Free Essay

Psychiatric Social Report

In: Other Topics

Submitted By nora123
Words 686
Pages 3
Psychiatric Social Report

Dr. Stephen B. Salazar Patient. Tu Anh Doa
5028 South Broadway, Age: 26 Exeter, NH 03833

Presenting Problem: This is a 26 year old Vietnamese males seen today at the request of the Department of Social Services Disability Evaluation Unit. Questions regarding mental status appearance simple repetitive tasks interests and daily activities and ability to relate and interact with public and coworkers were raised. The interview was conducted in the living room of the home in which he lives and has lived for the past three or four years. The claimant resides in the home with his mother and his 11 year old younger sister. His mother and an interpreter were present in the room during the interview. The interview lasted one hour. The claimant was very quiet and at some point hardly audible. He declined to answer questions quite often during the interview. Several times during the interview the mother interrupted and gave answers to him. He seemed to show pressure of speech and memory difficulties during the interview.

History: The history reveals that Mr. Dao was born in Hanoi Vietnam where he went to school up to eighth grade. At the eighth grade he dropped out and began to farm doing rice farming. At age 26 he moved to Exeter. After arriving in Exeter he worked in a restaurant which he cannot name as a dishwasher for two or three months but quit because the job in the first place was part time and temporary. He then worked for two years as a gardener and quit this job because heath problems and he was always feeling sick. He also worked for one or two months as a carpenter but he quit because he did not have money to buy the tools. In 1990 he was admitted to College Hospital where he had surgery and was in the hospital for one or two months during the winter of the year. He claims that the surgery was neurological although it could have been rather then on the brain an inner ear surgery due to vertigo and tinnitus problems. There is no history of any other hospitalization. The claimant is the older son of five children he has two sisters and two brothers they are all living in the United States.

Environment: The claimant he lived in his present house for one and a half years with his mother and 11 year old sister. He states that he wakes at8 or 9 am. He walks around in the yard for awhile and then he eats breakfast he does not eat lunch but he eats dinner. He said that during this time his appetite is good and he eats because he is hungry. Once a week he leaves the house to see a doctor who checks for the surgery and his neurological problem. He states that he had a ringing in the left ear which was partially a result to the surgery. He has not done any kind of work since the head surgery and he has not done anything around the house. He reports difficulty with memory. He rarely does anything with friends except when they come over to visit him and only leaves the house to walk around the yard or go to the doctor appointment. He is able to dress himself and bathe himself but does not do ant chores of any kind around the house. He states that his mother cooks for him and he never cooked for himself and he does not do anything around the yard either. His grooming showed him to be wearing a shirt slacks with no shoes or socks and he was cleaned shaven his hair styled and neatly brushed. He reports going to bed around 1 or 2am. Most of his day is spend listening to the radio and watching television. While showing that he could ambulate he had significant difficulty walking on his toes; he was unable to do this but he was able to walk on his heels and his gait appeared to be normal. There is no significant psychomotor retardation noted.

Similar Documents

Free Essay

Ptsd

...within military ranks (American Psychiatric Association, 2013). Military officials explained that many soldiers do not report their symptoms because of the fear of being viewed as weak (American Psychiatric Association, 2013). However, the incidence of PTSD can be as common among civilians as it is for those in the military. Barlow and Durand (2013) reported recent studies showing that those who are “raped, held captive, tortured, or kidnapped, or badly assaulted” are more at risk for developing PTSD than those who experienced military combat. While the reports conveying “zero” conditional risk of PTSD from exposure to military combat seem to need clarification, PTSD remains to be a debilitating condition for those who have the proclivity to develop the disorder. This paper will discuss the diagnostic criteria, etiology, effective treatment, and outcome research pertaining to PTSD. PTSD: A trauma and stressor-related disorder PTSD now belongs in the group of trauma and stressor-related disorders as published in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013). Other disorders included in this group are: reactive attachment disorder, disinhibited social engagement disorder, acute stress disorder, and adjustment disorders. Previously, these disorders were classified under anxiety disorders, dissociative disorders, obsessive-compulsive and related disorders (American Psychiatric...

Words: 2879 - Pages: 12

Free Essay

A Study of Co-Morbidity in Mental Retardation

...of skills (cognitive, language, motor and social) manifested during the developmental period, which contribute to overall level of intelligence. Intellectual Disability is a more precise term (used in DSM-V). MR is an etiological factor for development of various co-morbidities, which account for substantial burden of the disease. However, the extent of this co-occurrence varies substantially between reports. Aim: To study the prevalence of psychiatric and medical comorbidity, among different degrees of Mental Retardation. Settings and Design: This is a cross-sectional, singlecentered study conducted at the out patient department of Psychiatry, Maharajah’s Institute Of Medical Sciences. Material & Methods : Sixty-three persons, who came for disability certification, were diagnosed with MR as per ICD-10 criteria, The Wechsler’s Adult Intelligence Scale – IV and The Developmental Screening Test for IQ and Vineland Social Maturity Scale for SQ assessment were used. Psychiatric and medical co-morbidities were diagnosed, using clinical examination, laboratory investigation, the ICD-10 Diagnostic criteria and CHA-PAS SCALE. Statistical Analysis : The statistical analysis was done by using the Statistical Package for Social Sciences (SPSS) 13.0 version. Frequency, percentages and chi square analysis were used to analyze the data. Result : Out of 63, 40 were found to have medical co-morbidity, while 38 were found to have psychiatric co-morbidity. Severe and profound MR was...

Words: 1433 - Pages: 6

Free Essay

Psychiatric Drugs and Dilemmas with Children and Adolescence

...Introduction On November 2007, The Oregonian began an investigation on children in foster care that had been prescribed powerful psychiatric medications. These medications were given four times the rate of other children. Concerns have been on the rise for children that are given “psychotropic medications”. Primarily the concern is high for those children in foster care, and who receive Medicaid, because they are in a system that has lost structure of the importance of the health and welfare of children and adolescence. Also because foster children are more likely to have more emotional and social issues, and need treatment to include psychiatric medication. Psychotropic medications are those that affect the nervous system and produce many changes in behavior or awareness. These medications can be given in the form of a tranquilizer, sedative or antidepressant. Changes should be made to prevent how children receive medications, to deter overdosing and complications from misdiagnosing the child’s illness. The effect that psychiatric drugs have on children can be sometimes upsetting. Psychiatric or psychotropic medications are used to help children with behavioral impairment. Changes should be made that will benefit children in situations as mentioned. Not only in foster care but any child that is prescribed psychiatric (psychotropic) medications. Implementing change that will assure children are prescribe the right mediations, and are given the medication according to their...

Words: 1822 - Pages: 8

Premium Essay

Psychiatric Injury

...tort of negligence has long attracted widespread interest. It fortifies community expectations and standards and hence ‘it is especially prone to influence by moral, social, economic and political values’. Of particular interest is the recognition of liability for negligently caused mental harm. Throughout its history courts have been cautious in awarding damages in fear of opening the ‘floodgates of litigation’. To assess whether further limitations should be placed on the scope of liability for mental harm in Western Australia or in fact Australia, we must look upon the history of ‘nervous shock’ law, the legitimacy of floodgate arguments and the effect of recent reforms and new legislative provisions in the various Civil Liability Acts. Development of the law The right to claim for negligently caused mental harm has been around for some 125 years dating back to the pre-federation Victorian case of Coultas v Victorian Railway Commissioners. It has consistently been far more tedious in establishing than claims surrounding physical harm due to a difficulty in distinguishing between real or imaginary/exaggerated claims. Seeing is believing and since psychiatric injury is not visible to the untrained eye, claims were long thought of as frivolous. In recent decades, however, medical identification of psychiatric injury has propelled legal recognition of it. As Gummow and Kirby JJ noted in Tame and New South Wales and Annetts v Australian Stations Pty Ltd, ‘there have been advances...

Words: 2302 - Pages: 10

Premium Essay

Digital Crime Theories

...crime. Provide a rationale to support your response. According to Sang M Lee, computer abuse shows no sign of decline. The social structure theory can help prevent it by enhancing insiders involvement in computer abuse. Studies show that deterrence factors influence SDI and organizational factors significantly affect ICI and ICI decreases insiders’ abuse. Interestingly, SDI negatively affects both insiders and invaders abusers. According to Peter Marzuk, psychological disorders and persons with mental illnesses and personality disorders are strongly linked to crime? Marzuk notes that new studies of violence among the mentally ill are well designed and quite convincing. His studies do state that most people who have mental illnesses are not criminals., and the ones that are do not commit not violent crimes. Marzuk says, "In the last decade, the evidence showing a link between violence, crime, and mental illness has mounted. It cannot be dismissed; it should not be ignored." This research found that people with a background of psychiatric hospitalization were more likely to have been found guilty of a criminal offense than persons without a history of psychiatric hospitalization," a finding that was true for both men and women. According to Marzuk, depending on their sex and diagnostic categories, subjects with psychiatric hospitalization histories were three to 11 times more likely to have criminal convictions than those without such histories. Offenders with...

Words: 689 - Pages: 3

Premium Essay

Case Study: Bi-Weekly ILP Review

...upset, disagreeable, and angry. CM inquires the reason client was upset. Client reported she being harassed by a resident in “J” dorm/bed-5. CM will address the issue with Social Service Supervisor. Client was edges and uncomfortable during the meeting. Client continues to report I need to leave bed-5 is making me very uncomfortable and nervous. Client affect was inappropriate and she denied suicidal or homicidal ideation. SOCIAL UPDATE: Client continues to report problem in the J dorm with bed No. 5. CM will address the situation with Social Service Supervisor and with the assigned CM. CM inquires how the client spent Mother’s Day. Client stated alone her daughter is doing internship out of state and it’s hard for her to travel to New York. She also reported she spoke with her over the phone....

Words: 681 - Pages: 3

Premium Essay

Garling Report

...The implications of the Garling Report In order to provide quality of patient care, delivering efficient care is important but also recognising the factors affecting patient care is also significantly important. By identifying the implications of the Garling Report (2008), it enables to recognise problems related with health care system and to have better understandings and abilities to effectively deal with the problems. Accordingly, there are also significant issues affecting mental health, which should be investigated. The major findings and recommendations of the Garling Report will be overviewed and also the nursing and workforce issues will be explored. Furthermore, drug and alcohol abuse and lack of resources will be explored and recommendation for a new Registered Nurse will be drawn. Garling Report (2008) indicates that New South Wales (NSW) public hospitals have one of the better health care systems in the developed world, because they have well-trained, skilled and dedicated doctors, nurses and clinical staffs. On the other hand, NSW health care systems are too often unable to cope with the increasing cost of treatment, sudden increase in patients, and the pressures on a skilled workforce (Garling Report, 2008). Notably, there is a serious shortage of workforce including medical, nursing, and allied health professionals (Garling Report, 2008). Furthermore, there are insufficient experienced clinical staffs who can supervise and guide inexperienced...

Words: 2450 - Pages: 10

Premium Essay

Research Atrocle Only

...Adverse Events Associated With Organizational Factors of General Hospital Inpatient Psychiatric Care Environments Nancy P. Hanrahan, Ph.D., R.N. Aparna Kumar, M.A., M.P.H. Linda H. Aiken, Ph.D., R.N. Objective: Although general hospitals receive nearly 60% of all inpatient psychiatric admissions, little is known about the care environment and related adverse events. The purpose of this study was to determine the occurrence of adverse events and examine the extent to which organizing factors of inpatient psychiatric care environments were associated with the occurrence of these events. The events examined were wrong medication, patient falls with injuries, complaints from patients and families, work-related staff injuries, and verbal abuse directed toward nurses. Methods: This cross-sectional study used data from a 1999 nurse survey linked with hospital data. Nurse surveys from 353 psychiatric registered nurses working in 67 Pennsylvania general hospitals provided information on nurse characteristics, organizational factors, and the occurrence of adverse events. Linear regression models and robust clustering methods at the hospital level were used to study the relationship of organizational factors of psychiatric care environments and adverse event outcomes. Results: Verbal abuse toward registered nurses (79%), complaints (61%), patient falls with injuries (44%), and work-related injuries (39%) were frequent occurrences. Better management skill was associated...

Words: 4115 - Pages: 17

Premium Essay

Psych. Ib Abnormal

...which can lead to an effective treatment ● However, problem with this is that the classification system is descriptive and doesn’t identify any specific causes for disorders Paragraph 2 (Study 1): Sane or Insane-Rosenhan (1973) Aim: test reliability of psychiatric diagnosis Procedure: field experiment Part 1 ● 8 healthy people (5 men, 3 women) gained admission to 12 different psychiatric hospitals ● Complained of hearing unclear, unfamiliar voices of same sex repeating words “thud” and “empty” ● Participants said they felt fine after admission to hospital (no more symptoms) Part 2 ● Rosenhan told staff at psychiatric hospital that pseudopatients will try to get admitted ● No pseudopatients were actually sent Results: Part 1 ● 7 diagnosed with schizophrenia ● Took average 19 days for discharge and were classified as “schizophrenia in remission” (possibility of symptoms coming back) upon discharge Part 2 ● 41 real patients were judged to be pseudopatients with confidence by at least 1 member of staff ● 19 were suspected to be frauds by 1 psychiatrist and 1 member of staff Conclusion: ● Not possible to distinguish sane from insane in psychiatric hospitals ● Demonstrated lack of scientific evidence on...

Words: 2754 - Pages: 12

Premium Essay

Alcoholism: Addiction Theory And Treatment

...The intervention included a psychiatrist and a social worker, referring the patient to a clinic to get treatment (McCambridge & Cunningham, 2014). By the 1960s, alcoholism was beginning to be explored and understood more (McCambridge & Cunningham, 2014). Alcoholism also became an important component of politics (McCambridge & Cunningham, 2014). During this time, individuals began to adopt a disease concept of alcoholism (McCambridge & Cunningham, 2014). These ideas promoted scientific concepts (McCambridge & Cunningham,...

Words: 1337 - Pages: 6

Premium Essay

Observational Studies

...Introduction It is estimated that nine out of ten research reports published within a clinical specialty journal described observational studies (Vandenbroucke et al., 2007). Too often, important information is left missing or unclear within these research reports (Elm et al., 2007). Consequently, this poor reporting means that the strengths and weaknesses of a study and the generalisability of its results are hindered; therefore, recommendations for the reporting of research may improve the quality of reporting (Elm et al., 2007). In an attempt to demonstrate ‘good reporting’, a research report will be evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist (Elm et al., 2007). Research...

Words: 1207 - Pages: 5

Premium Essay

Victims of Bullying, Mental Health, and Nursing

...Paper 3 - Victims of Bullying, Mental Health, and Nursing Victims of bullying are at a high risk of developing various types of mental illnesses, and the evidence on this topic in the research literature can be used to inform psychiatric nursing practice. The available studies on mental health and its connection to bullying victims shows that preventing mental illness and promoting mental health involves a comprehensive approach, using combination of techniques that must be implemented by many stakeholders. The information that comes from these studies suggests that psychiatric nursing must take research findings into account. It also suggests that nurses have a definite role to play in terms of providing direct patient care, referring the patient to other helpful medical and community resources, offering education to the patient and family, and providing follow-up care. Specific interventions based on this evidence could also be adopted by Registered Nurses (RNs) after they graduate. Literature Review There is a wealth of literature available on the subject of bullying. This literature demonstrates that there is a clear link between bullying victimization and many types of mental health issues. However, it also suggests ways that mental health could be promoted among this population, and how rehabilitation could be administered. Studies have shown that bullying victims are at a higher risk for certain types of mental illness, and that issues of symptom severity, compared...

Words: 1808 - Pages: 8

Premium Essay

Suicide

...residents and students at all levels and disciplines as well as other caregivers. This introduction provides general information regarding the nature and prevalence of suicidal behaviors and factors associated with increased risk for suicide and suicide attempts. Suicidal thoughts and behaviors (including suicide attempts and death by suicide) are commonly found at increased rates among individuals with psychiatric disorders, especially major depressive disorder, bipolar disorders, schizophrenia, PTSD, anxiety, chemical dependency, and personality disorders (e.g., antisocial and borderline). A history of a suicide attempt is the strongest predictor of future suicide attempts, as well as death by suicide. Intentional self-harm (i.e., intentional self-injury without the expressed intent to die) is also associated with long-term risk for repeated attempts as well as death by suicide. Psychiatric co-morbidity (greater than one psychiatric disorder present at the same time) increases risk for suicide, especially when substance abuse or depressive symptoms coexist with another psychiatric disorder or condition.. A number of psychosocial factors are also associated with risk for suicide and suicide attempts. These include recent life events such...

Words: 4773 - Pages: 20

Premium Essay

Mental Stigma In Health

...The world health organization reports that there is 80% of the population who are suffering with mental disorders belongs to low and middle income countries. The developed countries are accounting more prevalence of mental illness but the untreated mental illness burden is high in developing countries.(1) When we come to Asia, China and India as two large populated nations (38% of world population) drags the attention to understand this mental, neurological, and substance use disorders. From 1990-2013 there was 44% increase in MNS disorders in India and it has been estimated to increase by 23% between 2013-2025.(2) According to the Global Burden of Disease Study 2010 (GBD 2010), absolute disability-adjusted life-years (DALYs) because of MNS...

Words: 1480 - Pages: 6

Premium Essay

Rhetorical Analysis

...12 December 2013 Rhetorical Analysis American Psychiatric Association spoke about ADHD and the steps and processes for caring for the disorder. CDC explained how ADHD had increased every year and the average age for a child to diagnose is seven years old. Boys are more affected with ADHD than girls are. Medical treatment for ADHD also increases due to medication and seeing specialist. Social relationship for a child with ADHD has it downfalls. CDC said “Parents report that children with a history of ADHD are almost 10 times as likely to have difficulties that interfere with friendships” (American Psychiatric Association, 2013). Also children with ADHD show more injuries and hospital visits than a child without ADHD. Lastly the cost of being diagnosed with ADHD can cost over millions of dollars that will included medication, health care, and treatment. From the high percentage of ADHD being diagnosed in children parents’ income have decreases because of the cost of disorder. ADHD has increased since 2003 till 2011. It states that children between the ages of 4-17 have been diagnosed with ADHD. ADHD has increased numerous times throughout the years. Due to the increase of ADHD study have shown that children are having problems with social skills, parents keeping up with medical bills, the cost of ADHD and how dangerous it can be being diagnosed with ADHD. Social skills average that 7% of children are diagnosed with ADHD. Having mental illnesses and functional impairments...

Words: 647 - Pages: 3