Family-School-Medical Collaboration Project Beginning in April of 2018, I began working with Tori, a 15 year old Caucasian girl. A physician at Duke University referred Tori to the PASS clinic for pain management. For the intake, both Tori and her mother provided information regarding Tori’s current functioning and development. Tori lives at home with her biological parents, brother, and maternal grandmother. Apart from having low blood pressure towards the end of her pregnancy, Tori’s mother had a normal pregnancy. However, Tori’s clavicle was broken during child birth. Tori’s mother reported that the majority of Tori’s developmental milestones were delayed. At the age of four, Tori was diagnosed with Autism. However, a psychoeducation evaluation in second grade indicated she no longer met diagnostic criteria for Autism, and she was diagnosed with ADHD. Tori was also diagnosed with major depressive disorder in August of 2018. She currently takes medication for ADHD and depression. Regarding other relevant medical history, Tori had a concussion from falling off the monkey bars during first grade. After that, she experienced frequent migraines. Since the sixth grade, Tori has experienced chronic pain and seizure like symptoms. Currently, her seizure like episodes occur an average of two times per …show more content…
At that time, she was placed on a home-bound program in which she is expected to complete her science and social studies course work. However, her mother reports that Tori is currently failing her courses due to incomplete work. Tori indicated that she has consistently had trouble focusing on assignments. Tori reported that she often feels sad and depressed. She indicated that she has engaged in self-harm behavior (e.g., cutting, stretching) and that she wants to stop having these sad feelings. In order to address Tori’s goals, cognitive-behavioral techniques are being
On the morning of the B.O.G, Taylor had a seizure on the bus on the way to school. School personnel determined that because of her drowsiness and being dazed following the seizure, she was not in the right frame of mind to test. We rescheduled the testing for the next day, for which she was absent. Subsequently, we have been waiting to give Taylor an opportunity to make up the test, however, she has been absent on September 12, 16, 19, 20, 21, 22, 23 and 26th. She has been in the hospital two of those days. Her mother reports that the seizures are getting worse and medication has been increased and a new medication has been added to the regimen. The medications are not having any effect on the frequency of the seizures and they are occurring
Currently, she is concerned she might be pregnant (Confederation College, 2018). She is diagnosed with “alcohol dependence; psychosis and depression” (Confederation College, 2018). Primary
2- She is diagnosed with the season affective disorder (SAD), she feels, lonely, isolated, and depression.
CFT Composition: Iaja’s (youth) CFT meeting was held at the family’s home in Jersey City, NJ. In attendance was Jasmine Alexander (CM), Ashley Warren (caregiver) and Iaja Carter (youth). Aminata Bangura (ISS provider) participated via phone. Iaja and the family have numerous natural supports to assist with treatment.
The Lee family faced several medical encounters one being their daughter Lia having neurological disorders such as seizures from the age of eight months to four in a half years old. Lia was admitted to the Merced Community Medical Center seventeen times and she also had more than one hundred outpatient visits to the emergency room and the Family Practice Center. (Fadiman, Chapters 3 and 5).
Introduction first step to gather as much information as possible about the person and his or her problems and behavior. In this case, Clara a 4-year-old adopted girl is brought by her parents to see Dr. Mason because they have
She presented with anxiety, academic concern, and depressed mood. She reported that she has a habit of avoiding things that increases anxiety. She noted that her strategy in avoiding anxiety provoking situations also makes her feel stuck. She reported that she can be self-critical that it is difficult for her to motivate herself. She reported that she has been missing her classes in an attempt to avoid a stressful situation.
Sonya is likely experiencing obsessive-compulsive disorder (OCD). It is the disorder that exhibits recurrent obsessions and/or compulsions (Nevid pg. 189). Obsessions are recurrent and intrusive thoughts (189). In this case study,Sonya admitted that she was a lifelong worrier. She also states that she repeatedly in a state of anxiousness or worriness (frets) about her family’s health, her future, and finances ( 189). Compulsions are repetitive behaviors that the person feels compelled to perform ( 189). Sonya has exhibit some compulsions in her perfectionistic tendencies. In Sonya childhood, she reviewed her homework assignments multiple times for “careless mistakes”. She even stated that she spent three times as long on homework than other children. In high school, she was very preoccupied in her appearance. She would iron her clothes the night before class. The next morning, she would check for wrinkles. If she find a wrinkle, she would iron her clothes again. Perfectionist’s beliefs involves exaggerating the consequences of submitting less than perfect work. They might feel compelled to redo their works until every detail is flawless (190). For example, Sonya states that
To temporarily solve a more serious problem, they gave her medication, and we were on our way. When the time finally came to see the neurologist, they had hooked her up to an EEG, which monitored her brain waves. They found nothing in this EEG, until a different hospital performed a 24-48 hour EEG. She was in the hospital trying to make sure she had her homework completed and was caught up, when the machine caught strange brain waves when she was doing her math homework. This was the first time the doctor told us it wasn’t seizures due to stress, but partial onset seizures. Her brain looks normal, but when a seizure hits, it starts in the left temporal lobe and travels to the right side of her brain, lighting up like a firework. This affects her mood and emotions, to where her brain must reboot in order for her to
This paper address the lack of communication between interdicinplnary staff and the patients they care for also the significance of the care giver when patient enter an ICU setting. There are several problems that can occur to patient in an ICU setting when communication between collaborative care is broken down. The biggest issue can be death when this happens or even patient injuries which are two of the biggest concerns when it comes to care of patients. “Notably, when asked to evaluate interprofessional collaboration, nurses consistently rate is lower than doctors, suggesting discipline-specific perspectives on the nature of collaboration (Baggs, Miller, Sexton,2002).” Showing that nurses and physicians are where the problems seems to lye
1. In Chapter 5 of Collaboration Across the Disciplines in Health Care, there is a list of expectations a patient should set for their doctor (doctors are not mind readers, doctors don't have crystal balls, doctors don't know everything, doctors don't have "the answer", doctors don't have magic wands, doctors spend a limited amount of time with you, doctors make mistakes, doctors are people too, and you have a job too). After reading this list of expectations, do you feel that when you are a patient you meet these expectations? Are there any expectations that you do not meet or agree with? Furthermore, are there any additional expectations that you think should be added to this list?
Indeed, nurses play an indispensable role in connecting patients with a new culture of care and serving as a voice for the socially marginalized. My contribution to the mission of the Nurse Corps Scholarship program in providing care to underserved communities will entail great knowledge base of different medical conditions with the ability to know my patients, their family situations, their cultural identities, social situations, the barriers and challenges they face in dealing with their
Gianna’s parents report that she has a hard time adjusting to living in two separate households because of the two different expectations set by her mother and father. When asked about her mother’s and father’s relationship, she rarely expresses how she feels. At school, Gianna isolates herself from the class, pouts, and cries when she feels hurt or left out from her peers. When she gets into conflicts with her peers, Gianna has a difficulty expressing her feelings and resolving those conflicts effectively. When upset, Gianna will usually sit quietly in class with a frown on her face. Moreover, she has a hard time verbalizing her concerns and engages in avoidance behaviors, such as staring, when she does not understand academic concepts. It is recommended that Gianna learns coping strategies and problem-solving skills to assist her socially and
While many know that home is the foundation and can be helpful to the educational process, Ana doesn’t come from a strong home. She has limited contact with her father, and her mother became pregnant while in high school, and aside from graduating from high school she had to obtain her GED. Now, her mother is working full-time to support her and her daughter. While mom has to provide, if there is no one to be there with Ana after school hours this can be dangerous because there is no one to push her to complete any school work, to study, or to do other necessary things to be academically successful.
Looking at the symptoms such as anxiety attacks, overeating, fear of accomplishment, fear of abandonment, and so forth—can be interpreted as outward manifestations of unconscious conflicts that have their origins in childhood experiences and defensive reaction to these experiences that are necessary to her as a child.