Misdiagnosis: Case Study

Another strong ethical issue was the huge confidentiality issues that involves Susan and Savannah’s family. Susan reveals information about Savannah’s sessions while she was still in a medically induced coma, so clearly there was not permission to do so from Savannah or from a legal stance. The Code of Ethics prohibits this kind of behavior and as a social worker is not acceptable.

The psychologist did preform an IQ test on Carolyn and came up with a diagnosis of mentally mildly disabled. Let’s stop her what is wrong? This professional has taken a young woman who is mentally disabled and unable to think clearly for her and preformed testing on her. By the contents of this case study there was no consent forms signed for this test. The professional also did not seek out a family member to gain some knowledge of the family history. There was no family background assessed. If this woman is mentally disabled then she is incapable of allowing any kind of testing to be performed because she will not understand the diagnosis nor will she understand what is expected from her. I feel there was misuse of a psychologist assessment. It states in “1.01 Misuse of Psychologists' Work

Is the overdiagnosis of ADHD a product of societal pressure or a looser standard of qualification for medical assistance/diagnosis for ADHD? There is no question on whether or not ADHD is being diagnosed more often. In 2011 there were 6.4 million ADHD diagnoses, and many people are looking for answers of why this is happening. Immediately, most people point to the higher stresses from our advancing society and the pressure from other parents and people to the major increase. Although some believe the stressful environment created by our advancing society is at the core of the increase in ADHD diagnoses, the lack of proper procedure when handing out psychostimulants is the more prevalent issue regarding ADHD overdiagnosis. This can be attributed to the age of the child within their grade, a lack of understanding in adults.

The missing part of this intervention is informing each of the confidentiality rights and ensure the understanding that the social worker does not have control over what information is shared or who will comply with those terms. This violation could have been prevented by informing and requesting an agreement from each member before they started.

Ethical dilemmas happen frequently in the social work and how one handles them could be the difference on how a clinician keeps their license or not. The problem is there is no way to prepare a person from knowing what situations will arise. Scenarios arise all the time and new ways to handle them is constantly changing. The ethical dilemma can happen anywhere and at any time with anyone, it could be a client, co-worker, and even supervisors. No social worker is safe from them. One however can practice with scenarios and be aware of personal biases. A social worker needs to evaluate each dilemma with the different frameworks and principals to determine which one applies best, anticipate what possible outcomes could happen, and what interventions a social worker would implement.

In this situation, honesty about testing and possible results should have been discussed with the patient and an informed, realistic action should have been explained. The next step would be to evaluate the relationship with the patient and her parents and encouragement of an open and honest relationship. If the patient were to continue to decide that the notification of the parents was out of question then resources to discuss the results of the testing with the patient's parents would have been an alternative. Care providers should guide care that is respectful of the individual, offer alternatives, provide concrete facts related to the care needs, and offer support systems that will aid in the making positive choices. The application of this framework allows the patients to experience the greater good with no harm. It provides a clear framework that fosters openness and honesty between the patient and the care providers.

3. What, if any, client rights were violated? Janet was noting down false information on her clients. According to her paperwork she was communicating regularly with her clients but her clients said opposite. It proves that the right of clients of knowing about their treatment was violated and at the same time right of regular communication was also violated. Again the clients weren’t able to get record that Janet maintained on their problem. If they could get the paperwork they would be able to see that Janet were noting down false information on them. Some clients needed referrals but they hadn’t been referred. So they were not getting help which they not only needed.

The second most likely diagnosis is dehydration. According to Arant and Canavan (2009), the diagnosis can be determined by if there has been vomiting, diarrhea, or decreased oral intake. The patient has had decreased tear production, a capillary refill time of more than two seconds, and decreased skin turgor (Arant & Canavan, 2009). All of this points to dehydration.

As explained by the Arizona Department of Health Services (2011), “Each behavioral health recipient has the right to participate in decisions regarding his or her behavioral health care, including the right to refuse treatment.” This individual violated multiple NASW (2013), ethical responsibilities throughout the course of professional services provided including the values of informed consent, competence, conflicts of interest, and privacy and confidentiality. Social workers should make every attempt to uphold all social work responsibilities to clients in the course of professional treatment and service. With regard to ethical responsibilities in the practice setting according to the NASW (2013), the values of supervision and consultation, education and training, and clients records appear especially relevant to this case. The individual lacked adequate experience and training in the manner in which he was practicing, however, did not consult with another professional regarding the appropriate course of action to take. In addition, client records were not properly maintained as it appeared several progress notes had not been documented along with records of informed consent, treatment plans, and releases of

As a child, I felt like a mutant with a horrible disease. I had a medical condition that no doctor could properly diagnose. I went to four different doctors and two specialists, yet not one could give me a straight forward answer as to why I feeling so horrible. Not only was I concerned, but so was my mother. At the age of five, I started what felt like countless tests to try to determine what was causing me to be in so much pain and be so nauseated that I would sleep on the bathroom.

Diagnostic Impressions: When evaluating Andre, a 27 year old white male, we can first look at his background. Based off of the information provided from this case it could be safe to assume that Andre is lower class as he is currently out of a job and does not seem to be able to hold one. Andre reports being troubled in his young adult life and using an excessive amount of drugs. Andre is currently engaged and his fiancée, Tessa, seems to be there for him as she states that they spend a lot of time together. After going over Andre’s case, I would diagnose Andre with schizophrenia.

Patient is a 35-year-old, single, Native American transgender female (male to female). She prefers to be called "Mariza." She currently lives in a sober home. Presented to CRU 2 via ambo from Scottsdale Osborn, Honor Health. She is NCOT for depression, anxiety and SI. Patient reports being raped on 2/17/17 by an unidentified men. Patient has filed a police report on the incident. Patient states, "I was raped and I just want to kill myself." She is calm and appropriate, but guarded. Patient endorses hx of SI through hanging, cutting her wrist, and OD on her Rx pills. Patient states, she was physically and sexual abused by her father and uncles. Patient has been receiving psychiatry services through Salt River behavioral health services on the

My two nursing diagnoses would be social isolation related to cultural difference as evidence by patient speaking Spanish as a first language. The rational for that would be that the no one can speak Spanish fluently and is a different culture from me. We would need to get an interpreter to help interpret for us between the patient and the healthcare team. They would need to book a service for someone to either come into the office or have them interpret over the internet like skype. I would evaluate it by seeing if the communication between the patient and the health care team is able to translate all the word and that the patient understands everything that is going on. My second one would be impaired verbal communication related to sensory

In conclusion, Mr. W.M’s medical diagnoses and the aging process have prompted several alternations in his body functions bringing along doubt about his capacities. In effect, his impairments have provoked diverse impediments in his engagement in all his desired activities, thus imposing adversities against an optimal quality of life. His major limitations that reduced his self-esteem as justified by the client are his inability to mobilize adequately on his own, poor memory, deafness in the left ear, being blind in right eye and pitting edema bilaterally resulted from his primary diagnosis of renal insufficiency. To top that all off, he has psychological issues like anxiety that was prompted situational from prior life events, in which he never had a partner in life to help eradicate his inner conflicts.

Case Study Assignment A person’s upbringing is always interwoven into their reasons of selecting a particular ca-reer. In the case off Andrea her parent’s beliefs concerning gender roles, race, and economic sta-bility are an infusion that builds the foundation of her own beliefs. Andrea’s parents both con-sciously and unconscious communicate their expectations to their child this encompassed the de-sire that the child does better in life then they did. Andreas father is a social worker and her mother was an elementary school teacher so there was an unconscious ideal communicated that people are supposed to use their careers to help people.