Case Study: Josephine Miller
Sheridan College
Jonathan Louis
Betty Buder
October 8th, 2014
1. Four symptoms of anxiety/panic that Josephine is experiencing are, fear, urination, tremors and trouble concentrating. These symptoms are evident through the way Josephine is behaving at home and at the hospital. These four symptoms are usually found in people who are actually diagnosed with an anxiety disorder and panic attacks, cognate to Josephine.
The symptom fear is evident in Josephine’s story when it is stated that she stayed home for 4 straight weeks, missing 4 weeks of work because of her fear of communicating. Fear is one of the early symptoms of anxiety and can start very small as not feeling comfortable speaking on the
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Open-ended question are a good way to start conversations as the client cannot just answer with a yes or no. It forces them to give you more information which makes it easier to understand and provide care for them. This would help Josephine connect more with her healthcare providers and her husband.
3. There are many different types of ways I’d suggest to Josephine to help deal with her anxiety but there are two would that would impact her a
1. There are a few boundary issues that need to be addressed. The social worker developed a personal relationship with Bea. Bea was in need of additional income, she wanted to find a female to rent her spare room to. The social worker had a friend, “a woman who might be interested” renting the room (Hoffman, & St. Clair, 2003, p. 46). She asked for permission to let her friend know of the room, asking to releasing Bea’s information was appropriate. The boundary issue is that the social worker should have not even offered her friend as an option to rent the room. This situation becomes a conflict of interest and cross the boundaries of social worker and client (NASW, 2008, p. 7). In addition to this situation the social worker admitted to having
Secondly, open-ended question should be adopted as the major type of interview questions because it allows maximum freedom for the client to respond in his or her own way (Balzer, Julia, 2004).
Since I took the time to sit down with a patient, I was able to effectively use the therapeutic technique encouraging or offering general leads. As I was taking the patients health history, my patient would answer yes or no to some questions such as “have you had any surgeries before?” My patient said yes and gave no further explanation. I used the encouraging therapeutic technique by replying “tell me more” to let the patient know I was interested in his life and what he had to say. An alternative statement I could have used as well would have been “go
The patient, a thirty-three year old female singer, is having difficulty sleeping, simple activities like getting groceries tire the patient easy, complains of neck pain, and cannot concentrate. The patient experiences worry and anxiety. However, when asked about what specifically, many things were brought up but none were more important than the other.
Julie Gurnick is a broadcasting major at Point Park University from Jeannette, commuting an hour to campus each day. She was interested in Point Park University because it offered a good program in communications. Gurnick also holds an associates degree in business communications form Westmoreland County Community College. After graduating from Point Park University Gurnick aspires to become a sports caster. Gurnick is currently a free-lance employee for the Tribune Review as well as a dietary aid at St. Anne Home.
battle with pro-segregation columnist Walter Winchell. The NAACP named May 20 Josephine Baker Day in honor of her efforts. During this time she began
This paper examines the case study about Sarah Burke. A case study analysis form was completed and symptoms were identified. Identification of certain diagnostic criteria were interpreted and clarified for the exhibiting individual. Illumination of criteria for proposed diagnosis lead to the discussion which resolves the risk factors and clinical features associated with the diagnosis. Recognition of certain symptoms and criteria brought to light other possible comorbidities. Cumulative risk theory, as well as, the diathesis stress model were investigated for possible involvement in the Burke disorder development. Multidimensional factors related to the onset and maintenance of her symptoms are deliberated; as well as, how her culture played a role. In the end, a conclusion is given about suggested pre- and post- treatment, overall benefits of those treatments, and prognosis outlooks.
Jane is a victim of a nervous disorder of the brain called hysteria. She is aware that she suffers from a series of mental and physical disturbances. She says that she has a " temporary nervous depression: -- a slight hysterical tendency- what is one to do?"(2).
He made the confirmation of Mrs. Maloney’s presence in the store. He would describe her as “Cheerful” and “Normal” and didn’t see any possible way that she could’ve committed such an act.
Jackie actively avoids situations in which he may feel anxiety, such as at the movie theaters, driving or taking the bus and is also demonstrate by his insistence of having his mother present. Criteria E can be inferred for Jackie’s situations, as it addresses the disproportional fear with the given situations (American Psychiatric Association, 2013). It can be inferred that his marked anxiety is disproportional to the situations. Criteria G addresses the impact on the individuals life (American Psychiatric Association, 2013), which is illustrated as he describes that due to his anxiety and symptoms he is unable to drive and often has difficulty maintaining
The question that I selected was open ended. My question is opened ended because I am asking my client to explore something. My rational for choosing this question was because I did not want to come off as blaming Mr. K for anything. The test was very clear about that. I could have asked something such as why did you divorce your wife? This question could cause my client to get angry because he may or may not have filed for divorce. Therefore since I was dealing with a sensitive topic I thought that it was better to ask him to describe the
The case of Kathryn Mc Neil deals with the issue of separation in the workplace regarding the nonperformance of a single mother whose work was suffering because of the tremendous additional burden of raising a child. The case was written in 1994 but in the intervening years significant decisions have been made by the law (in the US) protecting the rights of the single mother. The debate is no longer exclusively about professionalism versus corporate responsibility but the new phenomenon of a third gender in the workplace.
After reviewing notes of Mrs. Hudson and communicating with her through the assessment, I have concluded a diagnosis of Axis I, adjustment disorder with depressed mood. She explains her symptoms of heart racing, shortness of breath, sweating palms, and tightness in chest when she is in public. In order for an accurate and relevant assessment to occur, I used ADDRESSING to guide me (Hays, 2008).
She stated that anxiety started after high school when she felt pressure to go to college. There is no evidence to support that client has learning disabilities. Hannah reported that she thought the change would help improve her life. She stated that she thought moving out on her own would shift her into independence. However, client reports that her anxiety has been worse. Reportedly, she has difficulty spending too much time alone. Hannah recalled her recent experience meeting with friends at a coffee shop and reported that during the entire outing she experienced persistent thoughts of going home. She stated concerns about the possibility of losing her friends due to the anxiety. Hannah reflected on how social life when she lived with her parent and reports her new social difficulties. Client reported that her anxiety is stopping her from making friends. Hannah works as a freelance photographer. Anxiety has been stopping her photography. Hannah reported that she has been receiving less work and took the responsibility for the decline in work. Client reports some of her anxiety symptoms as shaking, hot flashes and sweating. In addition she reports having many flooding thoughts that others may think she is stupid, she can’t do her job, she’s an idiot, weirdo, or everyone is looking at her. She reported that those thoughts make her feel she should give up and she is an idiot. Hannah reports that when anxious while working, she has the tendency to clinch tight onto the camera. Reportedly, her shaking interferes with her taking photos. Client reported that had resorted to wearing black to work and many places to conceal the evidence of her sweating due to her
Whilst the open ended questions allowed deeper responses as spoken about above it was also evident that these questions allowed Mary Doe to feel comfortable throughout the interview as she was allowed to express her own open thought rather than having a written script of multiple smaller closed ended questions. REF