Mary San Juan Hospital is in receipt of a denial letter dated December 26, 2016 for acute inpatient care provided on the above dates. The denial is based on the premise that it was medically unnecessary. However, the hospital has determined that this acute inpatient admission was warranted and supported by clinical documentation in the medical chart. The treating physician exercised their expert opinion in electing to admit this patient out of concern that his symptoms were attributed to an acute or escalating clinical condition.…
At the time of the assessment Ms. Newby adamantly denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports today around 1:30pm her mother and her got into an argument over her mother's Facebook password code being changed. Ms. Newby reports she is visiting her mother from Florida. Per documentation she reports taking adderall years ago and has a history of ADHD. Ms. Newby denies feelings of depression.…
Holmes created a financial scandal of his own. When he opened his hotel, he bought everything on credit. “He had no intention of paying his debts and was confident he could evade prosecution through guilt and charm.” Surprisingly, he managed to keep many possessions without spending any real money and didn’t have to face any furniture dealers or anyone “whom Holmes had cheated over the previous five years” for a long time. What ended up happening was that he had to face them all at once.…
Initial Diagnostic Case – For Practice Edgar is a 25-year-old married man who is being hospitalized after a suicide attempt that resulted in a car crash into a lake. He has been having a depressive episode for the past six months. This is the first episode he has experienced and it has several characteristics including feelings of depression, loss of interest, weight loss, hypersomnia, poor concentration and thoughts of suicide. His casual daily drinking of 1 or 2 beers per day has increased to five to eight per day in the last two months, which is aggravating his problems. He has no evidence of psychosis but his mood is severe.…
Case Q: Whose Hospital? Background of the situation: In June of 1979, the medical staff at Brendan Hospital held a mass meeting at the hospital to discuss various allegations against CEO, Don Wherry. A petition was signed by half the medical staff and by half the employees of the hospital at the mass meeting.…
Robin reports feeling very anxious and irritable much of the time and would like to gain a better understanding of her problems. Robin’s affective and emotional state appeared sad and crying. Robin denies any suicidal and homicidal ideation. The main themes of the session were coping with feelings of anxiety, depression and substance use. Robin reported that she is struggling with depression and anxiety for more than ten years now mostly without treatment.…
JD has been diagnosed with schizoaffective disorder bipolar type. Additionally, she is also diagnosed with chronic kidney disease, unspecified feeding or eating disorder, insomnia, mild neurocognitive disorder due to multiple etiologies, depression, suicidal ideation, tachycardia, and psychological factors affecting other medical conditions: not eating- malnutrition, sepsis, renal failure, dehydration, and constant walking- foot ulcer. This is JD’s 2nd psychiatric hospitalization at OSH, but she has been hospitalized for psychiatric reasons 10 times throughout her life. She has been admitted for attempted suicide. She has tried to commit suicide at least three times throughout her life.…
He has had multiple manic episodes, and his symptoms have caused social and occupational distress. During his manic episodes, he had elevated and irritable moods for longer than a week, and was also hospitalized. In the period of mood disturbance and increased energy, he had symptoms such as: decreased need for sleep, more talkative than usual, racing thoughts, increase in goal-directed activity, and excessive involvement in activities that have a high potential for painful consequences. The severity of his symptoms have caused him to receive hospitalization, have caused occupational and social impairment, and psychotic features. Pat has multiple recurrent manic episodes also including delusions, and a psychotic feature shows that he has irrational thoughts that are untrue.…
Nyetazia reported she has never been diagnosed with a mental health condition nor has she undergone any type of psychiatric or psychological testing. However, due to her verbalizing homicidal ideations directed towards her mother and her mother’s boyfriend, her mother voluntarily took her to Maryview Medical Center in an attempt to have her admitted for a psychological evaluation. When it was determined that Nyetazia did not meet criteria for admission to Maryview, she was ordered to be admitted to Crisis Intervention Home on 06/06/17. Ms. Hicks has scheduled an appointment for a psychological evaluation with Christian Psychotherapy set for 07/26/17. Nyetazia has shown no indications of suicidal…
Elizabeth Holmes is the CEO and founder of the multibillion dollar company, Theranos. Holmes is the youngest female billionaire and ranked number 1 in the world of America’s self made women. Elizabeth Holmes’ net worth is 4.5 billion dollars which makes her number three hundred and sixty on the list of billionaires. Elizabeth Holmes is a college dropout which makes it very extraordinary to think that she accomplished so much and how she got to where she is now.…
132-133) criteria: period of major depressive episode and hypomanic episode. During the major depressive episodes, the client merits the following criteria over at least a 2-week period: depressed moods most of the day, diminished interest in almost all activities, hypersomnia, loss of energy nearly every day, diminished ability to think or concentrate, and recurrent suicidal ideation. The hypomanic episodes are characterized by the following criteria during a 4-day period and are observable by others: inflated self-esteem, decreased need for sleep, and an increase in goal-directed activity. Potential differential diagnosis includes anxiety disorders, personality disorders, Bipolar I disorder, Cyclothymic disorder and Major depressive disorder. The etiology may include stress, family problems, work problems, and biological…
I thought your discussion post was well thought out and I liked how you handled the situation at given to us. I also believe that taking Jenny to the emergency department is the smartest thing to do. “The nurse must act on behalf of patients who are unable to advocate for themselves.” (Marquis & Huston, 2015, p. 119) Since Jenny is unresponsive and we have lack of knowledge about what is truly going on with her it is best to play things safe and bring her to professionals.…
A Rose for Emily: It’s no secret that Emily Grierson seemed crazy, she may have even suffered from a mental illness. Having such an illness could be drastic for one’s self or for others around them. Her actions were bizarre, from denying that her father had died to buying poison from the pharmacy and everything in between. Everyone in the town had noticed this, but never said anything to Miss Emily.…
In order for us to help the patient address some of the problems he is experiencing, we brought it to his attention. The social worker Courtney, and I decided to go meet with the patient to see how he is doing. The patient seemed to have improved in his physical therapy causing him to effectively improve in his positive thinking. Courtney and I decided to bring up some of the depression he was experiencing to see if he is still expressing some of those feelings. The patient voiced that he is doing a much better thanks to the rehab team for physically working with him, his social workers for following his progress during his stay and providing him with a psychologist that helps keep his thinking strong.…
“Transient, stress-related paranoid ideation or severe dissociative symptoms” (Barlow…