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(Rate mother in caregiver domain)

Alex is a 15-year-old male, recently discharged after a thirty-day stay in an in-patient psychiatric hospital. He was hospitalized because he heard voices telling him “terrible things about himself” and telling him to kill himself. He reported this to the school social worker who notified his parents. He was taken from school to the hospital. Alex presents as depressed and withdrawn, but will engage in one-on-one interaction with an adult. Alex has been telling people that he has been hearing voices since he was 5 years old. The parents have expressed their gratitude to the school personnel for believing Alex and responding quickly because when he has said similar things at home, they didn’t know what to do. Now they are worried that they might not be able to keep him safe at home.

Alex lives with his mother, father, and two older sisters. It is a loving family with close emotional ties. All of the children are kind, obedient, and care about other people. Alex’s mother has severe mental illness and is often overwhelmed by Alex’s needs which causes a lot of stress in their family. She says she feels a special connection to Alex because she can relate to his feelings of being unable to escape the ‘voices in his head’. Alex’s older sisters have also struggled with mental health issues in the past. Alex has no relatives in the area and the family has no child care resources.

Although his family has moved many times over the past few years, Alex has remained enrolled in the same school district. He exhibits no behavioral problems at school but he often responds verbally to his auditory hallucinations. In addition, these hallucinations make it difficult for him to concentrate which has impacted his grades. While he has educational goals appropriate for a tenth-grader, he is currently struggling to complete his requirements. He also often comes to school in the same clothes, which appear unwashed, several days a week. The teacher has expressed concern because he is regularly teased by other children. The teacher and the school social worker have met with Alex’s parents who have a hard time understanding the immediate risk that Alex’s hallucinations pose for him. Alex has no friends at school but is interacts well with all staff. He attends school regularly.

Alex and his family have been seen at the same clinic for the past four years. His mother was recently referred to a treatment program that she attends Monday through Friday during the day and is doing well. In an effort to get good housing in a safe neighborhood, the family has moved six times in the past 18 months. The family receives financial assistance through programs such as Section 8 benefits, SSI, and food stamps and is able to provide for the basic needs of their family.

When Alex was six years old, he witnessed the shooting of his uncle in front of their house. His uncle died on the sidewalk. The police questioned Alex a number of times about the incident. He experienced sleeplessness consistently for months after the incident and still does periodically. He will randomly ask his parents if they remember “when Uncle Sammy got killed.” He sometimes refers to the ‘voices in his head’ as Uncle Sammy’s killers who tell him he is to blame for Sammy being killed.

Place ratings in the section that are marked red using the key above

Put rating (number) next to each.

0. No evidence of need

1. History or   Suspicion

2. Action Needed, Need   interferes with Functioning

3. Immediate Action   Needed, Need is dangerous or disabling

 

 

 

 

 

1. Psychosis

 

 

 

 

2.   Impulsivity/Hyperactivity

 

 

 

 

3. Depression

 

 

 

 

4. Anxiety

 

 

 

 

5. Oppositional

 

 

 

 

6. Conduct

 

 

 

 

7. Anger Control

 

 

 

 

8. Substance Use

 

 

 

 

9. Adjustment to Trauma

Caregiver Needs & Resources

0. No evidence of need

1. History or Suspicion

2. Action Needed, Need   interferes with Functioning

3. Immediate Action   Needed, Need is dangerous or disabling

 

 

 

 

1. Supervision

 

 

 

 

2. Involvement with Care

 

 

 

 

3. Knowledge

 

 

 

 

4. Safety

 

 

 

 

5. Residential Stability

 

 

 

 

6. Organization

 

 

 

 

7. Social Resources

 

 

 

 

8. Mental   Health/Substance Use

 

 

 

 

9.   Medical/Physical/Developmental

 

 

 

 

Cultural Factors Domain

0. No evidence of need

1. History or   Suspicion

2. Action Needed, Need   interferes with Functioning

3. Immediate Action   Needed, Need is dangerous or disabling

 

 

 

 

 

1. Language

 

 

 

 

2. Traditions and   Rituals

 

 

 

 

3. Cultural Stress

 

 

 

 

Life Functioning Domain

0. No evidence of need

1. History or Suspicion

2. Action Needed, Need   interferes with Functioning

3. Immediate Action   Needed, Need is dangerous or disabling

 

 

 

 

 

1. Family Functioning

 

 

 

 

2. Living Situation

 

 

 

 

3. School Achievement

 

 

 

 

4. School Attendance

 

 

 

 

5. School Behavior

 

 

 

 

6. Social Functioning

 

 

 

 

7.   Developmental/Intellectual

 

 

 

 

8. Decision-Making

 

 

 

 

9. Medical/Physical

 

 

 

 

10. Sexual Development

 

 

 

 

11. Sleep

 

 

 

 

Risk Behaviors Domain

0. No evidence of need

1. History or   Suspicion

2. Action Needed, Need   interferes with Functioning

3. Immediate Action   Needed, Need is dangerous or disabling

 

 

 

 

 

1. Suicide Risk 0

 

 

 

 

2. Non-Suicidal   Self-Injurious Behavior

 

 

 

 

3. Other Self-Harm

 

 

 

 

4. Danger to Others

 

 

 

 

5. Sexually Problematic   Behavior

 

 

 

 

6. Delinquent Behavior

 

 

 

 

7. Runaway

 

 

 

 

Strengths Domain

0. Centerpiece   Strength

1. Useful Strength

2. Identified Strength

3. No Evidence

 

 

 

 

 

1. Family Strengths

 

 

 

 

2. Interpersonal

 

 

 

 

3. Educational Settings

 

 

 

 

4. Talents and Interests

 

 

 

 

5. Spiritual/Religious

 

 

 

 

6. Cultural Identity

 

 

 

 

7. Community Life

 

 

 

 

8. Natural Supports

 

 

 

 

9. Optimism

 

 

 

 

10. Resilience

 

 

 

 

11. Resourcefulness

 

 

 

 

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

A married couple dealing with Alzheimers Disease

Case Study Assignment of Occupational therapy:A married couple dealing with Alzheimers Disease
 APA format / PowerPoint formatted

·  Explain the primary and secondary medical diagnoses and all signs and symptoms commonly associated with this (these) medical condition(s).

· List treatment approaches, theories models of practice and articulate their appropriateness as it relates to the individual client.

· List at least 4 statistics obtained from research regarding the medical diagnoses (e.g., symptoms, prevalence, prognosis, medication(s) )

· Explain the role Occupational therapy plays and the role/role delineation its practitioners play in the health care setting of where your case study is taking place, i.e., hospital, out-patient, pediatrics, etc.

· Engage in the consultative process with persons, groups, programs, organizations, or communities in collaboration with inter- and intra professional colleagues:

· Create a clinical picture of patient based on performance areas, performance skills, and body functions (utilizing the OTPF 3rd ed. and data from the case study) by making a table grid and describing each area.

· Explain the progression of adjunctive to purposeful activity.  Allocate Write 2 LTG (one needs to be an educational goal) and 1 STG for each LTG. The goals should directly relate to the problems.

· Describe a designed 45-minute treatment session time for each component (e.g. 10 minutes for described adjunctive activity, 30 minutes for described purposeful activity)

· Incorporate into the designed treatment session an understanding understanding/learning derived from evidenced based practice research and the teaching/learning process plus describe and/or demonstration of knowledge of the use of technology in practice, which must include:

Ø Electronic documentation systems

Ø Virtual environments

Ø Telehealth technology

· Incorporate patient/caregiver training by demonstrating the principles of the teaching-learning process using educational methods and health literacy education approaches:

Ø To design activities and clinical training for persons, groups and populations

Ø To instruct and train the client , caregiver, family, significant others and communities at the level of the audience

· APA format. Submit a  PowerPoint slides formatted paper,  which should be free of spelling and grammatical errors. Utilize resources learned in course and library orientation.

APA style format and content

Ø Introduction/Cover page: tabs, centering, page numbers, organization of headings as per APA style

Ø Font size, paragraph organization, headings, use of paraphrase and citations are accurate.

Ø Content is a clear, well organized topic by paragraphs: introduction, body, conclusions.

Ø Reference page in alphabetical order with correct format for reference. All references within 10 years.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

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