Vignettes
For each of the following, explain how you would work with client. Specifically:
1. What information would you gather? 2. What interventions would you use? 3. What problems, if any could you foresee?
Angie
Angie is a student from overseas, studying at your local university. Her family are spending a huge amount of their income to get what they believe is the best education. But Angie is struggling. She finds the language difficult, can’t make friends and her confidence has plummeted. She is terrified of returning home without her degree.
INTRODUCTION AND INFORMATION GATHERED
Self esteem is the component of a person's personality that dictates how they view themselves. People with healthy self-esteem
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Angie could also be taught self-hypnosis to cope with the stress and the pressures of university.
The following check list is useful for me to make sure to go over all areas related to low self-esteem:
1. Lacking self confidence
2. Lacking self belief
3. Feeling overly emotional and upset much of the time
4. Feelings of depression and anxiety
5. Not being able to accept a compliment
6. Frequently imagining that others are better than you
7. Focusing on the 'negative' in a situation
8. Worrying about what other people are thinking about you
9. Feelings of worthlessness
10. Fearing failure
11. Feeling that you don't deserve any better
Once again, this is excellent information gathering with useful explanatory work.
You might also wish to take into account any cultural influences and the impact of these on her locus of control.
Also it may well be useful for you to encourage her to take advantage of the student counselor services and maybe tutorial help, especially with, for instance, study skills, language development and social skills. I notice that you mention the possibility of her seeing a counselor later in your reply. Good.
07/06/09 (Colette 7/06/09)
Procedure
The general treatment plan would include most of the following.
New ways of thinking
Angie’s problem arises because of the way she thinks about the situation. Therapy aims to give Angie a new way of
Above, both definitions talked about self worth and the confidence or acceptance that it embeds in a person. These two definitions reveal that self esteem is all about how a person feels about themselves and their actions in the world. If a person does not value their actions, or feels like they do not matter, they will have a low self esteem. Whereas a person with high self esteem feels like they are significant to the world and can succeed. Ultimately, self esteem can be defined as how a person views their worth, image, and place in the world.
Self esteem is defined as how we feel about ourselves.The way that one feels about them self can be positive resulting in high self esteem, or negative resulting in low self esteem. Self esteem evolves throughout a person's life based on their experiences and relationships. The way that one is treated by those closest to them can be a huge factor in determining their level of self esteem. Abuse, excessive criticism, neglect, and lack of support or love can all contribute to a person having low self esteem. Body image, a person's perception of his or her physical appearance, is another factor in self esteem. Those who feel unsatisfied with their physical appearance tend to have low self esteem.
A person with a strong sense of self esteem will have a more positive outlook on life and will be strong enough to handle difficult situations through life.
She loses respect for so many. She even loses friends in the making of this senior project. She was always told, she would become a teen mom and she wanted to see what if I was? She keeps trying her hardest to not get hurt by the words that other tells her and she tries to pretend that it’s okay. Overall she is hurting and she isn’t even pregnant but she sticks with it. She fights all the fights she needs too (not physical.) She puts herself out there. She straps on a fake belly every day and pushes herself to go to school. She is judged not just by her “friend” but by her peers and even teachers. She even is looked down to and seen as not the smart kid in the back. She was known as the teen pregnant and no other name title. She had to get this project out of the way. She was even looked down upon those teachers that she looked up to and they just said how she had thrown her life away. She was talked about by even students that’s she never knew. Rumors were spread and then the feelings were felt. She knew she could take off the belly at any time but she didn’t and she fought through
Mr. Lewis is seen for Dr. Craane at Oak Park Heights. Mr. Lewis is a 74-year-old gentleman with multiple medical problems, including rheumatoid arthritis, hepatitis C, diabetes mellitus, hypertension, and severe respiratory insufficiency. His recent history is well known to us as he was originally at Faribault when he became ill with the current episode of leg ulcerations. He was being treated for rheumatoid arthritis and severe COPD at that time and had significant edema in his legs. He was being treated with methotrexate for his rheumatoid arthritis and was also on low dose prednisone at that time. He developed very, very painful leg lesions that quickly developed from darkened skin lesions to undermined ulcerations that had a gangrenous
Hypnotherapy has been used in the field of medicine for the treatment of different medical conditions. Some of the evidence about the effectiveness of hypnosis is pain relief, psychological changes, and emotional disorders among others have been recorded. Hypnosis continues being useful in the field of medicine, and the users are expected to continue increasing. This paper focuses on the role of hypnosis in medicine today (Gonsalkorale, 1996).
Chief Complaint: N.G., a 33 year old Hispanic female who appears reliable presents today with complaints of “something is in my left eye”.
Infection is a major concern for the child receiving treatment for cancer is the risk for the development of difficulties secondary to treatment. Major complications include fever, bleeding, and anemia. The nurse caring for the child with a fever must be aware of the signs and symptoms of septic shock. If a child with a fever also has an absolute neutrophil count lower than 500/mm3 they are at risk for overwhelming infection, general illness, dehydration, seizures in young infants and children, and the invasion of organisms producing secondary infections. The healthcare team will use blood, stool, urine, and nasopharyngeal cultures and chest x-rays to identify the source of infection. Once an infection is suspected the child will be given a
The patient is a 74-year-old female who tells me she did see Dr.[____] and she did get a shot into her hip. She states symptoms are "1000 times better". She does tell me he was done ultrasound and thought she might have a [____] tear, which at this point, if this does not work, she will need likely to have a hip replacement, as he did not think this is fixable at her age.
I had a friend named Daniel who taught me the importance of rainforests. His mother was suffering from terminal lung tumor. The doctors tried chemotherapy and other treatments, but they were ineffective. By chance during his science class, he heard of the benefits of an Australian tree that can tumors in days. Daniel excited by this discovery asked his mother's doctors if they could enter her into this experimental test to try their chances. The doctors found an experimental program for his mother but warned him not to have high hopes. During the first two months, she visible recover a little, but was still unstable. Doctors were not certain how long this success would last and still unsure if she would live longer. Then suddenly as if a miracle,
DOI: 9/26/2015. Patient is a 29-year-old male construction worker who sustained a work-related injury to his neck, back, left shoulder and right knee when he slipped and fell. He is status post left shoulder arthroscopy on 8/05/2016.
If my supervisor told me that she thinks the patient I chose was misdiagnosed and that the problem is something else entirely, I would defend my diagnosis using this case study. Paula presents herself as a woman who “get(s) dizzy” with “chest pains…short of breath” as well as she “feel(s) like (she’s) dying and the world is ending” (Getzfeld, 2004)1. When she visits the emergency room, the doctors tell her the cause is not physical – therefore they must be psychological. Key symptoms of panic attacks include heart attack-like symptoms, as well as raised heart rate, sweating, and dizziness, all of which Paula experienced. Another key of diagnosing panic disorder (PD) is that a lot of random panic attacks occur and these attacks bring on at least 1 month of fear that more attacks will occur which Paula experienced. PD involves avoiding situations due to the fear of a difficult escape should a panic attack occur and that they will be embarrassed; Paula had said she did not go to work as
Thanks for the great post. Considering the patient personal and family history, your diagnosis is appropriate, although a confirmatory diagnostic tests and referral to a surgeon is highly recommended. I do also agree with the treatment plan of chemotherapy and radiation in most cases before surgery to reduce the tumor size and prevent metastasis. To help the patient with the tough time and improve the healing process, providing adequate support (education and emotional) is advise. Encourage the patient to enjoy times with family and friends, rent a comedy movie, practice meditation or prayers will be beneficial. The patient should be encouraged to appreciate and enjoy each day as a gift, also seek healing and optimal health.
She was proactive and believed in her morals and
Self-esteem is a global positive or negative feeling about one’s self. A person’s self-esteem reflects their overall emotional evaluation of their worth. It also is a judgment of oneself and an attitude toward the self. Self-esteem can cause a lot of problems in one 's life if it becomes extremely negative. Studies have started to wonder whether self-esteem instability during pregnancy would better predict postnatal depression than the level of self-esteem. Self-esteem with pregnant women and mothers is one of the reasons why mothers have such a hard time with raising their children.