Final case study and treatment plan Essays - American Film Directors

Identifying Information: Jack Wellman, 62 year old Caucasian male, unemployed since 1990. Referred to treatment following involuntary commitment to a short-term local mental health facility by a family member. Presenting problem: Mr. Wellman presents following a seven day stay at the Veterans? Hospital in Fayetteville, NC. On December 4, 2010, a close family member visited Mr. Wellman?s residence and found him extremely intoxicated, unbathed, and babbling about ?Vietnamese people watching him from the bushes?. Mr. Wellman was in his bedroom, and several prescription bottles were on the nightstand. The family member immediately called an ambulance. Mr. Wellman was transported to Nash General Hospital, where he detoxed for two days, and was later transferred to the Veterans? Hospital, because of his military status. Upon his admission to Nash General, he was diagnosed with alcohol poisoning, as well as three fractured ribs. He did not know the origin of this injury. He states that he ?must have run into the bedpost?. History of Presenting Problem: Based on information supplied by friends and family, Mr. Wellman has experienced numerous problems, spanning approximately forty years. The problems have worsened with age. He has a long history of abusing alcohol, a problem that began when he returned from the Vietnam War. He reports having feeling of paranoia, anxiety, depression, and episodes of night terrors; all of these problems intensify when he is under the influence of alcohol. Mr. Wellman has been admitted for substance abuse treatment four times, always at the insistence of a family member, and has always been discharged within about ten days. He has been admitted to three different hospitals, but has always been transferred to a Veterans hospital within a day or two, for insurance purposes. He has been prescribed several different antidepressants over the years, but does not take them as prescribed. When he does take them, his alcohol use makes it impossible for him to remember what he has o r has not taken. He also takes sleeping aids almost every night because of his episodes of insomnia and nightmares. He states that when he does not take these, he stays awake and ?paces?. He expresses no desire to quit using alcohol. In the past, it has been recommended that Mr. Wellman attend a support group for Vietnam veterans, but he has refused to do so. He states that he is an adult, and can live as he chooses, and expresses anger towards the people that have had him ?locked up? in the hospital over the years. He has several skin abnormalities, thought to be caused by exposure to Agent Orange. This eventually led up to him receiving 100% disability from the military. He reports having frequent episodes of night terrors related to Vietnam, where he dreams that there are people lurking in the bushes, watching him, and wanting to harm him. At night, he often relives the violence he experienced during the war, and these episodes are more intense when he is under the influence of alcohol. Social History: Mr. Wellman lives alone, in a moderate, older home. He states that he is considering relocating, because the neighborhood has declined over the last ten years or so, and he experienced a break in last year. He owns a newer model truck, as well as a high-end Harley Davidson motorcycle. He drives his truck daily, usually eating out one to two times per day. He states that he spends most of his days at home alone, or having the occasional cup of coffee at the local diner. He rides his motorcycle when the weather permits. He has a bank account, pays his own monthly bills, and maintains his own home. Mr. Wellman has no immediate family, to speak of. He has one child, a 22 year old daughter who lives about an hour away from him. He speaks to her by phone every two to three weeks, and only sees her a few times a year. There have been numerous problems with this relationship over the years, and the two have never been particularly close. Both of his parents, who lived to reach their late 80?s are deceased, both passing away in nursing facilities within a year of one another. Both

Free Essays on Starbucks-Operations Management

Starbucks’ business and operations strategies have proven successful. They are constantly modifying their strategies in order to ensure continued growth and success. The company’s success is a result of Howard Schultz and his vision of creating the most respected brand name in coffee. He continues to realize his vision through specific business and operations strategies. Starbucks was built under a profit-centric business design, using a multi-component system profit model. This model is defined in The Profit Zone, by Adrian Slywotzky and David Morrison; â€Å"In some businesses, there are several components of the production and selling system, and each component has radically different profit characteristics. Failure to maximize participation in the highest-profit components depresses the profitability of the entire system. On the other hand, full participation in the less profitable components is required to win the market for the most profitable components.†(1) They continue to explain the coffee industry specifically, â€Å"In coffee, the components are grocery, cafes, and kiosks. Grocery is low margin, cafes are high margin, and kiosks are even higher still.† (2) Starbucks has found their place in these areas and more. Not only do they sell their beans in grocery stores, they also have partnered with Dreyers to sell ice cream products, and with Pepsi to sell bottled FrappucinoÃ’ Drinks. The have kiosks in grocery stores, malls and airports. They also have cafes, some offering drive through service. Their cafes offer specialty coffee drinks, beans, pastries, CD’s, and coffee accessories. Additionally, they have mail order service available as well as the option to purchase products through their website. Finally, they offer a variety of services specific to business consumers. They provide office beverage service to larger companies, complete with brewing equipment and merchandise with the Starbucks logo i.e. cups and napki... Free Essays on Starbucks-Operations Management Free Essays on Starbucks-Operations Management Starbucks’ business and operations strategies have proven successful. They are constantly modifying their strategies in order to ensure continued growth and success. The company’s success is a result of Howard Schultz and his vision of creating the most respected brand name in coffee. He continues to realize his vision through specific business and operations strategies. Starbucks was built under a profit-centric business design, using a multi-component system profit model. This model is defined in The Profit Zone, by Adrian Slywotzky and David Morrison; â€Å"In some businesses, there are several components of the production and selling system, and each component has radically different profit characteristics. Failure to maximize participation in the highest-profit components depresses the profitability of the entire system. On the other hand, full participation in the less profitable components is required to win the market for the most profitable components.†(1) They continue to explain the coffee industry specifically, â€Å"In coffee, the components are grocery, cafes, and kiosks. Grocery is low margin, cafes are high margin, and kiosks are even higher still.† (2) Starbucks has found their place in these areas and more. Not only do they sell their beans in grocery stores, they also have partnered with Dreyers to sell ice cream products, and with Pepsi to sell bottled FrappucinoÃ’ Drinks. The have kiosks in grocery stores, malls and airports. They also have cafes, some offering drive through service. Their cafes offer specialty coffee drinks, beans, pastries, CD’s, and coffee accessories. Additionally, they have mail order service available as well as the option to purchase products through their website. Finally, they offer a variety of services specific to business consumers. They provide office beverage service to larger companies, complete with brewing equipment and merchandise with the Starbucks logo i.e. cups and napki...

Cont wk11 Essay Example | Topics and Well Written Essays - 1250 words

Cont wk11 - Essay Example This constant threat creates challenges when they return to civilian life, and decreases their ability to function well. The major symptoms of PTSD include nightmares, irritability, flashbacks, feelings of detachment, trouble concentrating, and problems sleeping (Weiten, 2001). PTSD encompasses an individuals entire life. In trying to separate it into specific points of view, this researcher found that the literature on the topic did not categorize the problem in the ways that the textbook did. The reason for this is because PTSD has characteristics of many perspectives rolled into one. From the psychological point of view, PTSD is a mental health issue that also carries with it depression and anxiety. These issues create a need for obsessive behaviors or to drug and alcohol abuse. As an example, Tuerk, Graubaugh, Hamner and Foa (2009) studied veterans deployed in Iraq and found that many had developed an obsessive need for safety once they returned home. They also became hyper vigilant, over possessive of their families, and many kept a loaded gun under their pillow (Friedman, 2006). These behaviors are not isolated incidents. They generally happen as a result of a noise or situation that happens in the individuals normal environment. As an example, a barking dog or a car back firing can create a PTSD episode. Sometimes these behaviors can make the individual a danger to themselves and/or others. The soldier with PTSD due to combat stress also has common stressors that may add to their episodes of PTSD. As an example, when they rejoin civilian life, their home has changed, responsibilities have changed, and there can be more incidences of family discord. In looking at the psycho-social aspects of PTSD, many soldiers withdraw from friends and family because the family no longer recognizes the role of the deployed person in the family. This can bring about feelings of isolation and loss (National Center for PTSD). Memory plays a large