Gerontology Case Conceptualization Final Research Paper

Gerontology Case Conceptualization Final Research Paper
Students will learn how to conduct assessments of the elderly, conceptualize the case, develop a diagnosis, and develop appropriate treatment according to an evidence-based model learned in class. Students are expected to turn in a 4-6 final research paper conceptualizing a case study. A rubric will be handed out outlining specific requirements. The client is “Client S” uploaded in this assignment

This is a REASON
FOR REFERRAL:
social-emotional
evaluation to assess S- current social-emotional status to assist in
determining eligibility for Social Security Insurance Disability. S currently
carries a diagnosis of MDD. However, needs further evaluation to assist in
determining SSID eligibility.

Client S has been sent to
you (MFT) for multiple assessment assessments for her compliant such as
headache, body and muscle pain, painful swollen feet, stomachaches and
recurring thoughts of death, Client reports she also becomes short of breath,
and fears something wrong is about to happen, this produces sweaty palms, restlessness,
easy fatigue, irritability, muscle tension, and/or sleep disturbance. Loss of
bodily function such as blindness, paralysis, and numbness. Persistent and
excessive worry about developing a serious illness. Patients had at least one
medically unexplained symptom. Client S also reports of being unable to get out
of bed in the mornings, slowing down of movements, and just worrying
excessively about everyday occurrences. Client S also has significant weight
gain, with no change in lifestyle, and feelings of worthlessness or excessive
guilt nearly every day.
Client S has an extensive
medical history such as obesity, hypothyroidism, high blood pressure, headaches,
diabetes, alcohol abuse, severe swelling of hands and feet etc.
Her
family systems are very disorganized, and she is considered the IP of the
family also known as “crazy loony” S. Her husband and daughter have formed a
triangle and are harassing her at every instance they can get. They view S as
the source of all problems.
Client is presenting in your office with a
disheveled appearance, slouching body posture, mumbling, and raising tone of
voice alternatively, irritable. Client S states she is fearful of being in your
office, as you might hospitalize her. Her
breath smells of stale alcohol. She also presents as puffy/swollen, washed out,
with discolored uneven teeth, bad breath, grimaces, tearful, apathetic
unspontaneous, uncoordinated, hopping from foot to foot, preferred use of right
eye only, also S presents as slow reaction to time, normokinetic, restless,
poor body ego.
S was diagnosed with Type
II diabetes in December 2015 and hospitalized at this time for diabetes related
complications. Allergies to penicillin and weather change noted. S experiences
sleeping difficulties. She has never experienced hearing problems. S wears
corrective lenses for near sighted vision. S uses (2 times a week) substances
(marijuana) 5x week (alcohol) to help her calm down and stay euphoric.
S reports a history of
two psychiatric hospitalizations. S was first hospitalized for psychiatric
issues in November 2015. S was most recently hospitalized from 3/11/16 to
3/21/16 due to suicidal ideation.
Client S is 66-year-old female with a long
history of mental health issues; however, she has some decent coping skill and
can sometimes talk herself out of situations. However, in this instance her
medical provider has sent her to you for an assessment. Please assess and write
a report on the different presenting issues that assessment might highlight. Client
S also consumes medication such as Tylenol 500mg, Tramadol 50 mg, Depakote 75
mg, Metformin 100 mg, Benazepril 40mg
2).
Client S used to
work with a multipurpose team, and S had some effectiveness issues in
completing projects in time. Client S persistent worrying about somatic issues,
often is unable to complete an acceptable share of her work. She has issues clearly communicating her
ideas to teammates and is usually not in time for group meetings and blames it
on environmental factors. S cannot and will not give feedback or constructive
criticism to teammates in fear of being judged, therefore has difficulty
motivating herself and others. When S
feels out of control with her mental health issues, S does not take into
consideration others’ skills and strengths and berates them for being
ineffective. Client S is not employed at present.

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