You are seeing Rachael, a 40-year-old patient, for the first time today in her home. She is recovering from several orthopaedic and head injuries sustained in a car crash 1 month ago; her husband was the driver of the vehicle. He was not seriously injured and has been the primary caretaker of their two middle-school-aged children. It is 1300 and he smells strongly of alcohol. Your second visit finds him in the same condition. With the next visit, you schedule the time later in the day when the children are home from school. If you suspect alcohol abuse by their father, what assessment parameters will you use for the children to help identify their risks?
Alcohol abuse is a self harm as well as the people around the are at high risk of getting physically and verbally abused.
The assessment parameters to identify the children's at risk are
You are seeing Rachael, a 40-year-old patient, for the first time today in her home. She...
Substance abuse disorder: JS is a 27-year-old male patient who you are seeing for the first time. His past medical history is significant for his history of heroin and prescription opioid abuse. His substance use disorder started four years ago with prescription pain pills that were originally prescribed for injuries sustained in an automobile accident. For three years after the accident, he was able to readily obtain prescription opioids, but that changed when his prescribing physician was arrested for running...
Michael is a 12 year old boy that you are seeing for the first time at a well-child visit. The mother reports his birth weight as 2.3 kg. (5.06#). He had diarrhea during the first year of life and gained slowly to 8.0 kg. (17.6 #) at one year. After that, she reports "He ate really well." Michael has no chronic medical conditions and has never had to be on medication for anything. His mother, age 35, is a single...
You are a nurse in a busy rehabilitation unit. The client you are caring for is an 18 year-old male who was critically injured in an automobile accident 2 months ago. He is comatose at the present time but stable, but his prognosis, though guarded, suggests that he should come out of the coma at some date. Residual neurological defects are unknown, but his physical injuries have healed. His mother is at his side holding his hand. She spent all...
A 74-year-old man was admitted to a nursing home for the first time following hospitalization for an exacerbation from heart failure, which is being controlled with Lasix 120 mg a day at this time. While the patient was in the hospital, he fell on the way to the bathroom and sustained a fractured hip, which required an ORIF. He had spinal anesthesia for the fractured hip. He lives alone at home and has three grown children who live in the...
A 74-year-old man was admitted to a nursing home for the first time following hospitalization for an exacerbation from heart failure, which is being controlled with Lasix 120 mg a day at this time. While the patient was in the hospital, he fell on the way to the bathroom and sustained a fractured hip, which required an ORIF. He had spinal anesthesia for the fractured hip. He lives alone at home and has three grown children who live in the...
Scenario Carmen is a 40-year-old housewife. She has been living with her husband and two children in Hong Kong for 1 year. The children are studying in kindergarten and primary school. She worked as a manager in her homeland but she could not find a job after migration. She looks after the family and does all the chores at home. She does not have many friends nor relatives. She has been frustrated and upset as she finds that she cannot...
Part 1: Michael is a 12 year old boy that you are seeing for the first time at a well-child visit. The mother reports his birth weight as 2.3 kg. (5064). He had diarrhea during the first year of life and gained slowly to 8.0 kg. (17.6 #) at one year. After that, she reports "He ate really well." Michael has no chronic medical conditions and has never had to be on medication for anything. His mother, age 35, is...
In 1976, 14-year-old Trina Garnett was living on the streets of Chester, Pennsylvania. She was the youngest of 12 children. Her father (Walter Garnett) was a former boxer; his failed career transformed him into a violent and abusive alcoholic. Trina's mother (Edith Garnett) became ill after bearing so many children. Some of her children were conceived during rapes by her husband. The older and sicker Edith became the more she found herself Walter's. Walter regularly punched, kicked, and verbally abused...
In 1976, 14-year-old Trina Garnett was living on the streets of Chester, Pennsylvania. She was the youngest of 12 children. Her father (Walter Garnett) was a former boxer; his failed career transformed him into a violent and abusive alcoholic. Trina's mother (Edith Garnett) became ill after bearing so many children. Some of her children were conceived during rapes by her husband. The older and sicker Edith became the more she found herself Walter's. Walter regularly punched, kicked, and verbally abused...
In 1976, 14-year-old Trina Garnett was living on the streets of Chester, Pennsylvania. She was the youngest of 12 children. Her father (Walter Garnett) was a former boxer; his failed career transformed him into a violent and abusive alcoholic. Trina's mother (Edith Garnett) became ill after bearing so many children. Some of her children were conceived during rapes by her husband. The older and sicker Edith became the more she found herself Walter's. Walter regularly punched, kicked, and verbally abused...