Social Work Case Study: Client C. R.

Introduction:

LGBT individual encompass all races and ethnicities, religion, and social classes. The face health disparities linked to societal stigma, discrimination and denial of their civil and human rights. Personal, family, and social acceptance of sexual orientation affect the mental health and personal safety of LGBT individuals.

Assessment:

Client C.R. immigrated to the U.S. with his family when he was six from Trinidad. He is a biracial, homosexual twenty-four year old man who shares an apartment with no evidence of cognitive or sensory deficit present. A physiological integrity assessment revealed no mobility inadequacy. He is not on any medication including over the counter meds. He says he has a good appetite and eats well. He hydrates frequently as well. He has good personal hygiene no body odor. He complains of altered sleep pattern. He has a supporting school and work environment. Family is not supportive. He is cut off from them. He redirected his focus on school, and slowly adapting to his family not being in his life.. He is in stage 6: Intimacy versus isolation according to Erikson. This stage is characterized by developing a commitment to work and relationship. Failure in this stage will result in impersonal relationships. He is also level

III post conventional. Conflict between his family’s socially accepted standard and his personal life and rationally choosing himself. He is at stage 3 according to Gilligan moral development. He says he’s undeterred by his unsupportive family and seems to have a deep and strong faith.

Nursing diagnosis:
Coping/Stress Tolerance: Compromised family r/t lack of primary family support AEB isolation

Outcomes (goals):
Outcome for C.R.

must be attainable, directed to his goal, and address his limitation in order to be successful. In his case his two outcomes are: using effective coping strategies and identify need for and seek outside support.

Nursing interventions:

Use effective coping strategies.

i. Use verbal and nonverbal therapeutic communication approaches. This will include active listening, and confrontation to encourage him to express emotion; verbalize fears and concerns.

ii. Assess for the influence of cultural beliefs, norms, and values on his perception of effective

coping.
iii. Encourage him to describe his coping mechanism. In this case support coping behavior and allow relaxation.
iv. Provide opportunities for him to discuss the meaning not having his family might have for him
Identify the need for and seek outside support:
i. Provide information regarding care
ii. Refer to appropriate resources for assistance.
iii. Discuss his power to accept the situation
iv. Encourage the use of social support resources.
Conclusion:
C.R. suppresses his emotions and feelings and getting him to talk about it will be very beneficial to him.