Week 8 Substance-Related and Addictive DisordersTraining Title 82Name: Lisa PittmanGender: femaleAge: 29 years oldT- 99.8 P- 101 R 20 178/94 Ht 56 Wt 140lbsBackground: Lisa is in a West Palm Beach, FL detox facility thinking about long term rehab. She has been smoking crack cocaine, approximately $100 daily. She admits to cannabis 12 times weekly (I have a medical card), and 23 alcohol drinks once weekly. She has past drug possession and theft convictions; currently on 2 yr probation with randomized drug screens. She tries to find the pattern for the calls in order not to test dirty urine. Her admission labs abnormal for ALT 168 AST 200 ALK 250; bilirubin 2.5, albumin 3.0; her GGT is 59; UDS positive for cocaine, THC. Negative for alcohol or other drugs. BAL 0; other labs within normal ranges.She reports sexual abuse as child ages 57, perpetrator being her father who went to prison for the abuse and drug charges. She is estranged from him. Mother lives in Alabama, hx of anxiety, benzodiazepine use. Older brother has not contact with family in last 10 years, hx of opioid use. Sleeps 4-5 hrs, appetite decreased, prefers to get high instead of eating. Allergies: amoxicillinShe is considering treatment for her Hep C+ but needs to get clean first. Symptom Media. (Producer). (2017). Training title 82 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-82Training Title 114Name: Ally PatelGender: femaleAge: 48 years oldBackground: Only child, raised by parents in San Francisco, CA. Has PhD in biology andmasters degree in high school education (812). Her supervisor has asked the school EAPcounselor to intervene with concerns regarding potential substance use in effort to facilitategetting her help and be able to retain her.Symptom Media. (Producer). (2018). Training title 114-2 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-114-2Training Title 151Name: Katarina BykovGender: femaleAge:41 years oldT- 97.4 P- 74 R 120 100/70 Ht 58 Wt 117lbsBackground: Moved to Washington State from Russia with her parents when she was 12 yearsold. She has 2 brothers, 2 sisters. Denied family mental health or substance use issues. Nohistory of inpatient detox or rehab denied self-harm hx; Menses regular. Has chronic painissues. She works part time cashier at Aldi Grocery Store. Dropped out of high school in 11thgrade. Sleeps 49 hours on average, appetite good.Symptom Media. (Producer). (2018). Training title 151 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-151
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