Miranda Rarity Case Studies

About four years ago I had a patient who for HIPAA reasons we will call “Johnny” (Murray, Calhoun, & Philipsen, 2011). Johnny was 16 years old and was sent to live in New York City from the Dominican Republic to receive medical treatment for a rare genetic disorder called Bruton's Agammaglobulinemia (Schwartz, & Desposito, 2016). Johnny never met his father and his mother had seven other children

Jenna case is heart breaking, I would hate to be in this situation and have to make the decision that her parents had to make with the help of the Case Manager. Jenna is a 12 year old girl that has a rear disorder that causes tumors to grow along the myelin sheath of her spine. As a result of this disorder Jenna developed scoliosis, in the attempt to correct the scoliosis a surgery was performed that left her paralyzed in her lower extremities. Because of the paralysis and the limited mobility in her upper body, Jenna was hospitalized and treated for abdominal sepsis. This lead to a complete gastrectomy. Foremother, the were complication during her surgery that resulted in a tracheotomy which requires mechanical ventilation. In addition she also had several different types of drains that require special attention; a jeujenostomy for feeding, a gastrostomy tube for draining, and a esophagostomy that draining from the side of her neck. Her initial prognosis was poor, but after some time stabilized and was ready to be discharged home. Jenna’s future was unknown, no one could predict how much longer or the quality of life that she would have. Even though she is a child, Jenna needed to feel like she was in charge of some aspects of her life. Before the above mentioned hospitalization, Jenna had been responsible for most of her own physical health care, she was independent, even preformed her own catheterizations. This article does’t mention if she was

Before entering the patient’s room, Michelle informed me that DSS was present due to the fact that the patient’s mother was under investigation for her actions in regards to the car accident, which caused her daughter’s hospitalization. Michelle swiftly built rapport and offered to take the patient to the atrium while DSS and the family discussed the case. During the walk to the atrium from the patient’s room, the patient exhibited fearful and anxious behavior as evidenced by the verbal expressions that she was afraid, her crying, her hesitant actions, her rapid-fire questions, and her body language (e.g., hiding behind Michelle’s leg, attempting to run away). Michelle offered the patient options and opportunities for control, as well as reassurance that we supported her and were there for her in those moments of intense fear. Once the patient arrived at the atrium, she was less frightened and easily engaged in play. After a short amount of time in the atrium playing with blocks, shape sorters, and animals, it was time for us to go back to the patient’s room to play. During our time in

There are two major personal experiences that I have had to do with emotional impairments: my field placement at Roosevelt Elementary Schools and when my Education 225 class went on a field trip to Sheldon Pines Schools. At my field placement, I am placed in a resource room where there are about eight students from the grades of 3rd grade to 5th grade who I see every Tuesday afternoon. Each student in unique and amazing in their own way, but I would like to focus in on one of my students, Arianna. She has an emotional impairment that has been shown to me in many different ways and it amazes me every day. I

The interviewee, FG is a female of 49 years old. She didn’t complete her professional education as a Certified Accountant. Actually, she has a part-time job as an Educator Assistant in a public school. She was married since 20 years ago with “Mr. E”, and together they had a son “E” (that just got married the last week), and a daughter “A”, who passed away two years ago after 7 months struggling with the complications of the outrageous diagnosis of leukemia. One month ago, “Mr. E” was found to have a seizure at home, which he was transferred to a local hospital to receive medical care and to know the cause of the seizures in a previously healthy man. FG received for the second time in her life the terrible news in a loved one: “Mr. E” is diagnosed with brain cáncer, and it requires brain surgery to be removed in the hope to help “Mr. E”; and the physicians (dire truth) doesn’t have any idea

Amanda is a three-year-old, only child, who was currently admitted to Children’s hospital PICU with elevated blood sugar. She has been diagnosed with Type 1 diabetes and will be required to monitor her blood sugar and require insulin permanently. Amanda currently lives with her mother, who works full time, but is on leave. Her relationship with her father is unknown. Her father has attempted to visit twice, but the visit was unsuccessful due to volatile interactions between him and his mother. Security was reportedly called. Mom is demonstrating difficulty with the realities of diabetes management and remains tearful during injections or procedures. She will be required to leave Amanda for two hours a day in order to obtain education on managing Amanda’s diabetes.

How did you know that this child (or children) was having a difficult time (display awareness of children’s needs)? Be specific:

To conclude, patient has a strong support group coming from her adoptive family and her mentor. She knows that she has three biological brothers and lives with her biological sister, but she does not have a relationship with none of them. She does not know about her adoptive or biological family’s health and wellness. However, she is aware that her mother was murdered, and her adoptive sister Cindy has disturbed back discs that put her to disability. Patient has a lengthy past medical history, starting with nerve problems and developmental delay due to the presence of cocaine in her system at birth.

As an OT practitioner, I would develop a therapeutic relationship with Samantha. Samantha has cerebral palsy, but she doesn’t let that defeat her. The therapeutic relationship developed between Samantha and I would help her reach desired goals. These goals may address eating and dressing or taking care of her baby. In order to develop the relationship I have to change the approach when addressing Samantha. It is important for me to remember that Samantha is not a child, she is an adult. Instead of getting mad with Samantha for not communicating directly it is important to allow extra time and be patient so she can use the computer to express her thoughts and speak aloud for her. Also, I would take the time to get to know Samantha and her occupations

school as a top priority on their list. Her argument was that for adults, even with complications

Her son has been receiving treatment for rectal cancer. Patient has been one of his primary care takers. Although her son has been cleared of cancer, he has one more surgery

While gathering the information for this case study, it was difficult to figure out did the American health care system let RO down or was it simply over looked. The Filipino community had it summed up as the system had let them down. After speaking to the daughter, she agreed with the family thoughts. As for now, RO will remain in the Philippines and continue her treatment. The daughter will stay here in the United States, and send her portion of the medical bill money home to assist with the care.

This patient had been asked to leave school where she was completing a masters degree and was currently

Katie who is a high school teacher. She recently was involved in a transition meeting for a twenty one year old girl who is in her last year of school. She currently lives at home with her family and is diagnosed with Schizophrenia. The student’s goals include working, taking art classes and meeting new friends. During the transition meeting Ms. Katie presented her evaluation. In the evaluation were reasonable goals and agencies that could help her achieve them. The student would life to live independently but cannot live entirely on her own. Step by Step, a company I work for is where the student will be living. The school sent her evaluation and application for living to the company for the student. She was accepted and will be moving immediately when she finishes school. Marywood University runs an Art Therapy program with their art students. The class runs through the year and the student was enrolled. She will start in the winter when classes return from

In this particular situation Miranda’s assumption of her students’ prior knowledge of the graduate course contributes to different issues and ethical problems. According to code 8.04, whenever psychologists conduct research he or she typically take precautionary steps to prevent participants from declining or withdrawing. Also code 8.04 states when research is either a course requirement or extra credit opportunity an equal alternative is provided to students as another option. Miranda and the university violated this code by not offering an alternative, as well as a backup plan in case student’s rebelled. From the students stand point it is normal to feel some discomfort, especially if there is a potential to cause harm.