Patient Counseling: A Case Study

D) Counselor met with his counselor for his one on one to address his treatment plan goals and any other issues that he may have has result of being in the program. Client this week reported that he is feeling like he being targeted, the client was tested three days after he was admitted into the program. The client pointed out to the director and counseling supervisor as having a phone which was true. Counselor asked the client was any of of what was going true "Yes". A) Client appears ti really feel he being target / picked on for no reason. The client has been unjustly accused by the system he is be paranoid.P) Client will continue to attend his week meeting and learn to be in compliance the with the program rules and regulation or go

HPI: Margaret Elliot is a 52-year-old Caucasian female that is presenting with shortness of breath that has recently worsen. Mrs. Elliot states that her problems began 20 years ago when she had bronchitis, which she consistently has 2-3 times a year. She said that her symptoms have been getting worse the last 2.5 month, but have severely worsen over the past three days. She states that it has been restricting her daily activities and has been troubling her while sleeping lying down. She states that her symptoms improve alittle when she takes her medications. She also states that her symptoms worsen when she tries to walk across the room

Mrs. Sofia is a 46-year-old Hispanic female. Mrs. Sofia moved to the United States six months ago from the Dominican Republic. She moved with her family to Connecticut to better their lives and for greater job opportunities. Mrs. Sofia works at the local high school as a housekeeper. Mrs. Sofia is happily married with two daughters, one son, and she lives with her parents. Mrs. Sofia is very close with her family. Mrs. Sofia stated, “My family is the biggest part of my life and support system”. Mrs. Sofia’s primary language is Spanish, but can speak some English. Mrs. Sofia and her family believe in folk remedies in times of illness. In time of sickness, she uses herbs to help cure the illness. Since Mrs. Sofia is a immigrant from the Dominican Republic she was not able to receive the same type of health care that a typical American would have.

I work as a respiratory therapist and treat patients diagnosed with chronic obstructive pulmonary disease (COPD). Smoking is a leading cause associated with developing COPD. As a professional working in the healthcare field, I have been fortunate and educated about the dangers and consequences linked to cigarette smoking. I have treated and have experience with individuals who have smoked and developed COPD. Also, as an educator, I have tried to help individuals quit smoking to improve overall health. As an educator, I view smoking as an addiction to the drug nicotine and managing cravings will help individuals quit smoking.

D-The patient arrived a few minutes late to her appointment. Reported stable on her dose and denies the need for a dose increase when offered by this writer. The patient discussed her current living situation as she had recently moved into her appointment in mid-June and was upset that her worker gave her the incorrect information as to what she had to owe for rent. The patient reported, she struggled with paying the rent and had to borrow the money from her grandfather; however, she hopes, it does not happen again. Then the conversation shifted as the patient discussed about her significant other drinking problem as it had affected his employment status and his relationship. The patient also shared that her significant does not see it has

Wheeze (as I will call him to protect his identity) entered the emergency department for the fourth time since September 2014, claiming excessive shortness of breath. He was a three pack a day smokers for 30 years who quit in 2010. The patient stated he had gotten progressively short of breath possibly due to the heat. Because he was short of breath, he increased his oxygen flow rate to 5 L/min. This caused his oxygen concentrator to work harder and heated up his bedroom, which made the situation worse. Mr. Wheeze was sent home his last discharge on oxygen at a flow rate of 3 L/min and had previously been diagnosed with Chronic Obstructive Pulmonary Disease (COPD). Chronic obstructive pulmonary disease (COPD) is a heterogeneous group of slowly progressive diseases characterized by airflow obstruction that interferes with normal breathing. In 2005, approximately one in 20 deaths in the United States had COPD as the underlying cause. Smoking is estimated to be responsible for at least 75% of COPD deaths. Excess health-care expenditures are estimated at nearly $6,000 annually for every COPD patient in the United States. (Deaths from chronic obstructive pulmonary disease 2008) For this case study I will concentrate on Mr. Wheeze’s progression during his most recent

A review of the medical records indicates that she was admitted to MMHS from 1/22 to 2/7/17 for shortness of breath and cough. She was diagnosed and treated for pneumonia with antibiotic therapy. She suffers from multiple medical illnesses includes chronic CHF with shortness of breath. She uses oxygen 2-3 L/Min, chronic stable HTN, Chronic poorly controlled DM and chronic anxiety.

Crisis can occur on a personal or societal level. When a person experiences personal trauma their experience of a situation or event can leave them feeling as though they have exhausted his/her coping skills, self-esteem, power and social support. These can be situations where a person is making suicidal threats, experiencing threat, witnessing homicide or suicide, or experiencing personal loss. While a person is experiencing a crisis on the individual level it is important for counselors to primarily assess safety. Societal or mass trauma can occur in a number of settings and typically affects a large group or society. These are instances such as school shootings, terrorist attacks, and natural disaster. As a counselor, my primary concern

My personal counseling philiosphy leads with kindness and the willingness to help an individual's experience by dealing with the issues together. My objective in counseling is to help people and see happy, healthy individuals living a fulfilling life. I believe that as a counselor, encouragement is the most important. A counselor must listen to a client with understanding and help direct the individual toward the right path but not solve their problem. A counselor’s role is to help the client find a goal and work on it together.

A: Janie is a 60 year old Female with PMH of A-Fib, COPD, Hypothyroidism, HTN, Lung Cancer and recently diagnosed Pulmonary Embolism. Janie presents to ER for evaluation on SOB, cough with greenish sputum, sore thoart, hoarseness and generalized weakness. Janie lives at home with her husband, use to smoke ½ pack per week, but quit many years ago, denies alcohol or drugs. Family history is non-contributory. Allergies: NKDA. Differential diagnosis includes worsening Lung Ca, PE, COPD and CHF. Janie uses home O2 at 4 L/NC. V/S: T=98.7, HR=89, R=16, B/P=132/56, O2 sats=100% on 4L/NC, Pain=6/10. Labs: WBC=7.6, H&H=8.5/27, Na=141, Troponin=0.08/0.06, BNP=495, INR=4.2, UA=3+ protein, 1+ blood and 6-10 RBC. CXR: Impression:1). COPD with nonspecific coarsening of the basilar interstitium. 2). Mild cardiomegaly with borderline cardiac compensation. 3). Right

All around the world, drugs and certain medications, have gained the reputation of modifying an individual’s mood and heightening their sensory experience and indulgence. A list of well-known substances that alter the chemicals in the brain and alter moods/emotions is marijuana, cocaine, heroin, tobacco, and alcohol (Jackson-Cherry & Erford, 2018). Due to these substances influencing positive effects, these drugs can be highly addictive. Counseling the drug and alcohol population can be frustrating and stressful in regards to the chances of relapse or resistance.

Goal –Patient will express an understanding and desire to stop smoking by the end of

Client spoke about triggers that he has struggled with pre-treatment. Client identified one of his major struggles as feeling like he was all alone needing comfort and companionship. Drugs provided client with a way to connect to other people. Client acknowledged that these feelings originated from the lack of a stable relationship with his estranged father.

I intend to enroll in the Fall 2017 MA in Professional Counseling Online program at Liberty University to obtain my master’s degree and begin working toward LPC licensure. I believe that my personal history and character qualities combined with the helping experiences that I have involved myself with and my future goals bring me into alignment with the mission of Liberty University and the Master of Arts in Professional Counseling Degree Program.

Ms. Deang is 23-year-old female who is in a Counseling Psychology graduate program at Regis College, MA. She is a full-time graduate student and did not have a specific perspective towards her career. Ms. Deang concern was that she is not independent and struggles with decision-making. Ms. Deang reported that she wants to be a counselor, but needs help with setting goals to pursue her career in counseling. In addition, she hoped to get an insight on the success for being a counselor.