SOCIAL HISTORY: Patient admits to alcohol ingestion nightly and on weekends. Denies tobacco use. Denies illicit drug use. He is married.…
SOCIAL HISTORY: Married has one daughter. Patient works as a substitute teacher. Smokes one pack of cigarettes on a daily basis. Denies ETOH. Smoked marijuana last night. No IV drug abuse.…
SOCIAL HISTORY: Patient admits to drinking beer on the weekends, some tobacco use, but no illicit drug use, is divorced with four children, is a long haul truck driver, lives with his fiancée.…
HISTORY AND PHYSICAL EXAMINATION OR EMERGANCY DEPARTMENT TREATMENT RECORD Patient Name : Benjamin Engelhart Patient ID : 112592 Date of Birth : 10/05/1958 Age : 46 Sex : Male Date of Admission : 11/14/2014 Emergency Room Physician : Alex McClure, MD…
SOCIAL HISTORY: Married, has 1 daughter; patient works as a substitute teacher. Smokes 1 pack of cigaretts on a daily basis. Denies EtOH. Smoked marijuana last night. No IV drug abuse.…
How would Ed’s blood help protect him from a foreign invader such as the one now in his system?…
SOCIAL HISTORY: Patient admits alcohol in jesting on nights and weekends. Denies tobacco use, denies illicit drug use. He is married.…
Patient denies smoking and alcohol use. She is disabled and lives at home with her husband.…
In Grandfield College, the Software-Tracking database will be used to help in managing the school’s software licensing. The software will be watched for lifecycle and version corrections as well as keeping track of the number of users accessing the software under the constraints of the license agreement. The faculty and staff computers will be followed for which version and licensed copy of software is presently running on each system.…
Following the death of her mother in 2003, Susan’s addiction escalated to the point that she could not start the day without a drink. It was in great emotional pain, and her drinking increased. At this point, she was never sober. Recently she had turned herself to cannabis smokers. Susan had identifying her first problem. She wanted to get well and be normal allowing her greater freedom from the horrible side-effects of alcohol. She was placed on an antidepressant medication to assist her in functioning better. Her family is very supportive. She had a secure and stable family. Susan is fully aware of her mental state. She scored full in Mini mental state examination. Her speech is normal and calm.…
There is potential for another diagnosis and future testing would need to be done before I was conformable with making that diagnosis. Alice showed signs of having anxiety and that would be the direction I would like to look towards. I know with addictions there is a possibility of co-morbidity happening and with our testing my hope is that Alice’s complete needs would be met so that everything could be address as she is processing her experience and learning who she is as a sober person and learning new coping skills.…
6. An initial inpatient consultation with a detailed history, detailed exam, and MDM of low…
Because many of the symptoms of alcohol withdrawal (such as anxiety) are common in patients in a hospital setting, it can be difficult to determine if they are a result of alcohol withdrawal. In order for nurses to identify chronic drinkers who may be suffering from withdrawal, they must assess the patient’s alcohol intake at admission to determine how much and how often the patient typically drinks. Nurses should also employ screening tools to aid in their identification of patients who may be at risk of alcohol withdrawal. Nurses may also play the role of educators when discussing rehabilitation possibilities with the patient upon…
This approach shows respect to the patients and allows them to make choices concerning their care. The patient-centered technique leads to an increase in patient satisfaction and compliance with the treatment plan provided. The collection data regarding the patient’s history will consist of a chronological and sequential framework. First identifiers such as age, name, gender, and race would be collected. Next, any chief concerns that the patient might have would be addressed. After that, the patient’s present illnesses or problems would be addressed. Lastly, the patient’s past medical history would be discussed. The patient would also be instructed to fill out questionnaires such as CAGE questionnaire to assess the use of alcohol.…