This is 50 year old AAF. Patient is here complaining of her elevated BP for the past several days. Today, her BP is 197/118. Patient states he has moved out of her daughter's home and now she is staying at a motel. Her stress level has been increased for the past week. Patient denies chest pain. Patient reports headache. Patient reports some depressive moods, denies thoughts of suicide or homicide.
There are several pieces of documentation that were used in the case. They include guidelines for continued treatment with the agency, consent forms, comprehensive assessment, and a performance evaluation tool to measure the effectiveness of the interventions. First is the program rules (appendix A). The program rules include proper conduct while at the out-patient facility, and expected adherence to treatment. Examples of proper conduct are no smoking except in designated areas, and having shoes and shirt on while on site. Other examples involve behavior on premises, which include any act of violence or threats of violence to people or property, carrying a weapon of any kind into the site, and any selling or purchase of illegal drug or any
There are many assessment processes that are used to identify substance abuse as well as many other disorders that are addictive. These processes include the SBIRT, AUDIT (Alcohol Use Disorders Identification Test), NIDAMED, CAGE AID (which is used frequently within the counseling foundation), AUDIT-C, and also the DAST-10 which is an assessment process used to evaluate drug abuse within the patients. These are many different processes that are currently used to identify these addictions in clients. The activity of identifying these processes can be over a period of time or can be evaluated in that same day or after the evaluation is completed.
This is 35 year old WM. Patient was seen at UAB ED for UTI and kidney stone on 3/30/2016. Patient was discharged with roboxin and ibuprofen. Patient has a history of Hep C, was told about 12 years ago, and was retested at UAB and HVC was positive. Patient is a current resident at the Villige. Patient has a history of substance abuse, denies current use, last use about 10 days ago. Patient is a current tobacco user, denies use of alcohol or illicit drugs. Patient reports some depressive moods, denies thoughts of suicide or
This is 27 year old AAF Patient reports lower back pain, 10/10. Patient states this is a chronic issue for her, but for the past 2 weeks pain has increased where it is affecting her ADL. Patient denies chest pain,SOB, N/V/D, or fever. Patient denies any other medical conditions. Including DM, HTN. Patient reports some depressive moods related to her current illness (back pain. Patient denies use of tobacco, alcohol or illicit drug
Maine, located in the northeasternmost are of the nation, includes beautiful parks and a rocky coastline. Unfortunately, the state’s beauty doesn’t make it immune to the ugliness of substance abuse. There is help out there for addiction sufferers, though. The following are just a few of the best in Maine:
Patient's BP is well managed, denies chest pain, SOB, N/V? D, or fever. Patient reports some depressive moods, denies thoughts of suicide or homicide.
The patient arrived on time for his counseling session. Reported stability on his current dose and denies the need for a dose increase when offered. Please note, the patient accepted a dose decrease about a week ago and reported that he is adjusting fine with the change. During the course of the session, the patient discuss about the philosphy of Alan Watts-Zen and Buddhism. The patient reflects about his life and his current practice of such religion as it reflects of who he is as a person and about
The patient is home bound related to her inability to leave home without the assitance of one or more person and the usage of a modality such as a Walker , the patient respirations are even and unlabored, the patient has tub grips in place to bbel, the patient also has legs elevated is recliner chair, the patient stated that she has occassional pounding of her chest and elevated blood pressure, the pateint caregiver stated that the patient. Blood pressure systolic was over 210 on last night, the patient blood pressure elevated at this time , the skilled nurse. Called Dr. Druhva and spoke with Levon ad informed her of the Patient elevated blood pressure for several days and the patient elevated
This is 58 year old AAM. Patient reports he was told several times, by nurses at the health fairs, that he has HTN. Patient is here today to discuses and start on his BP meds. Patient reports intermittent headache at times and blurred vision, denies chest pain, SOB, N/V/ D, or fever. Patient is a current tobacco (1 pack/day) and alcohol user (1 -2 beers at bed time), denies use of illegal drugs.
She came to the clinic last week for symptoms of fatigue, dry and thinning hair, constipation, feeling of being cold all the time, recurrent depressive mood, joint pain in her hands, feeling of a “lump” in her throat, and weight gain of 14 lbs. over the past year. She denies fever, cough, sore throat, and suicidal ideation. She has a history of benign hypertension, hyperlipidemia, seasonal allergies, obesity, pacemaker insertion, cesarean section, postmenopausal, and colon polyps. She has a family history of hypertension and diabetes mellitus type I. Her primary language is English. She is married, employed as a radiology technician, and is of the Baptist faith. She denies use of alcohol, tobacco, and illicit substances. She is currently taking the following medications: Hyzaar 100-12.5mg daily, Lipitor 40mg daily, Flonase 1 spray bid to each nostril, Zyrtec 10mg daily, Lutein 20mg daily, and aspirin 81mg daily. She has no known allergies to
This is 44 year old AAF. Patient is here complaing of epigastric pain thrugh out the day. She is nauseouse at times. Patient is a resident at the Lovelady Center. Patient is a current smoker with 30 pack year history. Patient denies chest pain, SOB, fever. Patient reports some depression but deneis thoughts of sucide or homicied. current pain 8/10. Patient reports she is not taking any medications at this time, including previouse prescribed
This is 50 year old AAM. Patient is here with several issues. Patient reports, he had been incarserated and now he is in half way house. For past 3 weeks he haven't had any of his medications. Patient denies chest pain, SOB, N/V/ D, or fever. Patietn reports some depresive moods, deneis thoughts of sucide or homicide. Current pain
The case study “Gender and racial/ethnic differences in patterns of adolescent alcohol use and associations with adolescent and adult illicit drug use” seeks to explore the effects and trends of alcohol use within certain groups. It is well known that alcohol is the most widely used substance in the United States. Alcohol use brings negative social and psychological effects to both adults and adolescents. However, certain groups of alcohol users report different effects. The data for this study was collected by using LCAs to separate the data by gender and by race as well.
When looking at the issue of substance abuse, one might ask why it seems that many people tend to struggle with overcoming substance use disorders. It often seems like patients in this particular field of healthcare tend to use substance abuse treatment facilities like revolving doors, but why is this? If one were to look into the amount of research done on substance abuse, studies can be found that date back to the 1800’s, and probably even further if they dug deep enough. If there has been hundreds of years worth of research done on this topic, why hasn’t there been an effective treatment found that works? What causes patients to remain in the so-called “system” of substance use, abuse, and
My name is Diane Porché; I am in the Clinical Mental Health course. I live in Denver, been here for 45 years. I hold a Bachelor's of Fine Arts degree in painting. I have a daughter, La Shell who is 35, and a grandson Da Vajaé, who is nine going to the fourth grade, that keeps my spirit alive.