Therapeutic Clinical Interventions: A Case Study

Note: Always make objectives measurable, e.g., 3 out of 5 times, 100%, learn 3 skills, etc., unless they are measurable on their own as in “List and discuss [issue] weekly…”

Am I ready for a journey of self- awareness as part of the process of becoming a social worker? Once I acknowledged these questions, I began my educational journey towards a career in social services. A field in which I believe is my life’s

Through the years following Fiona’s birth, Jackie suffered with depression and anxiety. The stress of having a difficult baby was quickly remedied by prescription pain medication, subsequently causing Jackie’s dependence on thesubstance. Jackie has kept her addiction a secret from her family and friends, demonstrating both trust and a poor self-image. As part of this therapeutic intervention, I advised Jackie that she would be free from judgment within our therapeutic relationship. Jackie was also advised that she could speak freely about her feelings of being a mother and provider, verbalizing the stressors she associated with her roles. Initially, Jackie was opposed to entering a 28-day treatment program as part

Starting my clinical internship at the Crisis Stabilization Unit brought many emotions. The realization that this internship was one of the final steps towards identifying myself as a professional social worker hit me. During the first two weeks, it did become apparent that one of my challenges is my self-confidence as a social worker. I still struggle knowing if I am making a right decision or saying the correct thing to a client. That is shown when I am doing group therapy. I start to get anxious when I speak to clients as a group. I hope that the more I practice and interact with the clients that I will be able to gain more confidence and comfortable doing group sessions with them.

Leading professional association representing spa and complementary therapists in the UK and Ireland. (CThA, accessed: 22/07/2016)

Young (2014) provided personal insight from her own experiences from a social work intern student to a coordinator. The article examined some tips and guidelines for new social worker intern students before beginning at their first field placement. The author identified that new interns are going to be nervous and unsure in the beginning. It is important for the student to take their time and ask questions to become more knowledgeable at their agency. She advised the student to have a positive learning attitude when observing the social worker. The article stated that the internship gives the student the opportunity to be expose to the field and is the best opportunity for the student to develop skills. Young expressed the internship should be taking seriously by the student. This article conveyed valuable learning opportunities and challenges that the student will be expose to in their

Evidence-based practice uses current research and clinical judgment to provide interventions and care for patients (Kelly, 2012). It is important for nurses and all healthcare team members to be up to date on current practices so patients can receive evidence-based interventions that improve clinical outcomes. According to Kelly (2012), almost half of patients that receive care, receive interventions that are not based on evidence which can ultimately compromise the safety of patients and their health outcomes. Peripheral intravenous therapy (PIV) is a common practice in the acute care setting and evidence-based practices have been established to drive appropriate care for this intervention.

As addressed in the previous section, assessment needs to be very individualized towards the patient and their specific needs. Therefore, with intervention, the same process and considerations should be maintained. If a clinician is going to individualize an assessment specifically towards a client, then in order to work on the areas identified, the intervention plan must reflect the results of the assessment. Every individual varies greatly, and with Noonan Syndrome, it is no different. Even though specific characteristics are identified, each patient will present with different degrees and attributes, if they even present with any at all. Intervention needs to be specifically designed for the individual and their strengths and weaknesses.

During this clinical intervention, I caught a mistake by the physician entering in the prescription. The patient was prescribed CIpro for an infection while in the ICU, however the dosage was too high based on the patient’s renal function. Over the last few days the patient’s renal function has continued to decline, as a result it is important to decrease the patient’s dose accordingly to prevent toxicity. I calculated the correct dose for the patients and recommended to the Certified Nurse Practitioner working in the unit. The nurse practitioner agreed and changed the dose of the Cipro to adjust for the decline in renal function. I think that it is important to have pharmacy involved with patient care because pharmacist are trained to monitor

You mentioned that your current internship requirements are being fulfilled at a mental health facility. As Garthwait (2014) states, practicum experience is limited to a specific type of setting and naturally other placements can and will be quite unique. At my field placement, although I have encountered clients with prior mental health challenges, mental health counseling is not my primary area of concentration thus, my method of intervention is focusing on two areas my client would like assistance in and providing counseling services which include talk therapy, incorporating games and or activities in sessions, and incorporating frameworks in counseling such as empowerment and strength-based perspectives to name a few. Ciera, what are some

The first aspect that I feel is important to consider while conceptualizing a case from systems-based perspectives is to categorize the client as a family unit, a couple, or an individual. Next demographic information such as occupation, school level, gender, age, sexual orientation, and age. The second aspect is the concern for the client and who is involved such as friends, family, society, etc. This is done by discussing to information of the person that has referred them, what the client is expecting out of the counseling process, an explanation of the reason the client is being seen, what the client has done in the past to try to resolve the issue, and other information that is relevant to the issue (Gehart, 2014).

The patient was ordered to remain on bed rest indefinitely; his current state is not stable enough for him to attempt ambulation even with maximum assistance from occupational therapist. Until the patient was allowed to mobilize, active range of motion (AROM) exercises were performed to the best of the patient’s ability with assistance from OT, nursing staff, or wife. Passive ranges of motion (PROM) exercises were performed on weaker limbs or if patient were too tired to perform AROM exercises. These exercises were performed several times per day.

First of all, I would rule out the cause of positive Babinski reflex and depending upon the cause I would make my recommendations for medical intervention because sildenafil are contraindicated in neurological diseases like multiple sclerosis but effective in patient with spinal cord injury (Leoni et al., 2013). I would start with sildenafil because it is one of the phosphodiesterase type 5 (PDE-5) which is the first line therapy for the treatment of ED, taking medication only when needed can increase adherence and it can be safely and effectively given to patient who are already taking hypertensive medication. If treatment fails, I will switch to Vardenafil because of rapid onset of action, similar efficacy as sildenafil and can take only

The techniques that I utilized with Janet after having done a spiritual assessment (where and what her relationship is with God) and doing a spiritual history (an informal conversation about spiritual views); the first technique I used was prayer, at the beginning of each session, this allowed for Janet to know that she can be at ease, that this is a safe environment for her to have open communication and that she is being heard by the three people present in the counseling (God, herself and myself). When in the sessions I choose to use open questions (meaning questions that Janet needs to think about and can expand on her thoughts and emotions), rather than closed question that require “yes or no answers”. I also suggested to Janet that she can pray on her own allowing her to have private conversations with God outside of session. Journaling or art would allow Janet additional ways to express her emotions and would allow her later reflection. Janet can also use relaxation techniques in challenging times such a taking deep breaths, during times of panic she can focus on one thing and bring herself slowly

The Therapy Process. This group counseling offers a strong atmosphere for healing and growth for veterans who have endured past trauma and are seeking help. In regard to a strong atmosphere, this group therapy offers a safe environment to help veterans feel valued, respected, and supported.