-traumatic stress…
CM normally meets with the client every Thursday for face to face meeting. CM did a visual to locate client. Client was located and CM completed Bi-Weekly ILP Review. Client in a stripe yellow and black tank top and black jeans pant. She appears to be cooperative and friendly in the meeting.…
: Resident stated “I do not have any friends here. I wouldn’t remember their names anyway” and “I am not really a part of this community.” Patient feels that her daughter is her only support. O: Resident does not interact with other patients during my shift. She does not go to many community activities.…
Patient is a 42-year-old male who presented to the ED with an alleged overdose on 50-60 prescribe pills of 450mg PO Daily Trileptal. Patient stated: "I took pills because I was having mood swings." Step- father brought patient into the ED. At the time of assessment, patient endorses feeling suicidal without a plan. Patient reports not being able to go see his son as the primary factor contributing to his current distress.…
Lori Schiller is a 26-year old Caucasian female who was referred to the hospital by her psychologist, Dr. Rockland and her parents, Marvin and Nancy Schiller. Lori’s symptoms began at age seventeen at summer camp where she first started hearing voices. Her symptoms developed to include hallucinations, very high positive moods, very low negative moods, agitation, aggression, lack of sleep, suicidal attempts. These symptoms have been occurring for almost ten years. The severity of Lori’s illness is continuous.…
Has the patient been compliant with treatment for medical or for psychiatric treatment? What type of treatment worked for the patient in the past? The possibility of a medical diagnosis causing the psychological symptoms needs also to be ruled out. For example, a UTI in the elderly can cause confusion and make someone combative.…
For other risk assessments, patients’ current list of medications will be reviewed, and the problems with syncope will be assessed. The cognitive screening will be done by using Mini-Mental Status Exam (MMSE). The investigator will make sure, if the patients are cognitively capable of signing the consent form, or not. If not, then they will find out, if there is any family member available to sign the consent for them. The investigator will assess their Functional Independence Measurement Score (FIM) on admission to the acute rehab unit and plan the interventions accordingly.…
The patient presented to the ED with an attempted suicide by overdose. Per documentation the patient was found in her car in a Randleman Wal-Mart parking lot, not breathing and with no pulse. Per Documentation EMS reports patient was seen at High Point Regional Hospital for overdose earlier this week. At the time of the assessment the patient was found asleep with her husband by her side.…
The setting for this intervention is a clinical setting where the victim will have a medical assessment. Psychical exam will be done and a sexual abuse medical evaluation will also be administered for the laboratory tests. Also, the victim will be doing assessments which include obtaining background history and determining the needs of the victim. This may include assessing the physical, emotional, and behavioral consequences of sexual abuse. By doing the assessment, it will help correlate the care for the child and show a better understanding of the child.…
Introduction The title of the article is “ Initial psychometric evaluation of the staff perception of the disruptive patient behavior scale”. I will discuss the mixed method approach by analyzing the article and discussing the significance, purpose, theoretical framework, study design, data and analysis, participant and setting selection including ethical consideration, conclusion, and implication for future practice. Significance of the study in nursing or health care Disruptive behavior of patient in an acute care setting is a common occurrences that effects safety of both patient and health care staff.…
He denies feeling depressed. Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. At the time of the assessment the patient reports vaguely remembering the events today due "blacking out". The patient states, " the only thing I really remember is the argument with my mom, then I got mad and blackout. " The patient reports walking outside and speaking with his dad about the matter, however during his conversation his sister said something he didn't like and assaulted her.…
The rate or speed of speech, the appropriateness and clarity of answers should be evaluated during assessment 3.3Thought Content: This component of the MSE assesses what the patient is saying. Hallucinations, delusions, thoughts of suicide or harm to others may the identified. Daniel has made treats to harm staff and himself. There is report of him having command hallucinations telling him to harm staff.…