Case Study On Emeila

R/s today La’Nyiah reported that on last night her brother beat her repeatedly with an extension cord. R/s La’Nyiah said when she tried to tell her mom and dad her brother would try to make her stop, he told her not to tell them. R/s La’Nyiah stated that her Brother never had hurt her before. R/s La’Nyiah has two large stripe bruises on the right foreman, that are 3ins long 1in wide and the same bruises are on both upper thighs. R/s the brother watches La’Nyiah in the afternoons until parents get home.

Autumn S. is a twelve-year old girl who presented at a short-term residential facility after a violent assault on her adoptive mother. This was not her first violent episode. She has a long history of violence towards herself, most notably a history of hitting her head against the wall when she is upset. This behavior is serious and has led to her being treated in the Emergency Room for concussions. She has also assaulted a number of same-age peers and younger children. She and her older brother engaged in a group assault on one of their good friends, hitting him with backpacks full of books. She also attempted to drown her younger cousin after an altercation in a wading pool. It required two adults to pull her off of the younger child. This violence has resulted in various problems in Autumn's life. She has been in trouble in school because of violence towards classmates, and has been targeted by other children because of her violent behavior towards others. She has been in trouble in the home because of her violence. She has even been in trouble with the law, as her most recent violent attack against her adoptive mother was of sufficient severity that a neighbor intervened and called the police.

On June 27th, Amya Anderson, 8 years of age, was taken to the emergency room of Marcus Daly Memorial Hospital by her mother. Her mother had received a phone call from Amya’s school nurse that there was a problem with her and that she would need to come and pick her daughter up. Upon arrival the nurse informed the mother that Amya had been crying for most of the morning and would not go to the bathroom because she was afraid that it was going to hurt. Her mother immediately took her to the emergency room for an examination. Amya has always been very forthcoming when she is not feeling well and has no problem telling her mother about any problems or irritations that she is having. Today, however, Amya refused to let her mother see her without any clothing on, not wanting her mother to see her body. When asked what her main source of discomfort was she told her mother that she had pain “down there”, and that her Uncle Joe had touched her “private parts” while he was babysitting her the day prior. The mother agreed to have her doctor perform a pelvic exam where the mother’s worst fears were confirmed. Not only had her uncle molested her, he had raped her and had caused sufficient damage to Amya’s genital area. Upon further questioning Amya admitted that her uncle had been molesting her for the better part of the last year but it wasn’t until the previous day that it had taken a turn for the worse.

Neveah reports a history of physical and sexual abuse starting at age “three or four,” with the most recent sexual abuse occurring approximately two years ago. She reports distressing dreams about the most recent trauma and difficulty falling and/or staying asleep six out of seven nights per week. Neveah displays avoidance in discussing details related to the trauma and reports blocking thoughts and memories of the most recent event. She reports the inability to remember aspect of the most recent trauma and reports remembering “small pieces” of her childhood trauma. Neveah makes statements such as “I will always be crazy,” “This will never fully go away,” and “I bring this on myself” when discussing herself and her symptoms. Neveah displays irritable behavior and angry outbursts when a peer or family member causes her to feel “mad”. Her behaviors include yelling, throwing objects, and making threats. These symptoms have been present for more than one month and are affecting the relationships with her

Susie Jones is a 9-year-old African American female who lives with her mother and two younger siblings, (John, age 3, Debbie, age 2) in Waterford MI. Susie is currently in the third grade and in special education. Ms. Jones stated that Susie is physically aggressive with her siblings. Susie stated she has self-harming behavior such as choking herself when experiencing feelings of frustration. Susie’s father is not present in her life. Susie’s father is not present because Ms. Jones found out that Susie was sexually abused by her aunt’s boyfriend while in her father’s care. Susie’s sexual abuse included “oral sex” however no penetration. Her aunt’s boyfriend was not prosecuted and CPS was not involved. Susie was a witness to domestic violence against her mother by her mother’s former fiancé. Due to domestic violence in the home, Susie was removed from her mother’s care for a year and returned to her mother in 2009.

No, even though hospitals are obligated to provide a medical exam and stabilizing treatment for anyone that comes to the ED during a disaster; the facility is only requires to provide services within their capabilities. Under EMTALA, if an individual’s condition requires immediate stabilizing treatment and the hospital do not have the capability to stabilize the individual, then the individual should be appropriate transfer to another hospital for medical care. Transferring a patient because the hospital cannot provide stabilizing treatment is a violation of EMTALA (Gravely, Whaley, & Sanders 2007).

The Emergency Medical Treatment and Active Labor Act (EMTALA) ensures public access to emergency services, meaning stabilization and treatment, regardless of a person’s insurance status and ability to pay. Overall, the purpose of this federal law is to prevent hospitals from discriminating against patients who are uninsured or unable to pay by either refusing to treat the patient, rejecting the patient entirely, or transferring them to a lower quality hospital. Thus, it keeps medical emergency practitioners in check by looking at how they may help the patient rather looking at how much they can get out of the patient. EMTALA does apply in this situation. Further, this situation demonstrates how this act was directly violated. It is the hospital’s

Ezana, will continue to practice with upper and lower case and sound letter recognition. Ezana is able to have verbal interactions with confidence and add new English words to his daily conversations with peers and teachers. I believe will be beneficial to Ezana continue working and letter and number recognition, practice writing his name with upper and lower case letters. Also, it will be great for Ezana during the Summer break to visit the public library and pick books of his choice to encourage reading and most importantly that adults read to Ezana on a daily basis. Reading is essential to letter and sound recognition.

The reporting party (RP) stated foster child Treasure Partridge age 8 disclosed to the RP that while living with foster parents Michelina (Nina) and Bruno Curiale she was spanked. Furthermore her sister Unique Leon age 7 was disciplined in the identical manner. According to Treasure this form of discipline occurred several times a week resulting in redness. However, no bruises or injuries were reported by either

Ella’s family will have an enormous impact on her physical well-being. Since Ella is being admitted to Hospice, it would be appropriate for the family to delegate a spokesperson that will speak on the entire family’s behalf. The family representative must be able to coordinate with Ella’s Hospice care team. Delegating an individual to represent the family will enable them to make informed medical decisions, decrease repetitive questions and provide superlative care for Ella. Ella’s physical well-being is reliant on how well the family advocates for her. The family will be able to ensure Ella is not in any physical pain, proper medications are provided, ensure she getting adequate sleep, ensure she is eating properly and ensure she is not

EMTALA is the Emergency Medical Treatment and Labor Act that was developed in 1985 as part of the Title IX of the Consolidated Omnibus Budget Reconciliation Act that went into effect in the year 1986 (Sara Rosenbaum, 2012). EMTALA was developed after an article was published in 1986 that documented how Cook County Hospital in Chicago was receiving patients that were “dumped” there that were unemployed, minorities, and lacked health insurance (Singer, 2014). This problem also occurred in 1983 in Dallas where over 200 patients were transferred between hospitals that were not stable (Singer, 2014). EMTALA is under the direction of the Department of Health and Human Services and was developed to address the needs of Americans

PER REPORTER: Kamren reported to her teacher that her mother whipped her last night when she got home. Kamren got in trouble at school by her teacher. The teacher called home. It was another teacher she reported it to. Kamren reported being hit about 20 times with a belt on her upper bottom, lower back. No one looked to see if there were any bruises. She said she was shielding the area by putting her arm there where mom was whipping her. There were marks noticeable on her arm. It's unknown if there are marks or bruises on her upper bottom, lower back area. No one felt comfortable asking her to unbutton her pants. She said her mother never whipped her like that before. She complained of having a hard time sitting in her desk. It was painful

It is evident from her repeated accidents involving her being harmed that she is unable to protect herself and has no control of her own

REPORTER: The reporter/teacher (Lynn) called to report Child Abuse for the victim, Alexander. According to Lynn, on last night (8/25/2015), the uncle (West) tried to provoke the victim. West was punching (unknown where) the victim and tried to get him to punch him back. Also, the West (uncle) and aunt took the victim’s personal belongings and items from school and threw them out into the yard. The uncle (West) cut the cords on his devices. On yesterday (8/25/2015), Lynn saw the victim walking on the side of the highway. The victim cried and left the home after the uncle (West) attempted to provoke him. The victim said he went to the voting station where his grandmother (unknown) was to escape from what was going on at the home. It is unknown

In the cases of inflicted brain trauma, abuse can sometimes be difficult to diagnose because the baby may not have any external marks, other than bruises on chest and extremities from where the infant was held (Lyden, 2011). Researchers say that retinal hemorrhages in infant’s eyes should be considered as signs of abuse until proven otherwise, although they acknowledge that retinal bleeding in infants can be caused by other conditions, those conditions can be ruled out through history, physical exam, and labs (Lyden, 2011).