PCN-531 Smith Family Case Study I. Demographic Information The patient name is John Smith, 42-years-old white male who is currently working as insurance salesman. He has not been in any trouble at his job, but the nature of his job is quite stressful. He has been married for 17 years with two children (son of 15 years old and daughter of 12 years old). Relatively closer with the son compared to anyone else in the family. Note : In this paper, John Smith will mostly referred as “Patient” II. Background Information Patient has a long history of drinking, but it get worsen recently (nearly everyday with increasing intensity on weekend). He had experienced several blackouts as well as mild to moderate alcohol withdrawal symptoms. To stabilize the withdrawal symptoms, Patient occasionally drink in the morning. Despite suffering from severe alcohol abuse for a long time, he had been reluctant to seek treatment. He agree to seek treatment only after got arrested for driving under influence. Late father was an alcoholic, while father in law used to drink but stopped for a long time already. Patient's wife, Margaret, is currently handling double role as career woman and primary parent for their children. Due to Patient's bad habit, Wife is getting constantly angry and …show more content…
It has been found that there is a relation between substance dependence and stress coping styles. Dehestani et al (2012) has found that stress coping skill training has increased patients' social adjustment, mainly those with constant encounter to environmental stress. If and when addicted people employ proper coping strategies, they will be able to strengthen their coping skills in dealing with high-risk situations, hence prevent relapse. Combined with detoxification to heal the physical dependence, it will make a comprehensive recovery program for
Mr. Peyser is a 63-year-old male here today with his friend and caregiver, Joyce to follow up on some laboratory studies, as well as a recent hospitalization and alcohol issue. HPI The patient tells me two weeks ago Saturday he was feeling somewhat down. He describes himself as feeling depressed.
My mother’s alcoholism made her threatening and belligerent, which often made me despondent. I would come home every day dreading what I might encounter. She would frequently be either aggressive and incoherent or unconscious. On the rare days she was sober, I celebrated having an affectionate and supportive role model.
According to the clinicians, Mr Thomas’ poor short-term memory was most likely the result of excessive alcohol intake. I was asked to assist the patient to the garden and he asked me if I could provide him with a tin of beer. Although the staff at the residential home asked the patient to only drink moderate amount of alcohol, this has proved futile. Moreover, he was allowed to visit a pub within a walking distance from the residential home SO WHAT?
The hardest thing to be dealt with is someone you truly care about becoming addicted to something, like drugs. Growing up, that is all I ever heard about, who died, who was in rehab, who was in jail etc. Addicts, they are people that will never be understood. They are broken, mentally. It is even harder to get a grip on if someone has never had to experience what it is like to feel that way.
The first principle in the American Medical Association gives Ray the right to provide respectful and sympathetic care towards his patients (American Medical Association), but not in a way that proselytize his ideals on Mr. Chang. He is to provide care for healing or treatment that is autonomous to Mr. Chang’s beliefs to the extent that Mr. Chang is competent and able to agree to treatment (Marco, 2003). In discussing Mr. Chang’s possible illness of alcoholism, Ray must focus on the disease in respect to the profession of medicine and the patient (Edge & Groves, 2006). His role as a practitioner is to educate Mr. Chang as best as practical on the circumstances and details of the illness. Ray must provide the best available options for treatment
Alcoholism is a chronic brain disease that affects all walks of life and does not have any bounders (Gossop, Stewart, & Marsden, 2008). I choose to attend an Alcoholic Anonymous (AA) meeting since this disease is prevalent among adolescents and adults. The meeting was held in the first-floor forum at Pilgrim Congressional Church in Queens New York. The goals of the AA meeting were stated explicitly by the leader conducting the meeting. The mission of the organization is to maintain sobriety by helping alcoholics achieve recovery.
Alcoholism is a significant problem in American society. About 20 million people in the United States abuse alcohol and out of that number, around 10 million are addicted to alcohol and considered an alcoholic ("Alcoholism" 1). In The Glass Castle by Jeannette Walls, Jeannette's father, Rex, shows signs of being an alcoholic. His disease puts a lot of strain on the family and relationships within the family and eventually, Jeannette's father dies from heart failure, a common disease caused by alcoholism. Rex Walls can be identified as an alcoholic father by most of the six identifiers of an alcoholic from the American Addiction Center.
Under the Influence by Scott Russell Sanders “Under the Influence” by Scott Russell Sanders is a poignant essay relaying Sander’s struggles with his father’s alcoholism. Sanders’ essay is revealing in ways that statistics and studies on alcoholism cannot possibly contain. Sanders’ essay is like a catalog of the devastating emotional effects of his father’s alcoholism. In his essay, Sanders convincingly counteracts misconceptions about alcoholism and supports the argument that alcoholism is more like a disease rather than the common misconceptions of alcoholism.
Mr. Z is 86-years-old, Caucasian male that lives with his wife of 56 years. He values his independence, but recently he been struggling to care for himself. He has a long-standing history of diabetes mellitus, hypertension, and chronic kidney disease. His wife was concerned because she noticed her husband can no longer drive, is having difficulty walking, and managing his own care and daily medication. She explained that her husband is lethargic, sleepless, having poor appetite and difficulty maintaining his weight.
Daniel’s sons are his main support system at this time, and they are excited about their father’s prospect of obtaining sobriety. Most Relevant Development History
The first diagnosis is stress overload related to work and family responsibilities as evidenced by family all agreeing that J.A’s inability to be present during the week puts strain on the emotional and physical aspect of the family. This diagnosis was chosen based on each family member’s agreement that J.A. being gone in St. Cloud during the week has
[The] Philadelphia General Hospital [asked] each drug patient as to the effect of inability to get liquor upon his drug disease. 'No connection was whatever has been
DD (46) is a diabetic that is controlled by diet, exercise, and daily Metformin. He is seeking care for elevated blood glucose levels. DD is married to MD (45). Together they have two children AD (22) and CD (18). AD is moving back into the family home after college while CD recently moved to a nearby college.
Hypothesis: 1. There is a significant positive relationship between coping strategies and psychological adjustment in drug addicts. 2. High level of coping strategies leads high level of psychological adjustment in drug addicts. 3.
Little is known about the process of recovery among drug addicts. Opportunities in the modern setting to start over a new life is various, and recovering patients tend to want to blend into and become a part of society. Of course recovery programs in Malaysia such as Rumah Ikhtiar or even Narcotics Anonymous offer techniques and help for atients in their recovery. Often these techniques include how to manage any form of prejudice or stresses that they will encounter, this is so to a relapse, whereby patients start using again out of social pressure. Certainly there are good programs with 92% completion rates, while other would have 50%, such as the DARA drug and alcohol rehabilitation.