...conditions for the elderly. It also examines the increase in the suicidal tendencies of the depressed, taking into account the wrong assumption that aging necessitates depression and the difficulty of health care providers in recognizing depression. It examines how symptoms may take months to worsen and show up and how aging individuals should be treated similarly to younger patients when seen by the doctor. It is up to family and health care providers to be vigilant and notice changes, and with care, individuals can be helped. Some of these symptoms include depressed mood, loss of interest in work and activities, psychic anxiety, somatic symptoms, general (decreased energy), somatic anxiety, guilt, middle insomnia, late insomnia, and suicidal ideation. Literature into the issue of depression and the suicide rate where elderly people are concerned is important for several reasons. Consider these facts: The highest rate of suicide in the United States is among the elderly population. Moreover, suicide rates steadily increase as age advances in individuals of all races and both genders. Those that are 65 years and older successfully complete suicide fifty percent more often than the national average. Every 90 minutes a senior citizen in the United States commits suicide. Population experts estimate that by 2030, the elderly population will be about 20% of the population-about 75 million people (Heisel, 2004). Clearly, the problem of suicide among the elderly is significant and if left...
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...General Practitioner Paper SWK 6370 10/3/2014 | Assessment (Hepworth, 2013, p. 192-193) Client is Ms. Juana Hernandez, though Will County Health Department, made referral to Joliet Area Community Hospice- it increasingly hard to cope with her 9 year old son’s death. As the anniversary of his death comes near, client has thoughts of suicide and finds it unbearable to face the fact that her son is dead. Ms. Hernandez is 38, single mom, and has two daughters, ages 5 and 8. She lives in a two bedroom apartment. * Ms. Hernandez is currently facing legal problems for driving on a suspended license. Client drives to and from appointments; thus raising concerns. Client is currently being treated for suicidal thoughts related to her son’s death. She reports that she’s taking all prescribed medications and has no thoughts of hurting herself and/or others. * Ms. Hernandez also expresses concerns for her other two daughters in the household. The girls are 5 and 8 years old. Recently her daughter (5 year old) had been playing in her room unattended and somehow managed to fall from the second floor window. The daughter told her mother that her deceased brother told her to play with him. The client acknowledges that she and her 5 year old daughter are being medically treated for Bipolar Disorder. Client has also been diagnosed with Schizophrenia. * She was sexually assaulted as a teenager and has not sought counseling to cope with the effects of the assault. Client appears...
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...Group Project – Final Draft Multiple Sclerosis – The Physical and Behavioral Effects Multiple Sclerosis, also known as MS, or Demyelinating disease; a disease that not many are aware of. It is “an autoimmune disease that affects the brain and spinal cord (central nervous system).” (A.D.A.M. Inc, 2011) The symptoms vary depending on the individual affected by the disease, and it also differs in duration for each symptom. In this paper, we will discuss the definition of Multiple Sclerosis, review the main symptoms affecting Multiple Sclerosis patients and their loved ones, its risk factors, how to recognize potential symptoms, the tests available, and support groups that can provide more information on this disease as well as how to cope with it. Depression is one of the main side effects Multiple Sclerosis patients have; it is unfortunately very common for someone with Multiple Sclerosis to experience depression. To learn more about the disease, we have to understand what MS is. Multiple Sclerosis, or MS, is an auto-immune disease that affects your brain’s nervous system; the “T-Cells” attack your neurons which function is to send signals to your brain. Each nerve cell control different parts of your body and emotions; having the T-cells attacking your emotional nerves can impact your way of living. If these T-cells damage the nerves of the brain that are involved in emotional expression and control; it can create a variety of behavioral changes resulting in depression...
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...the ED with substance abuse issues with Suboxone and "downer". He reports a history of bipolar. Per documentation family brought him in becaue they do not feel safe with him living in their home. Dr. Gentry requested a consult with mental health to determine appropriate services. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis to ED staff. At the time of the assessment Mr. Cook continues to denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He acknowledges a history of polysubstance abuse. He reports last inpatient treatment was at Moore Regional Hospital. He agreed for his records from Moore Regional to be released to Randolph Health. Per documentation Mr. Cook was sent to Moore Regional Hospital from Randolph Hospital 10/13/15 and was treated for substance abuse services. At there facility he diagnosed with Opiate Dependence, Major Depression, Recurrent Episode, Moderate; personality disorder not otherwise specified with borderline and narcissistic histrionic features. He was encouraged upon discharged to follow up with Sober Living America or Daymark, which did not happen afterwards. Mr. Cook stated at that time suicidal ideation and auditory hallucinations, however symptoms were resolved and his primary concern was to "get off medication. He has a...
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...Mrs. Goins is a 43 year old female who presented to the ED with suicidal ideation with a plan to drive her car off a cliff. Mrs. Goins reported to nursing staff she has been in therapy however feels her medications are not working. She denies homicidal ideation and symptoms of psychosis to nursing staff. At the time of the assessment Mrs. Goins appear calm and happy watching tv. She expressed being in a good mood. Mrs. Goins denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reported a history of bi-polar and fleeting suicidal thoughts when feeling depressed. Mrs. Goins reports relation issues and substance abuse as stressors contributing to her distress. She denies currently feeling depressed, however expresses feelings of hopelessness, worthlessness, sadness, irritability, and increased sleep. Mrs. Goins expressed her husband has been emotionally abusive towards her. She denies a history of suicidal attempts or self harming behaviors....
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...they no longer want him in their home. Justin continues to have a positive relationship with his maternal grandmother. In the past Justin has runs away from home in order to get away from family drama. On 5/4/17 Justin was admitted onto the Trinitas CCIS unit due to homicidal ideation about his mother at school. Justin was successfully discharge from the CCIS unit on 5/8/17 and placed in the Youth Shelter in Elizabeth. Justin was placed in the Youth Shelter on 5/8/17 due to Mrs. Williams not feeling comfortable with Justin being back in the home after making homicidal threats about her. Since Justin discharge on...
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...Patient is a 58-year-old female who presented to the ED with suicidal ideation and a plan to ingest poisonous plants. Patient stated: "Unless my husband gets me a new home of finishes the home we are on I'm going to do it next year on my birthday." LEO brought patient into the ED. At the time of assessment, patient endorses feeling suicidal with a plan ingest poisonous plants in a attempt to kill herself next year on her birthday and death of her grandfather (4/8/17). Patient reports relational conflict as the primary factor contributing to her current distress. When confronted about admitting being suicidal and having a plan to the nursing staff and to this clinician, patient stated "there is no running water in the shed and I have to use...
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...Mr. Correia is 26 year old male who presented to the ED with an BAC of .23 and overdose on 12-15 Benadryl and Mortin PM. Per documentation Mr. Corriea reports to EMS that he wanted to die. Mr. Correia denies suicidal ideations, homicidal ideations, symptoms of psychosis. He does not appear to be responding to any internal stimuli. During the time of the assessment Mr. Correia was 4X oriented, appropriate speech, appropriate appearance, fair eye contact, and guarded. Mr. Correia reports a history of self harm by cutting when he was 15 years of age after his relationship ended. Mr. Correia reports last night he had consumed 30 or more beers and a few shot of liquor. He reports taking 4-5 sleep aids a night to help him fall asleep, however...
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...The patient is a 23 year old female who presented to the ED with a possible overdose on 5 to 6 25mg pills of Phenergan. The patient reports that she took the medication because she felt very nauseated. The patient denies suicidal ideations, homicidal ideations, and symptoms of psychosis to nursing staff. The patient denies dizziness, HA, CP, SHOB, ABD Pain, N/V/D, or Fever. Patient denies distress. During the time of the assessment , the patient was awake and alert. The patient reports that her relationship with her boyfriend was ended, and that she had been dating him for only for 3 weeks. The patient state, "The break up had no influence on my behavior." The patient reports that she felt really sick or nauseated from her menstrual cycle. The patient denies suicidal thoughts, homicidal thoughts, and symptoms of psychosis during the assessment. The patient reports she was stressed earlier because when her relationship ended, she thought there where no issues with her...
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... In Cassandra’s case the model first tells us we have to define the problem. With the information currently given from law enforcement and Cassandra, there are several problems present: 1. Apparent violent altercation with boyfriend (noticeable bruising) 2. Law enforcement suspects she may have murdered her boyfriend. 3. Witnessed father and grandfather physically and sexually abuse mother 4. Family substance abuse problems: dad abuses alcohol, brother abuses heroin 5. 3 past suicide attempts (most recent 3 months ago) 6. Mental state questionable a. Thinks boyfriend still alive and wants to see him b. Brought in talking to self c. Unable to answer direct questions d. Smiles when discussing negative information 7. Homicidal ideation a. “Feel like killing someone, to see how it feels to take someone’s life.” b. “Don’t know who, but I want it to be a family member for all the stuff they put me through.” 8. Frequent nightmares (suspect fear of father) 9. Verbally abusive towards law enforcement While the main issue is a violent altercation with her boyfriend that may have resulted in his death is the current problem,...
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...Ms. Swaim is a 22 year old female who presented to the ED with right should pain. After being triage Ms. Swaim reports experiencing symptoms of depression and anxiety. At the time of the assessment Ms. Swaim denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports this morning her father told her that she was no longer able to stay in his home. Ms. Swaim expressed a history of depression since the age of 15, however has no history of hospitalizations or applied medication. She reports going to Day Mark Recovery Services last year for depression and did not respond to the group therapy well. Ms. Swaim states, "This morning I felt I would be better off not here, but don't want to kill myself." She expressed family...
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...The writer met with a 20-year-old African American male homeless who walk to Henry Ford Main. The consumer report that he was having stomach pain that is why he came to the hospital. The consumer denies suicidal/homicidal ideation, no auditory/visual hallucination, no delusion, no poor impulse control, no insight into the need for treatment and no impaired judgment. The consumer has a vacant stare, pressured speech, paranoid with disorganized thought, delusional thinking, impaired judgment and he seem to also be responding to internal stimuli the consumer did not make eye contact with the writer during his assessment. The consumer was recently discharged from Harbor Oak with intake appointment at New Center Community Services. The consumer...
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...Mr. Stone is a 23 year old male who presented to the ED with suicidal thoughts with multiple plans. Mr. Stone denies homicidal ideations and symptoms of psychosis. Mr. Stone reports he has been having suicidal thoughts for a while and recently his depressed mood has become overwhelming. Mr. Stone reports depressive symptoms as: worthlessness, hopelessness, sadness, insomnia, and isolation. Mr. Stone dos not appear to be responding to any internal stimuli. During the time of the assessment Mr. Stone presents with Appropriate appearance, appropriate speech, good eye contact, depressed mood, appropriate affect, and 4X oriented. Mr. Stone reports on his way to the hospital he was having thoughts of driving his truck into a river. Mr. Stone reports...
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...The patient is a 48 year old male who presented to the ED via EMS for concerns with history of alcohol dependence. P.A. Jason on minor care requested a psychological evaluation due the patient being very vague and statement referring to a history of possible suicidal thoughts. At the time of the assessment the patient currently denies suicidal ideation, homicidal ideation and having any visual or auditory hallucinations. Patient does not appear to be exhibiting signs of aggression, or responding to internal stimuli. The patient expresses sign of agitation during the time of assessment. The patient reports he has been consuming alcohol since his late teens and has had a issues with alcohol for majority of his life. He reports recently he...
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...no effective action is taken, many more innocent children and teachers will die in the next few years. What has occurred in the last few decades that has increased school violence and has made school shootings more common? Examination of prior school shootings reveals that most of the offenders did not exhibit violent behaviors during their formative years, and many were excellent students. Their problems developed after treatment with antidepressants or other powerful medications These drug medications have helped millions of persons, but psychiatrists have known for years that a rare side effect involves development of suicidal ideation and in some cases homicidal tendencies. For example, SSRI (Selective Serotonin Reuptake Inhibitor) antidepressants obtained from pharmacies contain an insert that warns of “possible development of suicidal ideation”. There is considerable published literature that indicates young males are especially at risk for this side effect. Mainstream psychiatry’s “treatment of choice” for depression is use of SSRI antidepressants aimed at increasing activity of a neurotransmitter called serotonin in the brain, perhaps coupled with counseling. However, my biochemical studies of 3,600 depression patients show that 18% have elevated serotonin activity and are intolerant to SSRI antidepressants. In most cases these persons stop compliance after discovering that the drug makes their condition worse. In many unfortunate cases, however, the patient obeys their...
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