Case Study Of D. E.'s Social And Emotional Support System

S has quite a strong baseline of strengths. Firstly, Mrs. S is a very kind man, never lashing out during interviews, always receptive of health provider interventions even when he might not agree. In addition, he has completed his high school diploma. Mr. S is also good at maintaining and looking after his room at the booth, as evidenced by the recounts of the case manager’s room visit. In addition, Mr. S always attends his medical appointments, and IM injection appointments, and has good insight on their importance. The patient is also has insight to find help from the institute or ER if warning signs, or symptoms creep up. Mr. S is also responsible enough to call if he cannot make an appointment. In addition, he has good personal hygiene during his visits. Mr. S also has a number of deficits he has to combat. First of the deficits, include his ¬¬lack of social support; like previously mentioned about his parents, half-sister or half-brother. This can put Mr. S at risk for redevelopment of avolition and negative symptoms that have previously hindered his success, and will become deficits. Another deficit is his inability to manage his own finances and money, as he gets his welfare allowance every week from his case manager, and social worker, who also manages his finances. A third deficit might be his inability to get food. The final deficit, would be his situation with the Booth Center, as he might find himself to be homeless. Mr. S’ only resources are the case manager, the writer, social worker, and the FEPP

Such lifestyle changes include weight loss, if he is overweight or obese, reduce or eliminate alcohol and drug use as well as smoking, and changing his diet so that it is more ‘heart healthy’. A heart healthy diet will include the following characteristics: 20-35% fat, 10-25% protein, 45-65% carbs, emphasizes healthy fats such as DHA, EPA, mono and polyunsaturated fats, limits unhealthy fats including saturated and trans fat, is high in fiber (25-35 grams per day), contains whole grains and nuts, limits added sugars, moderates alcohol consumption and includes plant stanols or sterols (Brown,

In viewing Mr. Laurane’s personal health issues as well as his family history, it appears clear that his overall well-being could benefit significantly from a weight-loss regimen that includes health education in terms of nutrition, exercise initiatives, supplements that may be taken to encourage the speeding up of a slow metabolism, etc. Mr. Laurane can only benefit from weight loss, which will reduce his hypertension, congestive heart failure, and high cholesterol, all of which pose serious threats to the patient’s long-term health if not addressed in any way possible.

Increase the proportion of physician office visits made by patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia that include counseling or education related to diet or nutrition by encourage the residents to do primary care checking more prequent.

The patient I have chosen to write about is a seventy year old male who has been married for nearly fifty years. He has two grown up sons, both married with

I must be aware, as the patient’s advocate, of the choice of each individual patient regarding his or her medical management or, as in this case, the withholding of treatment.

From the information provided in the scenario Peter appears to have an enlarged prostate. Treatment options available to him include medical management to address the symptoms:

With a potential total of 150M men worldwide (30M in the United States alone) suffering from medical Erectile Dysfunction, there is a wide range of factors identified as the potential causes:

The deposition of Dr. Joe Gonzales occurred on March 16, 2016. Dr. Gonzalez was retained by Plaintiff as an expert in this case and was requested to prepare a life care plan for Plaintiff’s future medical care needs. Dr. Gonzales has served as a life care planner since 1988, when he received is license to practice medicine. He became a certified life care planner in 2006. He is a medical doctor in San Antonio who is board certified in physical medicine and rehabilitation, pain medicine, and occupational and environmental medicine. Half of his work consists of treating patients and the other half consists of preparing life care plans related to litigation. When he does life care planning work, 85-90% of that work is on behalf of the plaintiffs in the respective litigation. He sees on average 20-50 patients a week in his medical practice. He has not practiced in a hospital in at least 10 years.

I will be using the patient initials (MK), throughout this paper when I reference her. I asked the patient a list of questions about her life and I will summarize the answers for you now. MK is an alert and oriented 84 year-old female who is happily married and lives with her husband of 56 years. MK is retired and worked as a high school secretary for 20 years in the town she lived in. She grew up in Pennsylvania with her parents and was the oldest of five children. Her family medical history includes cardiac disease and diabetes with all of her brothers and sisters still alive. MK has three of her own children who all live with in a 30 minute drive from her home and they speak frequently on the phone with her and her husband. MK and her husband are going on a vacation together this summer to South Carolina with her son and his family. MK still hosts holidays and family gatherings at her home with only a couple holidays hosted by her son at his home. MK and her husband receive social security and her husband’s pension as their income. They have Medicare and also a supplemental insurance through AARP. MK enjoys her exercise class, reading, her card club, traveling and is also very active in her church including being on the bereavement committee. MK still drives her own car around town to visit friends and shop but prefers not to drive at night

Mr. and Mrs. Thomas have a reluctance to ask for support from friends and coworkers. An intermediate stepping stone may be setting up a social network site in which to give updates and allow friends and coworkers to offer support and services. This can also be accomplished through churches or other groups the Thomas’s were previously or actively involved with. Psychologically, it allows the Thomas’s to maintain their sense of self-reliance by providing information about their situation without expectations of support. This allows people to be supportive in a variety of capacities and at various levels.

Firstly, age is a valuable dimension due to the strong positive correlation to erectile dysfunction (ED) incidence. Secondly, as shown in the demographic data presented by Lilly ICOS, most men who suffer from ED are either married or living together with their partner. Being the influence of the spouse one of the

As a doctor, to prepare myself to take on this case I would have to process a substantial amount of information and use my best judgment to conceive what the best plan of action regarding this case should be. Reviewing the four key principles in medical ethics: nonmaleficience, beneficence, respect for autonomy, and justice, would prove to be very helpful. After reviewing and consulting with my peers I would most likely conclude that the patient is the one receiving the service and is to be put first above all other factors contributing to the situation.

Erectile Dysfunction or Impotence is outlined because the lack of ability to make sure and hold an erection adequate for sexual intercourse. ED affects an estimated a hundred and eighty million men global . 90 percentage of ED instances are involving a bodily or scientific condition, corresponding to diabetes, cardiovascular illnesses, and prostate melanoma medication, even as 10 percent are due to psychological motives . In lots of circumstances, nevertheless, both psychological and bodily reasons make contributions to the condition.

Advance Directives by the patient designates no feeding tubes, artificial ventilation, or CPR. Concerns regarding alteration of mental status consequential to his illness provoke the physician to seek consultation from the designated Power of Attorney. Nursing responsibilities compel the nurse to consider if the proposed actions of Dr. G violate the patient’s rights of self determination and confidentiality and prompt the nurse to advocate for the patient’s desires regarding medical treatment. Health care providers have a responsibility to honor the patient’s autonomy and provide quality medical care (Badger, 2009 p122). Providing artificial nutrition and ventilation transgresses the patient’s directives and is unethical. The physician appears to be asserting a paternalistic approach in deciding what is best for this patient. Should the interventions be temporary and provide resolution of the condition, the physician can defend his actions as being healing and beneficial. However, there is a chance that the interventions may be permanent and futile; avoiding passive euthanasia and terminal dehydration, serving only to prolonging the illness. Violating the patient’s directives of care by performing invasive procedures can lead to legal incriminations of assault and battery.