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Biopsychosocial assessment
Biopsychosocial assessment
Advantages of the biopsychosocial approach
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The case of Carla Washburn using the Biopsychosocial approach starts with the biological level and leads to the assessment that Carla suffers from problems with diabetes with insulin dependency. She also suffers from the physical injury she sustained after a recent fall which produced fractures to her body that needs attention. Addressing Carla’s Psychological level she exhibits symptoms of depression due to the belief that she has no one. Due to the fact that she had lost her husband fifteen years ago, moreover she also had lost both her son to a car crash and her grandson who she had raised after both parents died in a car crash to the war in Afghanistan. She also is worried about her finance because she is concerned that Medicare will not
meet her needs this too needs attention. Lastly addressing Carla’s social level she has lost touch with a lot of her friend because she was raising her grandson, but still possess some close friends like Lolita which she shares similar experiences. Carla also is active in church and has others in her parish that can relate to her such as the Johnson and Jackson families she also has Reverend James Smith that also a possible support for her situation. She also has her sister who is also very concerned about her well-being. The Biopsychosocial approach guided me to understand the underlining factors of Carla’s biology, psychology and social levels which lead me to intervene by first helping Carla with her medical needs like ensuring her medications for her diabetes is addressed. Furthermore introducing her to support groups that share her situation so that they can help each other in problem solving or even render moral support to their common problems. Getting her church reverend introduced to her also may elevate the feeling she is alone. Lastly helping here to find programs to reduce financial stress such as affordable health care and welfare.
Rosa Lee Cunningham is a 52-year old African American female. She is 5-foot-1-inch, 145 pounds. Rosa Lee is married however, is living separately from her husband. She has eight adult children, Bobby, Richard, Ronnie, Donna (Patty), Alvin, Eric, Donald (Ducky) and one child who name she did not disclose. She bore her eldest child at age fourteen and six different men fathered her children. At Rosa Lee’s recent hospital admission to Howard University Hospital emergency room blood test revealed she is still using heroin. Though Rosa Lee recently enrolled in a drug-treatment program it does not appear that she has any intention on ending her drug usage. When asked why she no longer uses heroin she stated she doesn’t always have the resources to support her addiction. Rosa Lee is unemployed and receiving very little in government assistance. She appears to
I carried out this case study on Mrs. Casey (Pseudonym), any 86 year old woman who underwent an elective left total hip replacement (THR). After the OT student studied Mrs. Casey's past medical history in her medical chart, it was noted that she had previously undergone a right THR in 2011, which had been successful and free from complications. Ms. Casey had no other significant past medical history and had been an independent and active woman before the progression of her arthritis. Ms. Casey was required to have total hip replacements carried out on both hip joints as a result of severe Osteoarthritis (OA), which lead to stiffness, pain, and an eventual decrease in mobility, affecting her quality of life and involvement in meaningful occupations.
As previously presented, a psychiatric report states that Mary Maloney is not suffering, or has not suffered in the past, any form of mental disorder or illness. Mrs. Maloney did not have schizophrenia, and she was not bipolar, she was not insane. Given the fact that she was not insane still does not mean that it was impossible for her to have “snapped” and done something irrational at that moment. Yet the likely hood of this even occurring is very slim, in fact the chance of it happening is a 0.1 out of 100 chance. It is known that some mental illnesses are hereditary and may have not showed up on current files therefore; we also brought in psychiatric reports from Mary Maloney’s parents and 3 grandparents. All these reports are clean from any mental disorders. Mary Maloney not having a mental disorder was not the only significant evidence in this report. T...
Barbara believes that in using “psychopathology (Woods 14)” it helps links us to a deeper knowledge of our self-psychology. “Psychopathology is known as the scientific study of mental disorder (Mental Kowalczyk).”More often than not, this is caused by the neglect and abuse shown by parents or guardians of this child. Stated by Woods the “Psychological dysfunction(Woods 14)” of any child, gives everyone an understanding of the problems of COAs, and this severely distressed children who grow up in alcoholic homes. In Woods book she looks into the philosophy of a man named Freud. Freud deems to think that all of these problems are a part of this psychic concept of your id, ego, and superego. When it all comes down to Barbara, finding this all to be a something she calls an “inherent and pernicious flaw (Woods 24) in the COA. What she believes is their sense of familiarity or their security blanket. This gives the
Physical Domain: Abigail Tremucha is the 4th daughter of Jessie Tremucha Jr. and Estela Tremucha. Her eye color is brown just like the rest of her family, and is the darkest of the Tremucha children. Hailing from the Philippines, Abigail is a petite young girl, weighing in at a mere 60 lbs at the height of 4’7”. With this information, she is at the 4th percentile in the weight category and at the 25th percentile in the height category for girls her age. Despite her small stature, she is still rather healthy. When the weather is nice, she would go and play outside with her sisters, doing activities such as riding her bike and rollerblading on the sidewalk and spending roughly an hour or two in
The Open University (2010) K101 An introduction to health and social care, Unit 2, ‘Illness, Health and Care’, Milton Keynes, The Open University.
a. What circumstances and psychological factors will make it particularly difficult for the principal to discuss Miss Hiller’s problems with her. What situational barriers will need to be overcome before Miss Hiller can feel more accepted in the school.
Jason Rivers was involved in Cindy Jones disappearance according to the DNA found on the purse strap. Rivers is a mentally challenged individual. Cindy come from a good home and didn’t deserve to die this way. Rivers has been in trouble with the law prior to this, twenty- five times to be exact. Rivers saw Jones at the grocery store. When Rivers got arrested they found him to be competent and remanded him to the state. The State Mental Hospital released Rivers and said that he was competent enough to stand trial. The case got put for trial on the docket. The jury came up with the conclusion that Rivers bumped into Cindy while in
Margaret Thatcher was the British Prime Minister from 1979-1990. Thatcher was the longest serving British leader of the twentieth century who was an extremely controversial yet effective leader in her time. She had a deep impact on several internal and external policies during her reign. One of Thatcher’s key intentions that she wanted to achieve was reducing the power of trade unions in Britain. In December 1978 even before achieving her role as Prime Minister Thatcher stated that "there is no disguising the damage that some trade unions practices and some trade union policies and some trade union leader are doing to the nation… We shall not bash the unions. Neither shall we bow to them." Consequently it’s clear that before reaching her leading position, Thatcher already had plans to reduce the role trade unions held in industrial affairs. Thatcher had a negative opinion on trade unions, although they held an important position in British industrial relations before she came into office. In World War II trade unions played a significant part in the war effort: the early postwar Labour government established the union’s position, which repealed the restrictive 1927 Trade Disputes and Trade Union Act. Under this act civil servants were not allowed to go on strike and civil unions were not allowed to associate with political parties. Unions were only truly allowed to expand when this regulative legislative material was repealed. In 1979 union membership reached its height, the year the conservatives and Thatcher took control of the house. Over 13 million or around 53% of the workforce were members of a union, which was a high percentage by other international standards. Evidently, when Thatcher was elected Prime Minister...
The biomedical model of health has its foundations in Pasteurs (1822-1896) germ theory with Koch's (1843-1910) refinement to specific causative factors resulting in specific diseases (Germov, 2009, p. 11; Saggers & Gray, 2007, pp. 3-4). This singularity of cause became the basis of the biomedical model. Further based around the Cartesian theory of disease as a dysfunction of the body or it's parts as separate to the mind. Illness is considered to be independant of social or psychological influences; rather it is a deviance from objective measurements of normality (Germov, 2009, pp. 10 -11; White, 2004, p. 29). Individual behaviour known as social agency dominates the biomedical model, ignoring the structural aspects of individual lifestyle (Cockerham, 2005, pp. 51 & 53).
The concept of health and illness being separated into two models provides indication into the two very different but integral paradigms of how to treat patients deemed as needing care. These two models (known as the Biomedical Model and the Psychosocial Environmental Model) classify diagnosis, treatment and care in different ways which some actually share the same purpose. It is important in today’s society to be open to both models as both are used in all practices based on their similarities and their differences as they are able to “provide complimentary explanations rather than competing ones.”(Gilbert, L, Selikow, T & Walker, L., 2009:3).
One aspect of life that most individuals take for granted is physical health. Most people assume that an individual cannot lose physical health or if somebody becomes sick the health care system will be able to recover one’s health with the new medical advances that are always happening around the world. However, this is not always the case some individuals have to face a chronic loss of health and deal with the implications of this on their life. The loss of health I will be talking about today is not a direct loss of personal health, but a loss of health that my father experiences and how different components of this loss affected my family and I’s life.
The open university (2008) K101 An introduction to health and social care, block 1, unit 2, Illness, health and care, pg. 84, Milton Keynes, The open university.
This essay will critically evaluate biological and behaviourist psychological perspectives. A psychological perspective is a theory which attempts to explain human behaviours and motivations. The Biological Approach, which came about in the 1880s, holds that human behaviour is determined by the anatomical structure of the brain. Including the chemicals produced by it and how they interact with each other. This approach is deterministic: it argues that all human behaviour is solely determined by our genetics, brain mechanisms and neurochemicals such as hormones. The Dunedin Longitudinal Study will be evaluated from this perspective. The humanistic perspective has its origins in existential philosophy. It argues that the world is ultimately meaningless and that people are free to choose their own personally worthwhile destinies (Maslow, 1943). The case study ‘Cindy’ will then be evaluated from the humanistic perspective. Lastly, there will be an evaluation of the humanistic therapy - person-centred therapy. The essay will then attempt to come to some conclusions about which approach best explains human behaviour.
To be assessed as having a psychiatric disorder requires medical diagnosis, either from a doctor or a mental health practitioner. A treatment plan will be offered if a diagnosis is made that may include medication and a care plan. Bronwyn is an example of someone who is not classified with a psychiatric disorder, yet is questioning her mental health as life has become unmanageable and overwhelming (The Open University, 2008). The K225 Course Model examines the external influences of the service user and determines whether they have contributed to the mental distress being experienced (The Open University, 2008b, pp.26-27). This essay will use the K225 Model to discuss Bronwyn’s situation, working like a map to reveal the route that has led to her mental distress, explore both the benefits and the drawbacks of being diagnosed with a named psychiatric disorder and how the decision that she makes could impact her life. “To be placed in a category of ‘mental illness’ can have a significant impact on someone’s life” (The Open University, 2008d, p.105).