Overdose Case Summary

D-The patient arrived on time for her session. Reports stable on her dose. This writer discussed about tapering off on her methadone, at which the patient is willing to consider doing, but needs more time. She then says, " I might consider doing it next month, but not right now......I was doing it before, but it stopped....just want to take my time." The patient then discussed about having to go to SSA to obtain the payment for the funeral cost. The patient is upset about the small amount she is about to receive. This writer discussed the grieving process of her loss of her husband and also, her mother in law. The patient appeared to be annoyed with her son for not participating in his grandmother funeral arrangement and also, not showing

T.R. is a 69 year old, Caucasian female with a history of schizophrenia who presented to University Hospital Medical Center Emergency Room under Baker Act for recent suicidal attempt. According to the Baker Act report, she ran out of her retirement facility, trying to be hit by vehicles. She suffered a slight injury to her right ankle, as the slightly slightly hit her in an effort to abruptly stop the vehicle. She verbalized to police officers she wanted to die. She reported that peers in her retirement community learned about her history and had been gossiping about her. She reported increased paranoia due to this. She was hospitalized in the same psychiatric unit two months ago, after she was diagnosed with depression. Patient states the reason she was diagnosed with depression is because her two sons are not willing to talk to her. She states that she is separated and living without her family in an Assisted Living Facility. As per patient and chart review, the patient was born and raised in New Jersey and moved to South Florida. The patient currently lives in a retirement home and had to move several times to the different Assisted Living Facility, due to her paranoia and delusional behavior. She is currently retired and reports that she used to work from home as a home health aide. She has two sons and tries to maintain a good relationship with them, but denies any contact with them. She reports the biggest stressor is basically a relationship with her

is a nurse practicing in Missouri that has, already, previously been placed on probation for testing positive for heroin. She has recently had a relapse in her recovery and is fighting to get her license back so she can practice nursing. The state board has already given her one chance and she was practicing in Missouri. She has been sober for nearly 3 years and has taken suboxone the entire time of her sobriety to help with withdrawal. E.M. hates that she has a dependency on the suboxone and wanted very badly to wean herself off of it. She spoke with her physician about this matter and her physician strongly suggested that she not be taken completely off her prescription of suboxone. Her physician lowered her dose and she began taking a lower dose. After time passed, E.M. felt like she had things under control and she completely stopped taking her prescription. E.M. went under some stress at her job and ended up leaving the facility she was working at. She knew that one of her old co-workers had access to heroin and after running into him at a local store, she started abusing again. Beginning at the time of her first time being placed on probation E.M. has been required to provide urine samples at randomly selected intervals. During her time of remission, when she was abusing, she failed to call and leave urine samples. At this time, E.M. explained that she was focusing on bettering herself and working on her sobriety. I feel that E.M. was very sincere and was accountable for her actions. She truthfully took responsibility for her wrongful actions. E.M. stated that she now realizes that her heroin addiction is a lifelong addiction that will always be knocking at her door and she cannot stop taking suboxone. The board questioned her and wanted to make sure she did not have plans of going against her physician’s orders again. E.M. was in tears almost the entire time she was explaining her actions to the members of the board and I feel like they were true

Mrs. Payne is a 48 year old female who presented to the ED via EMS following her visiting to Liberty, NC from Greensboro and going into the police department and reporting she was having suicidal thoughts to wreck her car. During Mrs. Payne being triage she informed ED staff of compliant as a plan to over dose on Oxycodone at home. She reports not being able to get to prescribed Geodon and Valium for the past 2 weeks.

The writer met with 5 y/o AAM brought to Sinai Grace by EMS due to suicide attempt drinking and took overdose of pills. The consumer also admits to prior suicide attempt three weeks ago. The consumer live with family and has income. The consumer present with flat affect, depressed, agaited and has limited insight into the need for treatment. The writer ask the consumer about what was going on in his life to make him attempt suicide. The consumer states it was life stressor and report that he was in a car accident a few weeks ago. The consumer admits depression, anxiety, limited insight into the need for treatment and impaired judgment and he has some desire to improve on his current situation. The consumer admits to drinking alcohol daily

Plaintiffs allege that defendants had prior knowledge that their daughter was a target for murder by a psychiatric patient and failed to warn the victim or anyone capable of stopping act. Defendants had notified campus police of patient’s intent, but after detaining him briefly, chose to release him because he “appeared rational.” Plaintiffs allege liability based on defendants’ failure to warn of impending danger, and failure to confine the patient. The Superior Court of California sustained the defendants’ demurrers to plaintiffs’ complaints. Appeal followed.

Brenda and receive a 54-years-old patient who came in with DX of depression and has suicidal thoughts. In her medical HX, at age 23 she once tried to committed suicide by overdose on medication because she stated that 4 men raped her. When the patient was admitted to the ED, she was company by her husband.

Mr. Gillespie is a 21 year old male who presented to the ED after an intentional overdose on 20 600mg of Gabapentin. Per documentation from ED staff Mr. Gillespie reported he became angry at his grandmother tonight and tried to "prove a point." Mr. Gillespe reported to staff threatened to overdose on his on pills, however dumped them in the toilet. He expressed after making threats to overdose on his prescribed Celexa did not phase his grandmother, he proceeded to take her Gabapentin. Per documentation Mr. Gillespe has been living with grandmother for 2 weeks and before that was living with his mother in Cary. At the time of the assessment Mr. Gillespie was calm and cooperative. He denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He appears guarded during the assessment. He reports tonight his grandmother and he got into an argument over him getting a job. He reports his grandmother informed him he has to be out by Friday. Mr. Gillespe denies history of self harm. He

The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag

a 44 year old Divorced African Male came into Henry Ford Hospital ED as a walk-in and told the HFHS staff that he was having mental health issues he does still struggle with depression and anxiety. The consumer stated that he initially went into the hospital after his brother was shot twice in the head. At that time the client reports that he was placed on Risperdal, while at Kingswood in January, and he became a zombie at that time. He stated that he has been in and of the hospital multiple times since then, and each time, he has been placed on Risperdal and he doesn't feel that his meds were ever adjusted correctly.

2. The patient are mentally healthy and that they understand the alternatives are provided (e.g. continue receiving treatments) yet still want to commit suicide by doctors’ assistance. In addition, further observation should be applied if the patient is diagnosed with depression.

In the United States, 40 people die across each day due to overdosing on narcotic prescription medicine. One of the most commonly abused prescriptions is opioids painkillers such as Vicodin and codeine. Another medicine to treat anxiety and sleep aids such as Valiums and Xanax. Other abused prescriptions are stimulants to treat Attention Deficit Hyper Disorder (ADHD) like Adderall and Ritalin. When the overdose first became a problem, 60 percent of NC prescription overdose victims were dying before the arrival of emergency medical

On 8/24/17, at 1907 hours, I was dispatched to 4246 Shadow Creek Circle, Oviedo, Seminole County, in reference to an overdose.

The number of APRNs is increasing across the country. With fewer restrictions on their practice, more opportunities to those who are suffering from addiction/abuse can be easily utilized. This can help nurses save lives, decrease overdose deaths and prevent further diseases such as HIV and Hepatitis (HIV Prevention and Treatment Strategies can help address the overdose crisis, 2015). One of the primary issues facing this epidemic is the limited number of available treatments. Increasing the number of providers that are certified in substance abuse will lead to an increase in accessible treatment for patients in need. Until something is done with legislation, more people will die each day because of the lack of care that can be provided. With

Parents’ whose child died from a drug overdose not only are grieving the loss of their child, they are also susceptible to mental health issues, and may experience a greater amount of grief (Feigelman et al., 2011). In part because drug related deaths tend to be viewed as unfavorable, with the parents often being blamed (Feigelman et al., 2011) (Guy, 2004) (da Silva, Noto, & Formigoni, 2007). Furthermore, parents’ experience feelings of guilt for not interceding, and preventing the death of their child (Feigelman et al., 2011) (Guy, 2004) (da Silva, Noto, & Formigoni, 2007). Moreover, due to the social and physical effects felt after the loss of a child, parents’ need additional support to potentially avert any negative effects (Aho et al., 2014) ) (Arnold & Gemma, 2008; Hogan & Schmitt, 2002; Kreicbergs, Lannen, Onelov, & Wolfe, 2007; Murphy, Johnson, Cain, Das Gupta, Dimond & Lohan, 1998; White, Walker, & Richards, 2008).