#1: 4/6/18 (Office visit referred by Dr. Ingram) Mrs. Pell’s only friend Suzanne, brought her into the agency after an ER visit with by Dr. Ingram. Mrs. Pell still anxious and scared that her husband will find out that she spoke to and reached out to someone regarding his abusive behavior. Mrs. Pell states that her husband is abusive and controlling because of his past childhood head injury and blames his temper and mood swings on that. Suggested shelter and asked Mrs. Pell to think about other options should things escalate. Mrs. Pell has an EKG appointment Tuesday morning at 10:30am. Agreed to meet in the waiting room before her appointment at 10:20am to accompany her to her appointment and sort things out.

#3: I was contacted by Dr. Ingram, about client Mrs. Pell; he was concerned about her visit to the emergency room and requested that she be interviewed prior to her being discharged. During the interview, Mrs. Pell appeared to be anxious and exhibited signs of anxiety and discomfort. Her physical appearance was unkempt, and she had bruises on her arms. She stated that her husband was physical abusive towards her and that she feared for her personal safety. I informed her of services that are available to her such as, a shelter, a support group for women, and a hot line that she can call. I scheduled a follow-up with Mrs. Pell and recommended that we speak further about solutions to her current situation.

#4:

5/19/2020 (Site Visit) Ms. Pell was brought into the emergency room by her friend, Suzanne, who suspects there has been abuse toward Ms. Pell, but the friend has not been directly told by Ms. Pell. She was seen for chest pains and shortness of breath. I was brought in after she expressed to the doctor that there were some troubles at home and that she was afraid as well as noticing bruing on her arms. She was speaking barely above a whisper to me as she explained that her husband has been abusive for quite some time and is getting worse As she recalled 2 days ago when her she made meatloaf rather than a roast for dinner that Mr. Pell became angry, turned over the table, and she says “…held my head under the tap in the kitchen sink.“ Ms. Pell has become worried for her life so after determining she didn’t have anywhere safe to go on her own, I told her about our shelter, and she agreed to think about it. I will be meeting her again at her EKG on Tuesday morning to discuss further help and the possibility of her moving to the shelter and Ms. Pell seemed excited to see me at this next appointment. Michaela Blankenship

#10:

Date ER Visit, Domestic Violence Suspicions

I was called by ER Physician to talk to a patient who was seen for chest pain, but extremely anxious during physical examination and confided that she suffers from physical abuse. I met Mrs. P. in ER, appeared anxious, avoids eye contact and speaking just above a whisper. She has been married for six years, and suffers from domestic abuse that lately got worst. I offered some of the services my agency can offer to her including shelter. She is not ready to leave her husband at this time, but I made sure to see her next Tuesday when she comes for her EKG AT 10:20. She has my business card with all my contact information. Our plan for our next visit is to discuss her options.

#11: Her only friend Susan brought Mrs. Pell into the office after her ER visit. She explains to the professional she is being abused by her husband and that she is scared to come home. She seems apprehensive to even talk to the professional about the abuse, stating that the abuse stems from her husband’s past head injury. She wants to leave him, but is scared about what he will do if he finds her. The professional recommends a shelter, a hotline and a support group for women in her situation. Mrs. Pell has an EKG visit appointment Tuesday morning at 10:30 and the professional agrees to meet at 10:20 to sort things out.