Humn4001 Case Management For Persons Assessment Answer

Psychosocial Assessment Personal history information:

The case study focuses highlights the dilemmas faced by a family as a whole. Here, the boys Robert 12 years old and Adam 17 years old had been living with their grandmother Abigail who is a 62 years old woman. She had been doing her level best to support the boys but she feels that both the boys have been presenting a number of psychological issues and needs immediate attention. Robert who is the youngest member in the family tends to be very anti-social and particularly resists any kind of love and attention. He often becomes angry when elders try to talk to him and hides in spots where no one could see or recognise him.

Adam  is a 17 years old boy under the care of his grandmother Abigail and has been admitted  to the hospital on multiple  occasions  due to suicidal attempts as the boy feels psychologically depressed  due to his dysfunctional family status.

Abigail is a kind hearted, hard working grandmother who had been bestowed with the responsibility of the kids.  She had been divorced from her husband for more than 10 years and required financial assistance in helping the boys.

Presenting problem history:

Current state of problem behaviour:

The grandchildren of the woman both Adam and Robert had been presenting signs such as lack of sleep along with suspicious activities such as making weapons in school.

Current needs, immediate plans:

To provide the boys  with emotional counselling
To assist the family with financial as well as emotional help

Problem(s) Identification The main problem(s) affecting the client’s well-being is…

• Dysfunctional family
• Lack  of sufficient finance
• Teen psychological trauma

Problem Severity Number of times the problem(s) has occurred/time span:

• Adam is not able to sleep each night
• Robert shows signs  of getting involved  in suspicious activities to make weapons and detest elder’s involvement and support

Hypothesis The problem is occurring because…

The family lacks sufficient social support and attention which could take them out from their miseries

Goal Setting Long-term goal(s) for the client to achieve:

• Make the boys emotionally stable
• Make the family economically competent

Short-term objectives that will help the client reach the goals stated above:

• Provide Adam with holistic care regimen such as incorporating daily care exercise which could reduce the issues of  insomnia within the patient
• Spend more time with Robert to identify his problem

Here, the patient shares an affectionate and loving bond with her grandchildren, which she can use for guiding them or counselling them positively.

Please provide a narrative summary for all sections detailed below.

Psychosocial Assessment Personal history information:

The girl presented over here is a 16 years old girl suffers from domestic abuse which had been affecting her on a psychological and emotional level. Additionally, the girl had been recently bunking her classes and remains distracted and socially disconnected.

Presenting problem history:

The girl had been reportedly being physically and verbally abused by her father on several occasions.

Current state of problem behaviour:

The girl remains socially disconnected and depicts an unkempt, weak and insecure look. Additionally, she had been falling in the bad company within the school.

Current needs, immediate plans:

• The girl needs to  be removed from the care of her father
• She  needs to be provided  with effective counselling to prevent her from falling into bad company

Problem(s) Identification The main problem(s) affecting the client’s well-being is…

• The history of abuse and victimization from her father

Problem Severity Number of times the problem(s) has occurred/time span:

• On several occasions many times being unreported.

Hypothesis The problem is occurring because

The girl had been growing up in a closed dysfunctional family without much support and assistance from outside Additionally, the addiction to drinking of the father had subjected the family to more misfortune.

Goal Setting Long-term goal(s) for the client to achieve:

• Safety from abuses  along with regaining self  autonomy
• Get  into positive social company
• Provide the father with  rehab focussing on alcohol withdrawal

Short-term objectives that will help the client reach the goals stated above:

• Attend community and support service centres where the needs of children like her are catered to
• Provide the child  with counselling support at  school so that she could get back to her studies

• Active communication skills in fully relating his or her problem situation(S)

Please provide a narrative summary for all sections detailed below.

Psychosocial Assessment Personal history information:

Jason graduated from college with grade C and had been managing with marginal level jobs. Many have reported that he had a problematic childhood and suffered from dysfunctional family issues. Additionally, he had been suffering from severe drug abuse.

Presenting problem history:

The patient had a dysfunctional family and lived alone in the town where he had occasional fits for indulging in drugs, which also impaired his capability to function.

Current state of problem behaviour:

The patient was suffering from occasional schizophrenic attacks where he would imagine himself to be George Washington who needs to cross the river to meet his troops. The patient had also been caught by the police for stealing horses and riding them in the middle of the town.

Current needs, immediate plans:

• Psychological counselling
• Anti-psychotic drugs
• Rehab for control  of drug addiction

Problem(s) Identification The main problem(s) affecting the client’s well-being is…

• Heavy drug  addiction affecting the capacity to perform of the patient
• Getting involved in illegal activities under heavy drugging

Problem Severity Number of times the problem(s) has occurred/time span:

The patient undergoes a complete transformation of character imaging him to be the president of the United States.

Hypothesis The problem is occurring because…

The patient has taken to drug addiction

Goal Setting Long-term goal(s) for the client to achieve:

• Regain consciousness and logical thinking  through anti-psychotic  drug administration
• Remove the drug addiction by making the patient aware and educated regarding the effects  of  following a healthy diet

Short-term objectives that will help the client reach the goals stated above:

• Attend community based mental health care centres which will help the client identify with people who come from similar spheres of life or has been presented with similar problems

What personal strengths can the client use to help reach his or her short-term objectives?

The client can use strong communication skills for relating his problems to the nurse better, which can help in designing intervention strategies.