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Mrs Yates Case Study

1Case Study Mrs. Yates Cardiovascular system A 70 year old black American female. She has the following preexisting condition: Hypertension (HTN) Heart failure (CHF) Coronary artery disease (CAD) Myocardial infarction (MI) five years ago Ejection (EF) of 55% Socioeconomic data: Widow Lives alone Able to care for self independently Nonsmoker Pharmacologic data Aspirin (acetylsalicylic acid, ASA) Clopidogrel bisulfate (Plavix) Lisinopril (Prinivil, Zestril) Carvedilol (Coreg) Furosemide (Lasix) Potassium chloride (KCL) Client Profile: Jeraldine Yates is a 70 year old woman originally from Alabama. She lives alone and is able to manage herself independently. She is active in her community and church. Mrs. Yates was admitted to the hospital two months ago with heart failure. Since her discharge, a visiting nurse visits every other week to assess for symptoms of heart failure and see that Mrs. Yates is continuing to mange well on her own. Case Study: The visiting nurse stops in to see Mrs. Yates today. The nurse immediately notices that Mrs. Yates legs are very swollen. Mrs. Yates states, “I noticed they were getting a bit bigger. They are achy, too.” The nurse asks Mrs. Yates if she has been weighting herself daily to which Mrs. Yates replies, “I got on that scale the last time you were here, remember?” The nurse weights Mrs. Yates and she has gained 10 pounds. Additional assessment findings indicate that Mrs. Yates gets short of breath when ambulating from one room to the other (approximately 20 feet) and must sit down to catch her breath. Her oxygen saturation is 95% on room air. Bibasilar crackles are heard when auscultating her lung sounds. The nurse asks Mrs. Yates if she is currently or has in the past few days experienced any chest, arm, or jaw pain or become nauseous or sweaty. Mrs. Yates states, “No, I didn’t have any of that. I would know another heart attack. I didn’t have one of those.”

Last year, an appeals court overturned the conviction after finding that a prosecution witness provided false testimony during her trial.

Today, her former husband, Rusty Yates, who has sat through most of the retrial, said he was glad the jury accepted the insanity plea instead of sending Ms. Yates to prison. He talked about how the prosecution showed pictures of the couple’s five children before their deaths to the jury, hoping to convince them prison was the best resolution for Ms. Yate’s actions.

“Did they think our children want Andrea to be in prison?” he asked reporters outside the courtroom. “Did they think that we, her family on either side, want Andrea to be in prison? Is it of any public benefit for Andrea to be in prison? Is she a danger to anyone? It’s amazing to me. I’m so proud of the jury for seeing past that.”

The prosecutor, Joe Owmby, said he was “extremely disappointed” by the verdict because the police and some mental health experts were convincedthat Ms. Yates knew that what she did was wrong.

They believed that, he told reporters, “because she knew it was a sin, because she knew it was legally wrong, because she knew society would disapprove of her actions.”

But he said Harris County prosecutors would probably not bring further charges against Ms. Yates, partly because of a growing public sentiment in the past five years that seemed to support her insanity plea. He said it was summed up recently by a writer in an opinion piece in a local newspaper who said, “why don’t we just let her go.”

Mental health experts who testified in the trials told jurors that Ms. Yates had a long history of mental illness, that she had been in and out of mental institutions for years and that she had attempted suicide several times.

One of her psychiatrists, Dr. Eileen Starbranch, who told the court that she ranked Ms. Yates “among the five sickest patients she had ever seen,” warned the Yateses in 1999 that Ms. Yates could suffer another psychotic episode if she had more children. Ms. Yates went on to have a fifth child after that warning.

On the morning of June 20, 2001, Mrs. Yates filled a bathtub with water, police and court records show, and drowned her five children in the family’s bathtub one by one. She told police that Satan was inside her and that she was trying to save them from hell.

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