The Patient Story The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined, …show more content…
LL acknowledges, with the help of her psychiatrist, the it is important to be employed and earn money to support herself, but finds it very difficult to hold a job with her disorder constantly holding her back. LL lives with her parents and sister in an urban area in the home where she grew up. Her family members are very supportive of LL and her obsessive-compulsive disorder and push her to be better each day. LL’s location is very convenient because she is a five-minute drive to her support group at her church as well as her psychiatrist. LL grew up and continues to follow the catholic faith believing that God causes “everything to happen for a reason”, though she does not know or understand why God gave her this …show more content…
will teach LL in her optimal learning environment. This environment will be in her home where she feels more comfortable and can focus more because she is not as easily distracted. The S.N. will provide a printed sheet with reliable websites for LL to use when she is feeling anxious, has urges to wash her hands and ways to clear her mind of her thoughts and behaviors about her mysophobia. There will also be supplies for maintaining LL’s hands skin integrity; lotion and tepid water. LL is very open with her family and enjoys their presence therefore maintaining privacy in her home will not be an issue. They are respectful and want the best for LL and does the S.N. therefore the S.N. will explain the need to one on one time and it is believed the family will respect and put LL’s needs
Patient’s name is Molly Greenwell. She is a single non-Hispanic Caucasian Female. Molly is eighteen year old, with family background orientation of Italian culture. Molly does not work but she feels like she has enough stress surrounded around being a senior with a 4.0 GPA in an all-girls catholic school. She considers herself a shadow on the high school monarchy. This being said she feels like whatever she does, her parents are never happy enough. Having attended Italian school every Saturday, church and religion class every Sunday in the Roman Catholic Church; she feels like she has no friends. The one pleasure she does for herself is participate in a track team. Molly has two older brothers that tell her she is a piece of shit every day and she looks fat. Molly’s parents saying nothing has led to Molly feeling isolated in the family. Molly also has no mental health or dietary issues in her family history.
This module of study has focused on many aspects of human health, anatomy, and the disease process. It has included such topics as the human organ systems, the mechanism of disease and the resulting disruption of homeostasis, the integumentary system, and the musculoskeletal system. The following case studies explore how burn classification will affect treatment, how joint injuries can disrupt mobility, and last, how a sedentary lifestyle can contribute to a decline in a person’s health status. The importance of understanding disease and knowing when to seek treatment is the first step toward enjoying a balanced and healthy life.
As we go through our daily routine in our jobs in any medical facilities, we are bound to make an occasional error. Misspelling a word on a chart may be one of them. If you make a mistake while you are writing in a patient's medical chart, just draw one straight line through the word and put your initials to the top right of it, and write what you meant to say next to it. Do not make any big swirly lines through the incorrect word. The chart must look as neat and professional as possible. You might try to keep track of the mistakes you make so you can be sure not to make them in the future. Common sense, I know. But this could make a huge difference in the medical profession concerning someone's life.
About the second diagnosis, the reason I believe she has symptoms of illness anxiety disorder, not somatic symptom disorder, is that she has no severe physical symptom l...
In the case of Marjorie, she is a 24-year-old, single Caribbean American female who lives in the home with her mother and her two younger sisters. When she was 15 years old Marjorie’s father died. Marjorie is unmarried, has no children, and is employed part time. (Plummer, 2013). Since she had already received a definitive diagnosis of OCD by a psychiatrist, and had been initially prescribed Zoloft, (Plummer, 2013) I would begin by educating her about OCD, explaining that OCD is often shared with other disorders usually treated by mental health counselors such as depression or substance abuse; and explain that its onset usually occurs in the adolescent or college years (Noshirvani, Kasvikis, Marks, & Tsakirvis, 1991). (Spengler, n.d). Marjorie’s onset begun when she was a teenager and escalated once her father passed. As the worker being assigned to her case I would use Exposure theory as well as cognitive Behavioral Therapy (CBT). Marjorie is fearful of germs; through exposure therapy Marjorie could face her fears of germs by being exposed in a systematic and secure way to certain objects that she feels carries germs (Spengler, n.d) She could then safely address, dispell and face those fears. Allowing her to slowly move at a pace that is comfortable for her, by
Case conceptualization and treatment planning is used by therapist to assist in determining a client’s diagnosis, goals, and treatment plan that is most effective in determining the issues surrounding the clients diagnosis. It is crucial that the client’s treatment plan is specific to the individual, is relational and appropriate to the needs of the client.
In the first assignment of Research Skills (Studio Pathway), we have to explain some terms in research. Every student has to choose 5 terms. 5 research terms that interested me are Case Study, Literature Review, Primary Source, Secondary Source, and Survey.
When a case study is conducted, the researcher conducts an in-depth observation on a particular individual for an extended period of time. While observing the individual, the researcher records their observations which are then translated into case materials that are used to demonstrate a possible problem (American Psychological Association, 2009). Also, as mentioned before, case studies are solely focused on observations of a particular individual. However, even though the word individual is usually used to refer to a person, in this case, it can also be used to refer to a business, school, or neighborhood (Cozby & Bates, 2012).
Mrs. A is a 71-year-old widow with CCF and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother 's ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs. A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her prescribed medications are:
As a nurse and family educator I ill make significant contribution in teaching underserved population, and decrease the risk of diseases. One of the important factor is develo plan, corrdinate with patient, evaluate home visitation. Home visitation is important because it decrease child abuse. Teaching plans ar...
a problem with severe had washing and cleaning. She would wash her hands up to 30 times a day for at least 5 minutes each time. She always had the feeling that her hands were not really clean, she might touch the side of the sink after she rinsed her hands and then think they were dirty again. She also took two showers a day for up to 50 minutes or until all the hot water was gone. Other things she did to make herself feel clean is use alcohol to wipe things down that she would come into contact with, like her car seat before she set in it. She has been unable to seek employment as a Licensed Practical Nurse (LPN) due to her symptoms. I conducted four initial sessions, session one and two were to seek information about the history of her symptoms, obsessional content, including external and internal fears cues, beliefs about consequences, and information about passive avoidance patterns and types of rituals (Levenkron, 1991). I also requested Vickie before our next session to record all washing and cleaning that she did,
D-The patient requested an increase on his current dose from 115 mgs to 120 mgs. According to the patient, he is not experiencing any cravings, but some withdrawals-seats, hot/cold flashes at night, can't sleep, and some sweats. The patient has been experiencing these symptoms for almost 2-3 weeks. When asked as to why he did not mentioned this to this writer, the patient says, " I wasn't sure if it was mental thing or something, but I even make the request." When asked about how he has been handling the withdrawals feelings, the patient responded with chuckle and says, " I turn on the fan. I know my girl does not like it, but that's how I cope (chuckle)." This writer proceeded to complete the dose change request form and also, reviewed
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
Picture yourself hungry, but unable to chew. Picture yourself tired but not strong enough to take yourself to bed. Think about having to use the bathroom, and the only way you could do so is by wearing a diaper, to be cleaned and wiped by a stranger. These are basic functions and daily routines that we often take for granted. Would living like this still allow you to have a desired quality of life?
The moment! That is what all nurses will tell you they experience in the beginning of their career that told them in their heart this was their calling. As a nursing student, I can still remember the first time giving a bed bath to a dementia patient in a nursing home. The patient was freighted, scared and yelling out for her mother. Here, I thought is this lady who has no idea what is going and feeling scared, hopeless and confused.