Nursing homework help: Given the information regarding the two patients below please answer the following questions. Please be specific, give examples in the cultural part and do not write intellectual. Just be simple and direct. Please note each questions should be answer for both patients.
1. What is the Reason for Services and the Presenting Problem
2. Be very detailed and give specific examples. What are your cultural identities? At How are your identities similar or different from the client or system you are engaging? What assumptions or biases may you need to be aware of? How might culture and identity impact the power dynamics in your relationship with this client? Be very detailed here.
3. What do you think the client might be thinking or feeling?
4. What is your Impressions/Assessment of the patient during the session/s?
INTERN DEMOGRAPHICS: The therapist is a 31-year-old married heterosexual colored immigrant male (Caribbean culture) who resides in Brooklyn, New York. He is educated stable housing, is middle class, does not have any kids and is able-bodied.
PATIENT #1 DEMOGRAPHICS: The patient is a 86-year-old single white American female who currently resided in a shelter in Brooklyn New York. She lost her apartment in Queen, New York because of a building fire. She spent most of her life in Queens, New York, and her friends reside in Queens New York. Her diagnosis is a generalized anxiety disorder, and severe pain that results in her needing to use a rollator to ambulate. She needs total replacement surgery, but she is unable to obtain this due to not having stable housing and adequate resource for recovery. She is unable to use public transportation and uses Access-a-ride to travel. However, this is time-consuming and not always reliable. She is Christian and attends church every Sunday along with church activities. She needs a home attendant but is unable to obtain one due to the shelter not allowing visitors. In addition, the patient does have two nieces in PA but there are distant and career-oriented. She is not technology savvy, and she gets irritable when it requires something to do with technology. VERY IMPORTANT: In this therapy session the therapist is using Cognitive Behavior Health Therapy to indicate how her anxiety impacts daily functioning and mood.
Patient 1 Encounter.
Primary PST interventions used in today’s session: Assisted patient in brainstorming solutions to identified problem, Collaborated with patient to identify possible solutions, Evaluated, with patient, the feasibility of solutions identified, Assisted patient in choosing a solution.
Patient response to PST interventions: The intern addressed the termination and referral out process due to him ending his internship on 05/05/2022. The patient provided the information that she would like to continue her services but at a new felicity. The patient was provided with the pros and cons of starting her treatment at a new facility rather than continuing her treatment at the same location but with a different therapist. Some of the pros the patient suggested are starting over with a new therapist, appointment reminders, providing her with a notice when an appointment is scheduled, and finding a clinic that can assist with her needs. The con the patient mentioned is her charts would not be accessed internally. Since the patient’s pros outweigh the con, the patient declined to continue services at the same facility and explained that she would like a therapist at a new facility and someone who is preferable much older. The patient explained that she feels alone and lonely and that her friends and family members do not reach out to her. Also, if she does not call, it would be months that would pass by, and no contact has been made. She feels that if she does not attempt to call these individuals, she would not hear from them. For example, she reached out to her cousin who lives in Florida, and she responded back via text saying she was busy. It has been approximately two weeks since the call and her cousin did not return her call. The patient explained that at some point a return call would have been appreciated and it is a common courtesy thing to do. This contributes to the patient’s anxiety and make her feel she does not have any support. The patient explained that people are so consumed with their lives that they forget about friends and family even though they are aware of her struggles and living in the shelter. She feels distant because she does not interact with her loved ones except if she contacts them. The patient explains that she cares and because of their history she feels obligated to call them. She wants her friends and family members to make the same effort regarding communication. The patient was encouraged to express her concerns to her loved ones. Also, set up conference calls with her friends and family at a time that is convenient for both parties. The patient expressed that she agreed to the recommendation. The patient even suggested that she can set up a zoom call between her friends. She explained that she used zoom calls for several meetings with her church before but was always invited to the call. The patient expressed her technology barriers/disparities due to age and needing to rely on people to set up the call. The patient was advised to ask someone to create the video call invite, or he can assist. The patient provided the information that she will provide the intern with the date and time of the meeting, and she asked the intern to assist with creating the zoom call link. In addition, the patient was encouraged to set up live dates with her friends. Also, the patient can contact 311 for local social daycare to interact and socialize among individuals to help reduce loneliness. The patient agreed with the recommendations and she will contact 311 for addition assistance.
1. GAD (generalized anxiety disorder) – F41.1 (Primary)
2. Other specified problems related to psychosocial circumstances – Z65.8
3. Living in shelter – Z59.01
Patient 2 Demographics:
The patient is a 24-year African American Bisexual female who currently resides with her 2-year-old son, mother, and older brother in a private residence in Queens, New York. She currently freelances as a makeup artist mostly on the weekends. She is seeking behavioral health services because of recent abortion (March 2022) and relationship issues.
Patient 2 Encounter
PATIENT PRESENTATION TODAY:
The patient was calm, open, and cooperative during the session. She expressed her frustration and difficulties in maintaining stable relationships, especially with her son’s father. She explains that this relationship impacts her mood and triggers her anxiety because it usually more conflict than resolution.
Chronological breakdown of patient traumatic events (limit to sexual/physical/verbal abuse/assault, severe neglect, unexpected death, witness of violence, etc): The patient did not identify any trauma and this section is not applicable to her.
Additional difficult/stressful events patient reports experiencing (eg, divorce, etc): None
Patient readiness to address traumas: No trauma reported.
Identify probable course of treatment: Not applicable since the patient denies experiencing any traumatic events that warrants treatment.
Identify initial treatment modality and why: The intern will use Cognitive behavioral therapy to address the patient’s anxiety. The patient’s difficulty of maintaining stable relationships with her mother and son’s father impacts the patient’s anxiety. This causes her to not be motivated and having difficulties navigating life which makes her feel irritable. CBT will help with managing symptoms, decreasing anxiety, and improving problem-solving for impairments/struggles.
Why Choose Us
Top Quality and Well-Researched Papers
Keeping in mind your instructions and guidelines, our writers ensure to do extensive research before beginning to write. Unique and quality paper is our top priority.
Professional and Experienced Academic Writers
Our team of writers and editors have many years of experience in academic writing. They are native English speakers and able to handle any academic task with ease.
Free Unlimited Revisions
We offer free unlimited revision to our clients. Whenever you feel the need to revise your work submit to our able editors. Our editors will ensure that your paper will be revised to meet your guidelines.
Prompt Delivery and 100% Money-Back-Guarantee
As a team we work hard to ensure a timely delivery of your papers. All you need to do is specify the time frame that you want you paper be submitted. We will work round the clock to beat the deadline.
Original & Confidential
We value your confidentiality and all our payment method are secure. We also use high end writing tools to ensure that all papers delivered are unique.
Customer Support 24/7
Our customer support team are available 24/7 to accept your orders and queries. We are committed to provide you with the best customer experience.
What Our Paper Writing Service Guarantees
You do not have to worry on what to expect because at mypaperwriterspro.com we guarantee you;
Our team of writers and editors is composed of people with diverse writing experiences. All of them have a Ph.D. They are all Ph.D. or M.A. graduates with extensive experience in academic and essay writing. We offer high-quality, original academic writing at an affordable cost.
Every order is written from scratch. We ensure that your papers conform to English conventions and the requirements of your discipline. To ensure originality, we also perform originality checks on all academic papers. Our success rate is 99% and many of our clients achieves their desired grades.
Mypaperwriterspro has a strict anti-plagiarism policy. To ensure that your paper is not flagged as plagiarism, we take extra precautions when writing it. Professional plagiarism detection software is used by our custom paper experts.
Mypaperwriterspro takes the privacy of clients' information very seriously. Mypaperwriterspro does not disclose any information about our transactions with third-party services. Nobody will ever know that you have hired our paper writing service to help with your paper.
Our website offers online security for our customers. Your passwords and personal information are protected and cannot be accessed by anyone else. Our customers are assured that their accounts will not be compromised by hackers. Learn more about the data that we store and how it is used in our privacy statement.
When you order our paper service, you get unlimited free revisions and unlimited drafts. We will ensure that you submit flawless papers. Our paper help website allows you to request multiple revisions.
If the order form indicates that modifications or adjustments are required, only those should be made. These guidelines include, but are not limited to:
You can reach us by email, phone, and live chat. We are always interested in hearing from our customers. We welcome any feedback regarding our paper assistance service. Our customer service representatives are available 24/7, even on holidays and weekends. They can help you place orders, check the status of your order, answer questions, or simply provide information.
Chat with your paper specialist via our live chat. Our professionals are available for unlimited chats. All your questions will be answered within minutes
Do you still feel dissatisfied with your final paper? Don't worry. Mypaperwriterspro is committed to customer satisfaction.
Although it is rare, you can request a partial or full refund if your final paper is not written to your satisfaction. Mypaperwriterspro views our money-back guarantee more as a right than a benefit.
We believe that our clients deserve the best paper services available online. We offer a simple and straightforward refund process if you are not satisfied with the paper.