Case Study Of Lakes: Hickman And Flare

During this day, I was assigned to care to one of our sick residents and based on my assessment, her condition shows no sign of improvement from her chest infection so I checked her vital signs specifically her respirations. After assessing her, we rang in the GP to inform him about the condition of his patient and asked him to schedule a visit. Also, in the afternoon, we had a new admission from Eversley. Firstly, we greeted the patient, introduced ourselves and oriented the resident to the unit. Secondly, the nurse from Eversley informed us about the relevant information about the patient’s

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

Mr. Saunders is a 60 year old male who presented to the ED via LEO under petition by his niece, Rachelle, for allegedly putting a gun into his mouth, him putting a gun in another individuals mouth called "legs", and increasing alcohol consumption. At the time of the assessment Mr. Saunders is calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Saunders reports he has been depressed for several months and has been binge drinking alcohol. He reports relational issues with his wife has been the primary stressor contributing to his distress. He express feelings of hopelessness, worthlessness, irritability, and isolation. He does admit to informing a friend, William, he see no reason to leave if he can not be with his wife. Patient does not appear to be exhibiting signs of agitation,

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

At approximately 11:36 hours, the writer and S/O C.Mason responded to a call from POC to attend MHSU for an eviction. The officers attended and met with the clinical staff (Tav Randhawa), who informed the officers that the discharge patient in consult room #9, need to be escorted off property. The officers were also told that the patient is really agitated and might put into a fight. The writer requested for two additional officers to attend and assist them with the call. S/O C.Mason broke up from the call and returned to the main booth to relieve SSS J.McCuaig, so he can attend.

Waters, Renita Apr 4 2017 12:21PM Waters, Renita April 4,2017 10:05 AM TC Beth Orrick RN nurse from Bent Wood Nursing for information on Mr.Allen Union who was in Bent Wood for a wound on his feet. Ms. Beth explained Allen was getting OT, and PT and was on a walker. Beth stated Mr. Allen wanted to leave and go pay his rent and other bills yesterday he didn't return back. Beth stated she TC Mr. Allen at home and he refuse to come back for any more therapy. Beth explained to Allen he must have more treatment on the wound on his feet to heal and he did take Bent Wood walker back he took. I asked Beth was Allen on any medicine she commented he left all his medication. Beth stated Allen is a diabetic and has high blood pressure including a open

On 25-Aug-15, at approximately 1545 hours, the writer and Acting SSL C.Tessarolo responded to a call from POC to attend PHAU, because one of the patients has ran out of the unit. The writer was on his way to PHAU, while he noticed two clinical staffs being physically engaged with the patient by the LAB. The writer rushed to the location and asked the clinical staff if they wanted the officers to take over and escort him back to the unit. The clinical staff had a strong hold of the patient's arms, so they told the officers that they will be fine, but they asked the officers to accompany them, while they are taking him back. The writer and Acting SSL C.Tessarolo along with the clinical staffs escorted the patient back to the unit and secured

D-Met with the patient upon request. Upon meeting with the patient, the patient appeared upset and addressed her frustration in this writer's office. According to the patient, she's upset with her PCP forcing the patient to admit herself to the psych. ward to get on medication. Failure to do so, her PCP will complete the medication protection for her electricity. The patient owes over $3000 and with the protection, her light company cannot turn off her lights. Please note, the patient was pacing back and forth and getting emotional. This writer consolet he patient and validated her feelings. According to the patient, she reports that CMHA informed her that she in order to get into their clinic, an evaluation is needed whereas the evaluation can be completed at a hospital; however, the patient is worried about being admitted. Please note, the patient denies any suicidal or homocidal ideation when questioned.

The patient expressed about feeling that she is self-sabatoge her recovery for no apparent reason and currently thinking about going into an inpatient treatment- more so, a treatment that is spiritual. The patient shared that lately she's been feeling down and haven't been to going to church for the past two weeks. In addition, the patient shared about having homocidial thoughts with regards to her daughter's DCF case as she expressed frustration with the custody battle. This writer advises the patient about this writer's role as a mandated reporter and based on the patient comment of having homocidal thoughts, she recanted her statement and says," So, you are telling me that I cannot vent and express how I feel.....I am going to keep my mouth

Patient presented to the ED via EMS after a attempted suicide by driving his car into a tree. Patient reports braking up with his girlfriend a month ago and experiencing depressive symptoms. He reports that his girlfriend and him had a 7 year relationship, which he shared a with a 6 year old daughter from the relationship. Patient expresses that in the past he has been verbal aggressive towards her and she has recently moved into er mothers home. The patient reports since her leaving he has been having suicidal thought. He reports that he never attempted suicide, however has had a history of depression and a verbally abusive father. The patient express a poor appetite, sleep, and loss in usual pleasure, which is praying for change in his relationship.

I was walking to the 16th hole at the regionals tournament at Lake Forest in Ann Arbor. I was walking with a small group of girls listening to them give pep talks to their less confident team member.

Joshua is a 31-year old who presents from CRU from UPC. He is ACOT for wanting to leave valley hospital against medical advice. He was admitted to Valley Hospital on voluntary basis for increased depression and anxiety. BHR have a hx of OD and hanging. He is allergic to vicodin. Upon admission, his vital signs were within normal limits. He is partially cooperative, he stated, "I just want to go to bed." He will benefit from meeting with the provider and discussing medication management.

In the painting North Shore Lake Superior by Lawren S. Harris which is located in the Tom Thompson Gallery in the AGO, line and colour relationships bring about a sense of harmony and contrast throughout the piece as well as the feeling of peacefulness. When the viewer witnesses the landscape, the composition exemplifies a scene of a beach in the winter with its many blue tones. The work of art resembles a beach with a cool atmosphere incorporating mostly blue, grey, and white. In the foreground, there is a tree trunk at the shore of the ocean which is centered and surrounded by many stones. The trunk has no texture due to the abstraction of its form; no detailed lines are present and the solid vertical strips of dark colours simplify the structure. There is an evident presence of light as indicated by the diagonal lines that descend from the top left hand corner of the painting. The lines illustrate dynamic movement of the sun beams as they collide with the contour of the freestanding form. The combination of elements, such as line and colour, bring about harmony as well as evoke a sense of tranquility.

Kennedy Lake is a 4.0 ha lake with an average depth of 2.4 meters and a maximum depth of 3.7 m located in south west Tucson. The lake is dyed green to protect from algal blooms, has minimal trees surrounding it, and a decent amount of submersed and emergent vegetation. Sunfish were stocked at the end of March and catfish were stocked the morning of sampling date (April 6, 2016). We detected rainbow trout, redear sunfish, bluegill, threadfin shad, and largemouth bass. Apparently there may also be grass carp (white amur) present to help regulate aquatic plants. Fishing pressure on sampling night seemed to be intense, with lots of people fishing. People were a mix of young and old with some families present as well.

September 2006 South twin lake, a cold blistery day with an intense northwest wind of at-least 30 mph. No place for anyone to be, especially twelve Bowdoin students. As my grandmother was pealing potatoes for dinner she noticed an astonishing sight. Twelve students in six canoes ineffectively attempting to paddle up the lake. It was very obvious they were in trouble and needed assistance. Both of my grandparents enthusiastically signaled them into shore. I watched along side asking an overabundance of questions. My grandmother graciously invited the wet, tired and confused college students into her home. As a timid seven year old, talking to these students seemed like an petrifying task. I observed how they spoke and conducted themselves, educated,