Health Assessment : Assessment Of A Person In Environment Assessment

Client has a lack of social support network. No information regarding Alex's childhood, adolescence has been provided. Client mentioned that her father died of a heart attack to Dan but indicated that he was alive but later on we find out that he actually did die of a heart attack. She never discusses her family she was more into her lover’s family. There is no information regarding family history of mental illness, or substance abuse disorder.

is 8 year old Caucasian male who has a younger brother. He was taken from his biological parents who was on drugs thus client B. suffers from intense abuse and neglect. He and his brother was left with his father’s mother who had a schizophrenic diagnosis years of neglect and abuse. He had been to five foster homes over a 5 years period and to each he was abused physically, emotionally, mentally and sexually. Client B. has no friends and during the time in the foster homes, his biological mother would only call to say she is trying to getting him back. Client B. is now adopted by a new parents and is now living in a caring environment but he is still struggling with mistrust issues, hurts, and low-self-esteem and anger issues. His adoption parents is very concern and want to see him become less distressed and open to the care and love that they are sharing. Client B. has developed some medical issues which was of concern to the medical provider was called in children services to check in on

The client is a 24-year-old white female who states she was raised by her biological mother and father until he was age 12, when her parents divorced. The client

The intervention that was implemented was the invitation for the father to participate in the therapeutic sessions with his son and ex-wife. I explained the client’s recent behavior and the subsequent admittance to my agency. I clarified that the client’s behavior worsens after their divorce which is evidenced by the increased disciplinary infractions he received at school. The client also became more combatant and argumentative with his mother and siblings as reported by them. I proposed the idea of meeting for a family therapy session to uncover the cognitive reasons behind the

Client’s parents were never married and ended their relationship when her mother was still pregnant with her. The client has 6 siblings. She has not had contact with her father and does not know where he is located. Her mother has refused to discuss him with her. Her mother has had several different live-in boyfriends. Client and her siblings have been in foster care on

There are many forms I use to assess an individual’s needs. The first bit of the information comes from Derby City Council, which is called a outcome based support assessment. This is what they use to identify someone’s needs and how much care they require. The information on this document is great for Derby City to use, but I also need to do my own and adapt it so it’s easier for a care worker to understand as they are the ones who will be doing the care. It’s important that I read this document before going out to do my own care plan as it gives me a bit of back

The death of his father coincides with the onset of symptoms and attitude displayed by the client according to initial intake. Mr. Rodriguez’s father provided great emotional and guidance support which Jose now finds lacking. Due to strengths in his familial environment Jose is facing difficulties coping with the loss. A strong attachment to his immediate family and his siblings has provided the support required for Jose to maintain a boundary between his anxiety disorder and his family responsibilities. Due to Jose’s strong sense of responsibility and motivation to overcome any adversity will result in a successful treatment plan. Recommendations for grief counseling and individual rational emotive behavioral therapy might be the best route to proceed with this particular

Mr. Grape is a 52-year-old single African American male who resides in Phoenix, Arizona. His parents separated when he was 8-years-old because his father was abusive towards his mother and his mother’s infidelity. Mr. Grape’s older brothers were high-functioning and well-behaved, which made Mr. Grape feel like an outsider. As a result, he had behavioral and attitudinal problems and frequently engaged in defiant, oppositional, and negativistic behaviors. After completing high school, Mr. Grape joined the military but was dishonorably discharged. Since then, he worked as a substance abuse counselor and held numerous hands-on labor jobs. In addition, Mr. Grape has received five prison sentences, as well as numerous arrests and convictions for many different crimes, and was seemingly bragging as he reported his legal history. Mr. Grape also has a history of substance abuse and has enrolled in two residential drug treatment programs. Mr. Grape does not have a history of psychiatric treatment or mood disturbances, aside from recent depressive episodes. He was referred by the court for a psychological evaluation. Specifically, the court requested an evaluation of his psychological and emotional functioning to determine whether or not he was at risk for violence and/or other maladaptive behavior that would compromise his ability to raise his newborn child.

-His brother talk about committing suicide, but stated he wouldn’t do that to his family.

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

Health Assessment of the Head, Neck, Eyes, Ears, Nose, Mouth, Throat, Neurological System, and the 12 Cranial Nerves Skin, Hair, Nails, Breasts, Peripheral Vascular System, Lymphatics, Thorax, Heart, Lungs, Musculoskeletal, Gastrointestinal, and Genitourinary Systems

Some stimuli for this nursing diagnosis include the focal stimuli, which is the fact that the client lost her husband last year. A contextual stimulus includes the family dynamic and the separation of most of the family from the other, during this period of adjustment to the death of her spouse. This includes both a family dynamic and environment stimuli because the client’s environment is changed. In terms of residual stimuli, the client’s own aging process and health problems could both be

Phil came into the clinic because his wife had requested him to receive some professional help. While he was at the clinic, the meeting did not last long. He was there for about an hour and I was able to determine some psychological disorders that Phil may be suffering from. Phil was asked to come back in for follow-up sessions which he will be asked more questions and complete assessments that are the appropriate diagnosis of Phil.

According to Mr. Ruppel, he described his childhood as "inconsistent". He noted he had no supervision because his mother was working. He stated growing up he frequently moved around and attended different schools. When asked about his father, the client denied they had a relationship until he was 12 years of age. He recalled meeting him for the first time and noted it was a good feeling. He reported his father visited every other weekend until he was 16-years old. He recalled one day his father not showing up for his weekend visits and was never given a reason why. He noted he felt abandoned by him. Per the client he has tried several times to reach out to his father via Facebook, but has never received a response. In regards to his relationship with his mother he considered himself as "mama's boy" indicated they are very close. The client reported having siblings, but stated he sees them once a

Throughout this complete health assessment, I will approach my patient, a 49 years old, female, married patient, and perform a head to toe examination. Starting with the gathering of information, I will start with biographic data, reason for seeking care, present illness, past health history, family history, functional assessment, perception of health, head to toe examination, and baseline measurements. The subjective data will be collected first, where the patient will provide necessary information about every organ system for further examination while the objective data will be amassed in every system based on my findings. This assignment serves as an opportunity to establish a nurse-client interpersonal relationship that