Brian: Case study

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Brian: Case study

  1. 1. Brian’s  story   Enhancing body structures and functions
  2. 2. Introducing  Brian   Brian is 76 years old and retired at 65 from work as the owner of a successful family owned business. He has a good pension that enables him to live his life without the financial worries that many older people have.
  3. 3. Introducing  Brian   In the past Brian dealt with the stresses of working by smoking and drinking heavily. He has now quit smoking and drinks moderately. His wife died two years ago. In that time he has put on weight and has been diagnosed as clinically obese.
  4. 4. Introducing  Brian   Brian lives in a four-bedroomed detached property. He is fiercely independent in terms of maintaining his personal care, not wanting ‘outsiders to come in’ and care for him. As a former engineer, he is really interested in new technology, and considers himself computer literate.
  5. 5. Brian’s  health  
  6. 6. Vision  and  hearing   Brian’s eyesight is failing rapidly. The likely cause of this is age- related macular degeneration. In addition his hearing is not as good as it used to be. Source: Macular Disease Society (2009)
  7. 7. Heart  and  mind   He has been diagnosed with congestive cardiac failure. The impact of this and his obesity has reduced his stamina and makes breathing more difficult. More recently Brian has developed short-term memory problems. Source: MacDonell (2009)
  8. 8. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas:
  9. 9. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas: There have been several occasions when Brian has missed callers because he has not heard the doorbell or phone – especially when he is upstairs or in the kitchen at the back of the house, or is listening to the radio.
  10. 10. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas: On several occasions recently, he has forgotten to take his heart medication at the right time. He has become quite worried about this; and sometimes is uncertain whether he has taken it or not.
  11. 11. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas: Brian’s favourite supermarket is within walking distance. However, he is finding more difficult to maintain the stamina for his weekly shopping-trip; and he finds it difficult to read labels, prices, etc.
  12. 12. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas: He has also indicated to his GP that he has felt increasingly ‘down’ and anxious as the second anniversary of his wife passing away approaches. Although he misses his wife, he doesn’t think this is grief, but more to do with the fact that he feels generally lonely.

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