Harm Reduction in the Hospital

Dora is a patient in her thirties. She is an inpatient on a regular medical/surgical unit at the University hospital. Years ago, she was in a car accident and sustained a spinal-cord injury and she is now a paraplegic. As a result, Dora uses a wheelchair to get around. She is in the hospital for IV antibiotic treatment because of a blood infection the doctors suspect was caused by her opioid use. She began using after the car accident. Her antibiotic treatment is delivered via a PICC line (peripherally inserted central catheter). Normally, a patient requiring this treatment could receive antibiotics at home. But Dora will not let community health nurses into her house, and due to her IV drug use it is uncertain or unlikely that she will be present at home when she needs to receive her antibiotics. The care team has determined that being an inpatient at the hospital will make it more likely she will receive her...
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Help me, please!

A mental health therapist, Cathy, working in a rural clinic, receives a phone call from a 42-year-old client, Emma. Cathy has met with Emma on only two occasions - once for the initial mental health assessment and one treatment session. The mental health assessment found that Emma has suffered from depression for many years. Emma has made two serious suicide attempts in the past with intent to die. In the last attempt, 1 year ago, Emma jumped off of an overpass and broke both her legs. Hospitalization was needed as she required multiple surgeries. Five weeks ago, her mom was growing increasingly worried about her daughter and brought Emma to the hospital. Emma was admitted to a nearby urban hospital in a psychiatric unit due to depression and suicidal ideation. She was just released from hospital three days ago.  On the phone with her therapist, Cathy, Emma states that even though she was just released from hospital she still has suicidal...
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