How Laura Is The Best Relationship With The Most Patients For Laura Essay

UCM: CPSW did a home visit again and talked with Annette regarding her relationship with her mother Ms. Clifton. Annette stated that some times that they both disagrees on things and that and than Annette gets upset with her mother. CPSW talked about therapy with Annette and Ms. Clifton. Annette looked at her mother when this therapy talked about family therapy with her mother Ms. Clifton. Ms. Clifton refused to participate with Annette any family therapy. Ms. Clifton stated that Annette has anger issues and that they don't need family therapy at this time. Annette was very quite and mostly was looking her mother's responses regarding family therapy. CPSW told Ms. Clifton andf Annette to think about it and that we will talk about it on next

Mary is a 69-year-old lady who has been diagnosed with dementia. She lives in a bungalow with her husband Sam who is 78 years old. Before Mary was diagnosed with dementia she lived a normal lifestyle which involved her going shopping, driving and also caring for her husband. Before Mary Retired she worked in the pottery industry for over 40 years. Marys husband Sam has previously had a stroke so he also struggles to manage as the stroke has affected his left side. They have 3 grown up children who live nearby but are all currently in full time work. Marys children regularly help Mary and Sam when they are not working but due to their own work and family commitments it is not very often. Marys children are also worried as they have seen a dramatic weight loss and change in Mary’s appetite. Mary has recently been admitted to the ward following a fall at home where she will be assessed although Mary is adamant she wants to return home after her hospital stay.

Ingrid is a social worker, wife, and a mother who lives in a two story colonial home with her husband and two daughters, aged 8 and 15 years old. She was active in the school of her children, serving on committees and volunteering to read in the classroom. She attended to church habitually, though her husband did not accompany her. Her interests included swimming, snorkeling, and hiking. Not only was she close to her immediate family, but also maintained frequent contact with her college friends living throughout the country. As well, Ingrid requires moderate assistance with most of her basic activities of daily living (BADL).

The Smith family is an African American family currently residing in Bartlett, TN. The family owns a home in an established, middle class neighborhood. The Smith’s home is clean, updated and organized. John and Jane Smith, 48 and 45 respectively, live in the home with their 18 year old son, Junior. Both Mr. and Mrs. Smith are college graduates and have been financially preparing for their son’s matriculation to college. Mr. Smith was diagnosed with Amyotrophic Lateral Sclerosis (ALS) in the fall of 2015. Mr. Smith has recently been terminated from his job, leaving Mrs. Smith as the sole wage earner. Mrs. Smith is suffering from acute anxiety and is experiencing panic

Today I received a referral from a family who is seeking help regarding their dysfunctional family structure. The Simpson’s are a nuclear family that is having difficulties living as a family. I have already spoken to Marge Simpson and agreed to find a way to get her husband and children to therapy. She has very high aspirations of attending therapy with her family because she has longed for a “normal” functioning family in which her husband and children interact in a much healthier manner than they do now. She described her husband of being careless, her son uncontrollable ate times, and her daughters disconnected from the family. We have set up the meeting for next week, Wednesday at six, when she believed her family

The patient is a 56 year old female who has recently lost her job and has been financially struggling. She has isolated herself from friends and family members. She claims to be close to her older sister but

For this research paper my client will be known as H.C. This particular client has suffered from multiple diagnoses during his time at Sonoma Developmental Center (SDC). My client has lived at SDC since 1947, at the age of 13 years old. H.C. willingly came to SDC when his family could no longer cope with his behaviors. He liked to be independent and was an active worker when he worked at his job sites. H.C. had a bundle of past achievements that he enjoyed mentioning to his aides by pointing at pictures. At a frail age H.C. could do his activities of daily living, but needs assistance from time to time. Physically H.C. was a short man with balding white hair and had poor eyesight so he wore glasses. His walking gait was failing and his feet would shift against the floor, so he had a walker that he could use. He was socially withdrawn and would only communicate when he felt that his needs were pressed. He had trouble finding words to communicate what he wanted to say and would like to do things on his own rather than relying on staff. He also lived by his set schedule, so anytime there was an appointment set for him he needed to be reminded before his day began.

Frank calls his daughter on his cell phone stating that his wife gets upset when she sees phone numbers from his children on the landline caller ID. Frank is an 81-year-old widower who remarried 12 years ago. In the sixth year of marriage, Frank needed open-heart and bypass surgery, was diagnosed with spinal stenosis, peripheral neuropathy, and has pain that is difficult to manage. During this time, Frank’s personality changed insidiously from a lively conversationalist with many interests, to a somewhat solemn recluse with limited direct contact with his children and friends. Was this due to his change in health or due to the change in the dynamic of his marriage from husband and wife to elder patient and caregiver? Frank’s daughter is extremely upset by this phone call. Frank makes excuses for his wife’s behaviour, such as, “She is cranky because she doesn’t eat breakfast” or “I’m such a burden.” The daughter realizes that immediate action needs to be taken before the situation gets worse.

Betty Jo reluctantly made the decision to move to an assisted living community, due to high pressure from her healthcare providers and family. She is an 85 years old and a widow of 3 years from her beloved husband of over 50 years. Her husband made sure his financial affairs were in order before his death, and thus managed to provide financial comfort and security for Betty Jo. She has two children, both live out of state. Her daughter Karen, has two adolescent children, and visits her mother once a month. Her son, Adam, is a recovering alcoholic who has trouble keeping a job and frequently seeks financial assistance from his mother, yet rarely visits her at Sunrise Pines. Betty Jo often has to sit down for a minute, due to “dizzy” spells and becomes fatigued at a greater frequency than she did before her husband passed away. Her decision to move came after falling twice in her home, upon having hip replacement surgery. She had trouble keeping her physical therapy appointments, and managing her pain medication. Prior to her move, Betty Jo was active in her church and in the Red Hat Society. Now that she is living in Sunrise Pines, she has become more withdrawn and rarely eats her meals in the main dining area. When she does participate in social activities, she acts out and becomes hostile with her fellow residents. The community director received word that she is refusing to take her antidepressant and blood pressure medication. The director reached out to the local

Sara is finding very difficult to be just with the kids and to have to do everything in the house.

Caretakers with MSP tend to have an attention-seeking behavior and strive to appear self-sacrificing and devoted to their child (Pietrangelo, 2016). Donna, throughout the case report, enjoyed displaying her knowledge on Mandy’s various health problems and the mass amount of medications she was taking. Donna stressed the fact that she quit her job as a nurse’s aid to care for Mandy full-time since she is the only one to understand her daughter’s health condition. Furthermore, Donna may be using Mandy’s alleged health problems as a way to get her husbands attention. Donna stated that Jim and her “haven’t had anytime together since Mandy was born” since he is working 60-80 hours per week. Throughout the case report, Jim expressed his gratitude for Donna and her willingness to care for Mandy. Donna may see Mandy as the only method of obtaining this praise/attention from her husband.

Lanesha is a 12 year old girl that has been having trouble with her temper and her anger in almost every aspect of her daily life. Her medicine and compliance to her treatment plan are no different. As a teenager, she does not want to continually be hassled and bothered. So to avoid this she constantly is telling the providers lies, or in her mind, “what they want to hear.” (http://support.mchtraining.net/national_ccce/case1/Flash/activity1.html). Lanesha has a sense of neglect from her grandmother because she states that she want to act like everything is fine as to appease her Grandmothers temperament. Marietta, also shares in frustration but also has a great deal of added stress as she also cares for her 10 year old grandchild and also her older ailing mother. Marietta exudes many of the qualities spoken by Dr. Horky in her presentation; her own age is taking a toll on her ability to care for Lanesha, she is worried about Lanesha. Due to Lanesha’s age and behavior however, Marietta is experiencing depression and grief. Almost portrays a sense that she has given up, like she has done all that she can. (Horky, n.d.). Other socioeconomic issues are in Marietta’s forefront.

Sara does not report any problems functioning with her occupation as evidenced by her ability to perform her nursing duties. Conversely, Sara has reported her excessive anxiety level is preventing her from effectively functioning in accomplishing her school work due to her fragile mental state. Sara reports that she is not smart enough and thoughts of self-doubt. Sara functionality within her social life is not normal and hinders her ability to socialize with other people. This is evident as her referring to herself as a loner, apprehension around other people, overpowering feelings around men, and uses alcohol and drugs when she is distraught. Furthermore, Sara reports, perform her fantasizes about committing suicide when her feelings

Melanie was in a car accident at four months old and went through the windshield of the car. Due to this accident she has brain damage and has the brain development of an eight year old. Although she should be in the intimacy versus isolation stage, I believe she is in the identity versus role confusion stage. She was very slow to answer many of the questions and had a difficult time doing so. One question I asked her was where she sees herself in ten years. Her answer was “with family” which shows she has nothing else to do but to be with family. She is unable to work and does not have a family of her own. Another question I asked her was who she admires and why. Her answer was Linda, a friend of hers, because she is “helpful and understanding”. Many people do not understand when people have disabilities and I think her having a friend that is understanding helps her with her identity. I don’t believe she will ever get past this stage in her life. Although she should be in the intimacy stage, she does not understand what that means. She will always have a developmental delay and continue to stay in this stage

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.