Rachel presented with postnatal depression and thoughts of harming her baby. She was not sleeping, had lost weight, and felt unable to care for her baby or do daily tasks. Through counseling sessions using Choice Theory/Reality Therapy, the nurse helped Rachel identify problematic thoughts, learn to evaluate their validity, and make a plan to meet her psychological needs and regain enjoyment in life. Rachel made progress regaining control over her thoughts and spending time away from her baby in a supportive environment.
As a clinical social worker it is important to understand group .docxssusera34210
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
REQUIRED resource for assignment
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her
HIV
medications.
The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy.
Click one the above images to begin the conversation.
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.
The Benefits of Infant Massage for Parents Who Have Experienced Miscarriage o...Mary Kay Keller, MPA, PhD
Miscarriage and perinatal death are devastating events that affect a significant number of prospective parents worldwide. These experiences can result in profound grief and emotional distress, often accompanied by feelings of guilt, blame, and anxiety (Brier, 2008; Lok, 2014). While numerous support systems and therapies exist to help individuals cope with pregnancy loss, this presentation explores the potential therapeutic benefits of infant massage, a practice primarily aimed at enhancing the parent-infant bond, in the context of healing after miscarriage or prenatal death.
Infant massage is a tactile therapy involving the gentle manipulation of a baby's body, often using various oils or lotions. It has been utilized for centuries across different cultures as a means of promoting relaxation, enhancing infant development, and fostering attachment between caregivers and infants (Ferber, 2016). Infant massage may have specific applications in aiding the emotional recovery of parents who have experienced pregnancy loss.
Miscarriage and prenatal death can have a profound psychological impact on parents. Common emotional responses include grief, depression, anxiety, and post-traumatic stress disorder (PTSD) (Hughes et al., 2019; Tong, Lu, & Lee, 2012). The trauma associated with these experiences may persist long after the event itself, affecting the ability of parents to form healthy emotional bonds with subsequent children (Kersting et al., 2004).
Parents whose infant may have died post delivery have already experience pre-natal bonding (2022 IMUSA Presentation). Parents who experience miscarriage during the pregnancy experience the death of a fetus experience stages of grief.
Miscarriage and prenatal death can be emotionally traumatic events for prospective parents, often resulting in heightened levels of stress, anxiety, and depression. Infant massage, as a form of touch therapy, offers a unique opportunity for parents to bond with their newborns while potentially addressing their emotional distress.
- The therapy helped the client understand their Asperger's diagnosis and provided strategies to cope with challenges. It reduced feelings of guilt, shame, and self-hatred and improved communication within the family.
- Through understanding their limitations and learning coping strategies, the client gained confidence and was able to participate in social activities and explain their needs to their family.
- The therapy transformed both the client's and family's lives by helping them understand each other better and work as a supportive unit. It provided hope for the future by starting the client on a path of personal growth and independence.
As a clinical social worker it is important to understand group .docxwraythallchan
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
By Day 7
Submit
your Assignment.
Required Readings
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014).
Social work case studies: Concentration year
. Baltimore, MD: Laureate International Universities Publishing [Vital Source e-reader].
“Working With Groups: Latino Patients Living With HIV/AIDS” (pp. 39–41)
Toseland, R. W., & Rivas, R. F. (2017). An introduction to group work practice (8th ed.). Boston, MA: Pearson.
Chapter 11, “Task Groups: Foundation Methods” (pp. 336-363)
Chapter 12, “Task Groups: Specialized Methods” (pp. 364–395)
Himalhoch, S., Medoff, D. R., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis.
AIDS Patient Care and STDs,
21
(10), 732–739
Lasky, G. B., & Riva, M. T. (2006). Confidentiality and privileged communication in group psychotherapy.
International Journal of Group Psychotherapy
,
56
(4), 455–476.
Toseland, R. W., & Rivas, R. F. (2017).
An introduction to group work practice
(8th ed.). Boston, MA: Pearson.
Chapter 1, “Introduction” (pp. 1–42)
Chapter 2, “Historical and Theoretical Developments” (pp. 45–66)
Required Media
Walden University. (n.d.). Cortez multimedia: A meeting of an interdisciplinary team.
MSW Interactive Homepage
[Multimedia file]. Retrieved from https://class.waldenu.edu
Note:
The approximate length of this media piece is 8 minutes.
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whet.
Answer below discussion. Two paragraphs and two references no later .docxnolanalgernon
Answer below discussion. Two paragraphs and two references no later than 5 years.
This week’s discussion questions caused a lot of reflection on how I practice nursing. The questions led me to reflect on what type of nurse I am. Am I doing the best I can, or have I done the best I could? While considering the six ways of knowing I kept coming back to unknowing. The act of being unaware or not being able to fully understand what the patient is experiencing or going through (Heath, 1998). That is how I approach every patient. I have no preconceived notion that I have even the faintest idea of what they must be feeling. It is the ability to be fully present of yourself and open to the patient and their life. The other is empirical knowing. Empirical knowing is the first introduction we have in nursing school. Understanding the science, the epidemiology, the physical nature of the illness or medical situation. I believe there is a lot of value in empirical knowing, as the patients want us to know why and how to do what we do. They place a lot of trust in us to do the right thing. It is part of our daily responsibility to assess and monitor therapeutic response to treatment (Zander, 2007).
Though the entire 6 ways of knowing were brand new to me and it took me some time to reflect on my understanding of these concepts, I fear the two I have put the least focus on in the past but am keenly aware of their implications are emancipatory and aesthetic knowing. This is not to say that I did not practice the art of nursing, using my years of experience to draw on and I am astutely aware of the social, cultural, and political implications of those in my care. I never was able to put a name or definition to them. Emancipatory knowing, the ability to be astutely aware of the social injustices and be able to act in a way to reduce the negative impact of these inequalities (Peart & MacKinnon 2018). Aesthetic knowing, the ability to interpret the patient’s behavior or expression of self and then asking what this means (Zander, 2007). Aesthetic knowing in a simpler phrase might be considered that gut feeling a nurse often refers to.
I am reminded of a recent experience I had when I was given the privilege to assist another nurse on a home visit. This nurse is an incredible pediatric nurse. I admire her aesthetic way of knowing and how she is so patient and kind with the children she cares for. This young boy, age 11, was recently diagnosed with Pediatric Autoimmune Neurological Disorders Associated with Streptococcal Infections (PANDAS). It is a horrid and unexpected disease that takes an otherwise perfectly healthy child and they become severely paranoid, have expressions of sudden onset OCD type behaviors, and a myriad of other symptoms (International OCD Foundation, n.d.). This young boy was to receive Intravenous Immunoglobulin (IVIG) at his home, requiring placement of a peripheral IV. I was called in for re.
Therapy dogs were used in a 2014 study measuring their impact on pediatric oncology patients. One child in the study, 5-year old Bryce with leukemia, would meet with a therapy dog named Swoosh for 20 minutes before appointments. Swoosh helped distract Bryce from his treatments. Immunotherapy is a new treatment for relapsed acute lymphoblastic leukemia showing a 93% remission rate. T cells are taken from patients and reengineered to recognize cancer, then reinfused. Teddy bears are known to comfort sick children, and a teddy bear named T-Bear visits patients at Seattle Children's Hospital to provide hope.
Generalist practice in social work is an approach to client servic.docxJeanmarieColbert3
Generalist practice
in social work is an approach to client service that makes use of a variety of methods, schools of thought, and perspectives. The term describes social work practice that is not limited to only one method or point of view. Generalist social work practitioners stay informed of current research in their field, and they select methods that seem most appropriate to the different situations that their clients face.
For this Assignment,
select one of the case studies provided in the Readings. Consider different ways of describing generalist practice and how you might identify it in social work.
Submit a 2- to 3-page paper in which you address the following criteria:
Create a definition of generalist practice using your own words.
Identify at least three specific examples of generalist practices you see portrayed in your selected case study.
Indicate the characteristics that make each an example of generalist practice.
Explain the effectiveness (or ineffectiveness) of each example in terms of its benefit to clients.
Reference
Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). (2014).
Working with survivors of sexual abuse and trauma: The case of Angela
. In
Social work case studies: Foundation year.
Retrieved from http://www.vitalsource.com
Working With Survivors of Sexual Abuse and Trauma: The Case of Angela
Angela is a 27-year-old, Caucasian female, who first came to counseling to address her history of sexual abuse. She graduated from college with a BS in chemistry and has since been employed by pharmaceutical companies. After obtaining a new job, she relo¬cated to an apartment in an East Coast city where she knew no one. Both of Angela’s parents live on the West Coast, and she has one younger brother who also lives in a different state. Angela has limited contact with both her mother and brother and does not have any contact with her father. Angela is obese and disclosed a history of struggling with her weight and eating issues. She has few friends, and those she does have live far away.
Angela has a long history of trauma in her life. She was sexually abused between the ages of 9 and 21 by her father, sexually assaulted at the age of 14 by a classmate in school, and mugged as a young adult. There was domestic violence in the home, also perpetrated by her father. Angela’s father is considered an upstanding member of the community, and he is well liked and respected by others. No one in Angela’s family believes that she was sexually abused, and her father joined a “false memory syndrome” group and is outspoken about that issue. There has been little discussion in her family about what took place in the home while she was growing up.
Angela struggled with daily functioning and exhibited symp¬toms of post-traumatic stress disorder (PTSD). She had a history of cutting herself and binge eating and displayed some charac¬teristics of borderline personality disorder. Angela also mildly dissociated when under duress..
As a clinical social worker it is important to understand group .docxssusera34210
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
REQUIRED resource for assignment
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her
HIV
medications.
The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy.
Click one the above images to begin the conversation.
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.
The Benefits of Infant Massage for Parents Who Have Experienced Miscarriage o...Mary Kay Keller, MPA, PhD
Miscarriage and perinatal death are devastating events that affect a significant number of prospective parents worldwide. These experiences can result in profound grief and emotional distress, often accompanied by feelings of guilt, blame, and anxiety (Brier, 2008; Lok, 2014). While numerous support systems and therapies exist to help individuals cope with pregnancy loss, this presentation explores the potential therapeutic benefits of infant massage, a practice primarily aimed at enhancing the parent-infant bond, in the context of healing after miscarriage or prenatal death.
Infant massage is a tactile therapy involving the gentle manipulation of a baby's body, often using various oils or lotions. It has been utilized for centuries across different cultures as a means of promoting relaxation, enhancing infant development, and fostering attachment between caregivers and infants (Ferber, 2016). Infant massage may have specific applications in aiding the emotional recovery of parents who have experienced pregnancy loss.
Miscarriage and prenatal death can have a profound psychological impact on parents. Common emotional responses include grief, depression, anxiety, and post-traumatic stress disorder (PTSD) (Hughes et al., 2019; Tong, Lu, & Lee, 2012). The trauma associated with these experiences may persist long after the event itself, affecting the ability of parents to form healthy emotional bonds with subsequent children (Kersting et al., 2004).
Parents whose infant may have died post delivery have already experience pre-natal bonding (2022 IMUSA Presentation). Parents who experience miscarriage during the pregnancy experience the death of a fetus experience stages of grief.
Miscarriage and prenatal death can be emotionally traumatic events for prospective parents, often resulting in heightened levels of stress, anxiety, and depression. Infant massage, as a form of touch therapy, offers a unique opportunity for parents to bond with their newborns while potentially addressing their emotional distress.
- The therapy helped the client understand their Asperger's diagnosis and provided strategies to cope with challenges. It reduced feelings of guilt, shame, and self-hatred and improved communication within the family.
- Through understanding their limitations and learning coping strategies, the client gained confidence and was able to participate in social activities and explain their needs to their family.
- The therapy transformed both the client's and family's lives by helping them understand each other better and work as a supportive unit. It provided hope for the future by starting the client on a path of personal growth and independence.
As a clinical social worker it is important to understand group .docxwraythallchan
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
By Day 7
Submit
your Assignment.
Required Readings
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014).
Social work case studies: Concentration year
. Baltimore, MD: Laureate International Universities Publishing [Vital Source e-reader].
“Working With Groups: Latino Patients Living With HIV/AIDS” (pp. 39–41)
Toseland, R. W., & Rivas, R. F. (2017). An introduction to group work practice (8th ed.). Boston, MA: Pearson.
Chapter 11, “Task Groups: Foundation Methods” (pp. 336-363)
Chapter 12, “Task Groups: Specialized Methods” (pp. 364–395)
Himalhoch, S., Medoff, D. R., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis.
AIDS Patient Care and STDs,
21
(10), 732–739
Lasky, G. B., & Riva, M. T. (2006). Confidentiality and privileged communication in group psychotherapy.
International Journal of Group Psychotherapy
,
56
(4), 455–476.
Toseland, R. W., & Rivas, R. F. (2017).
An introduction to group work practice
(8th ed.). Boston, MA: Pearson.
Chapter 1, “Introduction” (pp. 1–42)
Chapter 2, “Historical and Theoretical Developments” (pp. 45–66)
Required Media
Walden University. (n.d.). Cortez multimedia: A meeting of an interdisciplinary team.
MSW Interactive Homepage
[Multimedia file]. Retrieved from https://class.waldenu.edu
Note:
The approximate length of this media piece is 8 minutes.
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whet.
Answer below discussion. Two paragraphs and two references no later .docxnolanalgernon
Answer below discussion. Two paragraphs and two references no later than 5 years.
This week’s discussion questions caused a lot of reflection on how I practice nursing. The questions led me to reflect on what type of nurse I am. Am I doing the best I can, or have I done the best I could? While considering the six ways of knowing I kept coming back to unknowing. The act of being unaware or not being able to fully understand what the patient is experiencing or going through (Heath, 1998). That is how I approach every patient. I have no preconceived notion that I have even the faintest idea of what they must be feeling. It is the ability to be fully present of yourself and open to the patient and their life. The other is empirical knowing. Empirical knowing is the first introduction we have in nursing school. Understanding the science, the epidemiology, the physical nature of the illness or medical situation. I believe there is a lot of value in empirical knowing, as the patients want us to know why and how to do what we do. They place a lot of trust in us to do the right thing. It is part of our daily responsibility to assess and monitor therapeutic response to treatment (Zander, 2007).
Though the entire 6 ways of knowing were brand new to me and it took me some time to reflect on my understanding of these concepts, I fear the two I have put the least focus on in the past but am keenly aware of their implications are emancipatory and aesthetic knowing. This is not to say that I did not practice the art of nursing, using my years of experience to draw on and I am astutely aware of the social, cultural, and political implications of those in my care. I never was able to put a name or definition to them. Emancipatory knowing, the ability to be astutely aware of the social injustices and be able to act in a way to reduce the negative impact of these inequalities (Peart & MacKinnon 2018). Aesthetic knowing, the ability to interpret the patient’s behavior or expression of self and then asking what this means (Zander, 2007). Aesthetic knowing in a simpler phrase might be considered that gut feeling a nurse often refers to.
I am reminded of a recent experience I had when I was given the privilege to assist another nurse on a home visit. This nurse is an incredible pediatric nurse. I admire her aesthetic way of knowing and how she is so patient and kind with the children she cares for. This young boy, age 11, was recently diagnosed with Pediatric Autoimmune Neurological Disorders Associated with Streptococcal Infections (PANDAS). It is a horrid and unexpected disease that takes an otherwise perfectly healthy child and they become severely paranoid, have expressions of sudden onset OCD type behaviors, and a myriad of other symptoms (International OCD Foundation, n.d.). This young boy was to receive Intravenous Immunoglobulin (IVIG) at his home, requiring placement of a peripheral IV. I was called in for re.
Therapy dogs were used in a 2014 study measuring their impact on pediatric oncology patients. One child in the study, 5-year old Bryce with leukemia, would meet with a therapy dog named Swoosh for 20 minutes before appointments. Swoosh helped distract Bryce from his treatments. Immunotherapy is a new treatment for relapsed acute lymphoblastic leukemia showing a 93% remission rate. T cells are taken from patients and reengineered to recognize cancer, then reinfused. Teddy bears are known to comfort sick children, and a teddy bear named T-Bear visits patients at Seattle Children's Hospital to provide hope.
Generalist practice in social work is an approach to client servic.docxJeanmarieColbert3
Generalist practice
in social work is an approach to client service that makes use of a variety of methods, schools of thought, and perspectives. The term describes social work practice that is not limited to only one method or point of view. Generalist social work practitioners stay informed of current research in their field, and they select methods that seem most appropriate to the different situations that their clients face.
For this Assignment,
select one of the case studies provided in the Readings. Consider different ways of describing generalist practice and how you might identify it in social work.
Submit a 2- to 3-page paper in which you address the following criteria:
Create a definition of generalist practice using your own words.
Identify at least three specific examples of generalist practices you see portrayed in your selected case study.
Indicate the characteristics that make each an example of generalist practice.
Explain the effectiveness (or ineffectiveness) of each example in terms of its benefit to clients.
Reference
Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). (2014).
Working with survivors of sexual abuse and trauma: The case of Angela
. In
Social work case studies: Foundation year.
Retrieved from http://www.vitalsource.com
Working With Survivors of Sexual Abuse and Trauma: The Case of Angela
Angela is a 27-year-old, Caucasian female, who first came to counseling to address her history of sexual abuse. She graduated from college with a BS in chemistry and has since been employed by pharmaceutical companies. After obtaining a new job, she relo¬cated to an apartment in an East Coast city where she knew no one. Both of Angela’s parents live on the West Coast, and she has one younger brother who also lives in a different state. Angela has limited contact with both her mother and brother and does not have any contact with her father. Angela is obese and disclosed a history of struggling with her weight and eating issues. She has few friends, and those she does have live far away.
Angela has a long history of trauma in her life. She was sexually abused between the ages of 9 and 21 by her father, sexually assaulted at the age of 14 by a classmate in school, and mugged as a young adult. There was domestic violence in the home, also perpetrated by her father. Angela’s father is considered an upstanding member of the community, and he is well liked and respected by others. No one in Angela’s family believes that she was sexually abused, and her father joined a “false memory syndrome” group and is outspoken about that issue. There has been little discussion in her family about what took place in the home while she was growing up.
Angela struggled with daily functioning and exhibited symp¬toms of post-traumatic stress disorder (PTSD). She had a history of cutting herself and binge eating and displayed some charac¬teristics of borderline personality disorder. Angela also mildly dissociated when under duress..
Alison, a 38-year old divorced mother of two, presented with symptoms of depression including low mood, lack of appetite, disturbed sleep, fatigue, and feelings of worthlessness. During her assessment, she displayed labile affect, soft and monotonous speech, and impaired memory and concentration. She reported a previous depressive episode following her divorce and a past suicide attempt. The therapist established rapport by greeting Alison warmly and asking how she preferred to be addressed. Throughout the session, the therapist used reflective listening skills, open-ended questions, paraphrasing, and summarizing to understand Alison's experience and perspective. The therapist also employed motivational interviewing to help Alison identify her strengths and internal resources. While the
Karen, a 36-year-old woman with a history of childhood abuse and unstable relationships, is diagnosed with borderline personality disorder. The therapist plans to use dialectical behavior therapy (DBT) and mentalization-based treatment to address Karen's self-harming behaviors and improve her quality of life. DBT focuses on mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness skills. It has been shown to significantly reduce suicide risks and self-injury in BPD patients. The therapist will take a nonjudgmental approach, validate Karen's experiences, and encourage new interpretations and coping skills to reduce self-harming behaviors over the course of weekly individual and group therapy sessions.
This document discusses the importance of therapists addressing their own unresolved issues and childhood conflicts in order to effectively help patients. It notes that unresolved problems in a therapist's life can negatively influence the therapeutic process through countertransference. The document recommends therapy for therapists to help recognize and manage countertransference responses that could violate patient boundaries or priorities. It emphasizes the need for self-reflection in therapists to prevent their own needs from interfering with the patient's therapeutic process.
The document discusses communication strategies for difficult patient interactions. It provides a framework called NURS to improve communication by naming the patient's emotions, understanding and validating them, respecting their experience, and supporting partnership. Specific types of difficult patients are described such as angry, non-compliant, seductive, and manipulative patients. Strategies are outlined for each type, emphasizing active listening, validating concerns, and setting clear boundaries. The goal is to de-escalate conflicts and establish trust and shared understanding to improve the patient-provider relationship.
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docxjenkinsmandie
This summary analyzes the vignette using a narrative therapy approach. It discusses how John and Mary may have internalized different cultural narratives from their upbringings that influence their parenting styles. John's view of tough discipline could stem from experiencing racism growing up and wanting to prepare his sons, while Mary's desire to protect her sons may relate to traditional gender roles in African American families. The therapist would need to be culturally sensitive and understand each person's perspective without stereotyping, while also considering their ethical and legal obligations.
This document provides guidance on communicating with difficult patients. It discusses different types of difficult patients, including angry, non-compliant, seductive, and manipulative patients. It also presents two clinical cases and discusses challenges and strategies for each. For the first case of a child with pneumonia, the goals are to provide information to address cognitive needs and show interpersonal sensitivity and partnership to address affective needs. For the second case of an upset mother, negative factors include the mother's demanding nature and the provider's frustration, while the goal is to alleviate concerns through active listening and validation using the NURS mnemonic.
Reality theory is a practical theory developed by William Glasser that focuses on strengthening relationships and personal responsibility. The theory posits that human behavior is motivated by the desire to meet basic psychological needs and that people have complete control over their own behaviors. For a client named Ana dealing with job loss, family issues, and anxiety with a newborn, reality therapy would aim to help her change unhelpful behaviors, reconnect with supportive relationships, and apply choice theory to take control of her responses. The counselor's role is to build rapport, ask questions to explore behaviors, and help the client develop an action plan.
The document discusses why patients should aim to become expert patients. It provides the story of "Linda" who reluctantly attended an expert patient workshop and blossomed, going on a family holiday and making plans to emigrate. It also shares the author's own story of struggling with undiagnosed conditions until attending an expert patient workshop helped reduce feelings of isolation and increase confidence. The expert patient concept is important as it empowers patients by making them experts in their own conditions and recovery.
The document summarizes 5 case studies of mothers who called a postpartum health hotline seeking help for symptoms of postpartum depression:
Case 1 involves a mother with an 8-month-old and older child who has a history of depression and is struggling with breastfeeding.
Case 2 is a mother with three children seeing her doctor for possible postpartum depression.
Case 3 is a mother with a 3-week-old who dislikes holding or breastfeeding her baby and has mood swings.
Case 4 is a first-time mother with a history of depression seeking reassurance that her symptoms are temporary.
Case 5 involves a concerned mother seeking a second opinion on whether medication during
inventor who is currently living in Northeast Ohio and answer.docxstudywriters
The document provides instructions for an assignment asking students to research an inventor currently living in Northeast Ohio. It lists 9 questions to answer about the inventor, including their name, invention, impact of the invention, benefits to the inventor, improvements over time, work background, funding sources, number of patents, and personal background details. Students are to include 2 references in APA format and not use 3 specific inventors for the assignment.
Health care organizations strive to create a culture of.docxstudywriters
Despite efforts to improve patient safety, medical errors continue to occur. Some errors result in minor issues, while others can permanently alter or end a patient's life. Many errors stem from ineffective communication between caregivers. This document discusses analyzing a medical error or near miss to identify contributing factors, preventability, stakeholder impacts, team responsibilities, quality improvement measures taken, and proposed additional solutions to prevent similar incidents.
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Health care has become dependent on information technology like electronic medical records to deliver, monitor, and communicate patient care. IT plays a key role in measuring and improving the quality of care through tools like EMRs and EHRs, which can help providers access patient information but may also introduce challenges in healthcare delivery if not implemented correctly.
Health care facilities treat many types of For.docxstudywriters
Health care facilities collect patient data to document treatment, support reimbursement processes, and maintain patient health. The type of data collected varies depending on the facility and whether patients are inpatients, outpatients, or long-term patients. This document discusses three common data sets - the Uniform Hospital Discharge Data Set for inpatients, the Uniform Ambulatory Care Data Set for outpatients, and the Minimum Data Set for long-term patients. The writer is tasked with reviewing each data set, describing their elements, and identifying one similarity and difference between the sets.
The document discusses the requirements for a student paper on the Health Belief Model theory. Students must write a 4-6 page paper, excluding references and title page, that: 1) Explains the concepts and subconcepts of the Health Belief Model theory clearly and simply; 2) Describes how the theory can be broadly applied across cultures and provides examples; 3) Discusses the impact and future implications of the theory, citing at least 3 references excluding Wikipedia. The paper will be graded based on an rubric evaluating the discussion of the theory, examples of its application, impact and references, as well as adherence to APA style guidelines.
The document provides instructions for a graded assignment on applying the nursing process in a health assessment. Students are asked to:
1) Describe their practice setting and typical patient population.
2) Provide examples of subjective and objective data collected through assessment.
3) Explain their documentation process and whether technology is involved.
4) Describe how they analyze data and what the end result is, such as formulating nursing diagnoses and care plans.
This chapter discusses how health policy, politics, and professional ethics intersect. It explores how nurses can influence policy and advocates for ethical, evidence-based policymaking. The chapter also examines the political process and nurses' role in advocating for patients and the profession.
To understand factors related to disease outbreaks, one must assess concepts related to health behavior, communication, and advocacy. A community coalition meeting presentation script should address verbalizing the local measles problem and assistance needs, describing intrapersonal and interpersonal factors contributing to measles contraction, identifying health behaviors to reduce measles risk, explaining how social marketing principles can change measles-related behaviors, and examining benefits and consequences of health advocacy to policymakers.
he brain changes as we Explain the changes in.docxstudywriters
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1. Three ways to ensure standard measures of performance in medical records management are: regular training and education on standards; consistent quality control through audits and reviews; and adherence to established policies and procedures.
2. The Joint Commission is an accreditation agency that affects the area of information management in medical records. Accreditation sets requirements for collecting, storing, and using records. Hospitals following accreditation have formal record management policies, while those setting their own policies may have inconsistent approaches increasing errors.
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1) The role of perception and principles of cross-cultural communication.
2) The importance of active listening, and how communication climates and technology affect interactions.
3) Different types of conflict and strategies for effective management.
4) The significance of teamwork, consumer relations, and positive employee relations.
The presentation outlines key lessons from each week, best practices like clear communication and goal setting, and examples of applying these skills to enhance organizational performance and patient satisfaction.
Alison, a 38-year old divorced mother of two, presented with symptoms of depression including low mood, lack of appetite, disturbed sleep, fatigue, and feelings of worthlessness. During her assessment, she displayed labile affect, soft and monotonous speech, and impaired memory and concentration. She reported a previous depressive episode following her divorce and a past suicide attempt. The therapist established rapport by greeting Alison warmly and asking how she preferred to be addressed. Throughout the session, the therapist used reflective listening skills, open-ended questions, paraphrasing, and summarizing to understand Alison's experience and perspective. The therapist also employed motivational interviewing to help Alison identify her strengths and internal resources. While the
Karen, a 36-year-old woman with a history of childhood abuse and unstable relationships, is diagnosed with borderline personality disorder. The therapist plans to use dialectical behavior therapy (DBT) and mentalization-based treatment to address Karen's self-harming behaviors and improve her quality of life. DBT focuses on mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness skills. It has been shown to significantly reduce suicide risks and self-injury in BPD patients. The therapist will take a nonjudgmental approach, validate Karen's experiences, and encourage new interpretations and coping skills to reduce self-harming behaviors over the course of weekly individual and group therapy sessions.
This document discusses the importance of therapists addressing their own unresolved issues and childhood conflicts in order to effectively help patients. It notes that unresolved problems in a therapist's life can negatively influence the therapeutic process through countertransference. The document recommends therapy for therapists to help recognize and manage countertransference responses that could violate patient boundaries or priorities. It emphasizes the need for self-reflection in therapists to prevent their own needs from interfering with the patient's therapeutic process.
The document discusses communication strategies for difficult patient interactions. It provides a framework called NURS to improve communication by naming the patient's emotions, understanding and validating them, respecting their experience, and supporting partnership. Specific types of difficult patients are described such as angry, non-compliant, seductive, and manipulative patients. Strategies are outlined for each type, emphasizing active listening, validating concerns, and setting clear boundaries. The goal is to de-escalate conflicts and establish trust and shared understanding to improve the patient-provider relationship.
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docxjenkinsmandie
This summary analyzes the vignette using a narrative therapy approach. It discusses how John and Mary may have internalized different cultural narratives from their upbringings that influence their parenting styles. John's view of tough discipline could stem from experiencing racism growing up and wanting to prepare his sons, while Mary's desire to protect her sons may relate to traditional gender roles in African American families. The therapist would need to be culturally sensitive and understand each person's perspective without stereotyping, while also considering their ethical and legal obligations.
This document provides guidance on communicating with difficult patients. It discusses different types of difficult patients, including angry, non-compliant, seductive, and manipulative patients. It also presents two clinical cases and discusses challenges and strategies for each. For the first case of a child with pneumonia, the goals are to provide information to address cognitive needs and show interpersonal sensitivity and partnership to address affective needs. For the second case of an upset mother, negative factors include the mother's demanding nature and the provider's frustration, while the goal is to alleviate concerns through active listening and validation using the NURS mnemonic.
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The document discusses why patients should aim to become expert patients. It provides the story of "Linda" who reluctantly attended an expert patient workshop and blossomed, going on a family holiday and making plans to emigrate. It also shares the author's own story of struggling with undiagnosed conditions until attending an expert patient workshop helped reduce feelings of isolation and increase confidence. The expert patient concept is important as it empowers patients by making them experts in their own conditions and recovery.
The document summarizes 5 case studies of mothers who called a postpartum health hotline seeking help for symptoms of postpartum depression:
Case 1 involves a mother with an 8-month-old and older child who has a history of depression and is struggling with breastfeeding.
Case 2 is a mother with three children seeing her doctor for possible postpartum depression.
Case 3 is a mother with a 3-week-old who dislikes holding or breastfeeding her baby and has mood swings.
Case 4 is a first-time mother with a history of depression seeking reassurance that her symptoms are temporary.
Case 5 involves a concerned mother seeking a second opinion on whether medication during
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Post Natal Depression Case Study.docx
1. Post Natal Depression Case Study
Post Natal Depression Case StudyCase Study.A 21 year old lady presented at Crisis
Intervention Team (CIT) stating that she has these thoughts in her mind that she is going to
harm her baby. She was experiencing an excessive fear of what she might do to her baby
since these thoughts were telling her that she was going to knock the baby’s head against
the wall.She was physically trembling with fear and anxiety. She had reduced her food
intake and this had resulted in considerable weight loss. She was not sleeping at night
leading to tiredness, lethargy which was hindering Rachel (imaginary name) from
performing her daily chores.The pregnancy was unplanned but her boyfriend Robert
(imaginary name) was very supportive during and after the pregnancy. He was very
worried about Rachel since she had a complete change in character and from a happy go
lucky person she had turned into an introvert always worried and depressed. Post Natal
Depression Case StudyRachel explained that she had always thought that motherhood
would be an enjoyable period in life. She had always dreamt of this period but she had never
imagined that it would end up to be the worst experience of her life. She was so focused on
her baby that she had forgotten how to live. She was all the time concentrating on her
childhood, how much she had felt neglected by her mother at that time and her innermost
fear was that she will end up behaving like her; that is why she had stopped working, going
out and enjoying everyday life. Despite this, she was feeling guilty that she was not giving
enough attention to her baby.CIT offers follow up sessions for 3 to 4 weeks, during which
Rachel was asked to identify her problems and prioritise them. By identifying areas where
she would like to improve, she would be lessening her suffering and make herself feel
better; this was done together with the nurse. Post Natal Depression Case StudyCare
PlanMedical Point of viewRachel was seen by the CIT psychiatrist who prescribed
antidepressants with the aim to try and alleviate Rachel’s mood. Glasser (2003) complained
that it is a pity that nowadays psychiatrist and medical doctors prescribe psychiatric drugs
prior giving counselling sessions first. The role of the nurse regarding her treatment was to
educate the patient regarding the importance of concordance and informing Rachel about
any side effects that might occur when starting treatment.Post Natal Depression Case
StudyThe Role of the nurseThe role of the nurse is to help the patient get better by offering
the optimum level of care in order to empower her patient and help him/her improve
his/her quality of life. Smith, Wolf and Turkel in 2012, explained that for the patient to be
cured, s/he needs to be cared for as no curing can occur without caring (p.137). The nursing
care plan should be planned together with the patient in order to identify the patient’s
2. needs, plan and set goals to overcome the obstacles. Kelsey (2013) stated that NHS is
emphasising on patient participation in the care plan as this will help the nurse to engage
more with the patient while the patient will feel more empowered. This concept is firmly
believed at CIT, and it was always stressed that all professionals collaborate for optimum
care delivery together with patient. The patient also has the right to choose family members
and/or friends whom he wished to be involved in his/her care.Post Natal Depression Case
StudyBuilding a therapeutic relationshipIn order to formulate a care plan with the patient, a
therapeutic relationship must be built for a successful outcome. Caring is based on a
relationship and for relationships to be effective both parties must be involved, (Govier,
1992). The fulcrum of nursing care is building a nurse-patient relationship by engaging with
the patient and his carers.Building a therapeutic relationship helps the nurse to gain
indispensible information about her/his patient whilst the patient learns how to trust the
nurse (Lehman et al., 2004). Although according to nurses trust is vital for building a
therapeutic relationship, this can be very difficult to establish with the patient.Literature
states that trust has been a debatable topic in research; it does not concern only on the
health care profession but includes also the institutions and other services providing the
care, (Laugharne & Priebe, 2006). In Malta there is still a good amount of stigma regarding
Mental Health and Mental Hospital thus people are afraid to talk about their mental health
problems. The stigma that surrounds the name of the mental health hospital in Malta still
carries fear of the unknown and beliefs about mental illness hinder the patients from
seeking help. This often results in severe deterioration leading to an involuntary admission
(Farrugia, 2006).The same thing happened with Rachel at the beginning of our sessions
when she was still terrified to discuss her innermost thoughts, believing that she would be
judged and labelled as mentally ill thus providing grounds for an admission. Rachel needed
to overcome her fears and start to confide in the nurse. Post Natal Depression Case StudyIn
order to gain her trust, the nurse had to reassure Rachel that no harm will come to her and
if she wishes CIT could offer her care in the community reassuring her fears regarding
hospitalisation. This could only happen if Rachel agrees to work with the team members
and keep to the plan which they had agreed on together. Rachel agreed with the proposal
inviting her boyfriend to join the plan, which he accepted. Support and information was
provided to both parties and they were satisfied with the plan.Post Natal Depression Case
StudyRespect and EmpathyThe nurse assured Rachel that both parties should respect each
other. Papastavrou et al (2012) explains that to show respect towards a patient one should
allow autonomy, show dignity towards the person, care for him/her holistically and ensure
privacy and confidentiality. Assuring the patient that since she is seeking help, the team’s
aim was to provide that help and not to judge her thoughts and actions.For the nurse to be
able to understand the patient better she has to put him/herself in the patient’s shoes and
this skill is called Empathy. Empathy was found helpful to humanize the care delivered to
the patient (Barker, 2003). When the nurse shows that his/her intentions are genuine and
is trying to understand the situation by offering help and keeping agreements, the patient
will start to trust her/him.Post Natal Depression Case StudyCommunicationEstablishing
trust, showing respect and empathy to the patient, needs good communication skills;
Taylor, Lillis, Lemone, Lynn, and Smeltzer (1989), claimed that a therapeutic relationship
3. can never be built if there is no good communication skills. It is imperative for the nurse to
learn to listen attentively to verbal communication but also to learn to read the non-verbal
communication that the patient is sending. Through the non-verbals, the nurse can extract
information which the patient wishes to hide such as fear and anxiety through her body
language (Stuart, 2009). Glasser (2003), emphasised on the importance to allow time for
patient to narrate their problem, in order to be able to assess the patient in depth.Tackling
the problemShe does not like her life at the moment.She misses work and school (she was
learning art, her hobby is drawing)She hates the thought of becoming like her motherShe
hates the thoughts that are obscuring her mind preventing her from enjoying life. Post Natal
Depression Case StudyThe nurse went through the list of problems written by the patient
and together with Rachel she tried to group them into categories. Keeping in mind that CIT
service is provided over a limited amount of time, it is of utmost importance that the team
tackle the urgent problems which have prevented the patient from functioning normally
and reaching a Crisis. For secondary problems, Rachel will be referred to another team who
can offer longer term care.The first two problems discussed were the fact that she is absent
from work and not attending art school at the moment. This fact is making her feel useless
and lonely. She is not doing these things because she thinks that if she starts to do things
that she used to enjoy, she will neglect her child. This will make her worst fear that she will
become like her mother come true. This made it easier for the nurse to narrow the amount
of problems because in agreement with Rachel they decided to group all the three problems
under one heading: fear of becoming like mum. Rachel admitted that if she could be sure
that she would be nothing like her mother she would feel less stressed. Post Natal
Depression Case StudyThe second problem was her bizarre thoughts which were
persecuting her. During the first meeting they discussed at length the issue of harming her
child and what chance there was that she would actually harm him. She took so much care
of her child since his birth three months ago that it was highly unlikely that she would ever
harm him. In reality she was caring fulltime for the child, taking care of him 24 hours a day
and never leaving his side. Rachel’s boyfriend assured the nurse that she never left her child
unattended. He explained that they were living with her mother who took care of the house
chores and gave them moral support whilst Rachel took care of her child.After discussing all
this with Rachel it was concluded that what she was feeling was unhappy, she lost her joy of
living. It was important for Rachel to try to control her thoughts and worries and to try
learning to sort them out. First she needs to work out if the worries are founded or not and
when that answer is found she needs to choose whether to ignore or believe them. The
nurse opted to work with Rachel on the steps of Reality/ Reality Theory by Glasser to help
her overcome these fears.Post Natal Depression Case StudyThe Reality Therapy/Choice
therapy.William Glasser developed Reality therapy way back in the sixties and it was based
on identity theory, (Zastrow, 2010). The last two decades Glasser noted that his therapy
focused more on human behaviour, how can it be altered and improved leading him to
change the name of Reality Therapy to Choice Therapy, (Wubbolding, 2013). The choice
theory explains how the life of the individual is determined by the choices he made. Every
individual has his perceptions about his/her reality of life and according to Glasser the
individual behaviour is in constant attempt to narrow between what we want and what we
4. have (Zastrow, 2010 pg 491). The aim of the therapy is to help and teach individual to
satisfy the internal motivation and or basic psychological needs.Post Natal Depression Case
StudyORDER A PLAGIARISM- FREE PAPER NOWThe Choice therapy focuses on the basic
needs of the individual. Glasser (1996) explained that the therapy emphasised the four
basic psychological needs which included belonging, power, freedom and survival (Jong-un,
2007). Belonging refers to family and friends. People; with whom a person can socialise,
enjoy him/herself with, as well as feel loved. Power refers to the individual achievements in
life such as achieving dreams and feeling worthwhile. Having your own space, acting
independently, being autonomous and deciding for yourself covers the need of freedom.
Whereas, survival needs are covered by nourishment, intimate relationships and shelter.
Sunich (2007) in his article argued that Glasser wrote about five basic needs and the ones
mentioned above and adding fun.Post Natal Depression Case StudyContrary to traditional
theories, the Reality Therapy promotes the idea to focus on the ‘here and now’ and reduce
concentrating on the past. The therapy is based on the patient’s willingness to change, make
choices, take responsibility and sustain commitment. Its aim is to assess and identify the
unmet needs of the patient exploring what behaviours they are displaying that either assist
or interfere with them meeting their needs (Sunich, 2007 pg.3).Working the therapy with
RachelThe nurse explained how choice therapy works and Rachel agreed that she would
like to give it a try. The nurse explained that reality therapy is best summarized as WDEP
which means: wanting, doing, evaluation and planning, (Cameron, 2013). Post Natal
Depression Case StudyIn Rachel’s situation, it is important to focus on what she really
Wants; she wished to get rid of her thoughts and fear. It was explained to her that she needs
to start to learn to identify unrealistic thoughts and learn to control them. After the problem
was ascertained the next step taken was to ask Rachel what she was Doing to try and get
what she wished for. Rachel tried to explain what she had been doing but Evaluating the
situation together Rachel admitted that the method she had chosen was not working. After
that Rachel and the nurse agreed to try and formulate a new Plan which will help Rachel
gain her joy in life back,(Cameron, 2013) . Post Natal Depression Case StudyIn the first
session Rachel described herself as: “blocked in a black tunnel”, she was afraid to talk about
her thoughts because the nurse might think that she was “going crazy”. but could feel that
with the right support there is hope for her illness. The nurse had to explain to Rachel that
she should stop labelling herself as depressed and concentrate on how she was feeling at
that moment. Rachel admitted she was feeling unhappy, and this was caused because the
patient had stopped doing the things, she liked to do so that she would be able to
concentrate on her son 24 hours a day 7 days a week. Although she knew that she was still
fearful of the thought that she might harm the baby. The nurse explained that feeling
unhappy for a reason is not being “crazy”; the important thing is doing something about it to
improve the situation (Glasser, 2003).The thought that she might harm the baby was
explored at length. Rachel admitted that she never did anything to harm her baby, she loved
him unconditionally, and she took care of his Adls. She never misses his appointment at the
baby clinic where they confirm that the baby is very healthy and this was confirmed by
Robert. The nurse documented everything they said on a page divided into two columns,
labelled good care and neglect After Rachel finished, the nurse handed her the paper and
5. explained to her what she had done. All the things Rachel had stated were listed under the
good care column and the neglect column remained empty. Then the nurse asked Rachel
“Seeing this paper how much are the chances that you are neglecting your son?” Rachel
stared amazed at the paper as she answered “none”, thus this makes your thought
unfounded. The nurse explained to Rachel needs to learn to do this exercise each time she
has a thought so that she can identify if the thought is realistic or just an imaginary one. Post
Natal Depression Case StudySo they planned Rachel’s homework until her next session
which focused mainly on identifying the thought and reasoning it out. After the first session
she confessed that she felt better; the fear that she was going crazy subsided, she felt that
she was not alone any more in her dark tunnel and hope was instilled.Sessions went by and
Rachel started to learn how to control her thoughts better but choosing to ignore them. She
was better but not good enough yet. Rachel had to start to stay away from her son a couple
of hours so she has time for herself. It was the biggest step for her and as she described it as
the most painful but with the help of Robert and their extended families she started to work
a couple of hours a week. This made a drastic change in Rachel’s mood and she started to
feel happy again. She started to make friends and felt that she belonged in society again and
not isolated anymore.“Happiness or mental health is enjoying the life you are choosing to
live, getting along well with the people near and dear to you, doing something with your life
you believe is worthwhile, and not doing anything to deprive anyone else of the same
chance for happiness you have” (Glasser, 2003 pg 7). Post Natal Depression Case
StudyProblems met during sessions.Seeing the story in writing might look as if it had been
easy to empower Rachel enough to achieve goal. It included four weeks of intensive
counselling with two planned sessions a week and several phone calls from Rachel asking
for support and reassurance. This could be done by praising Rachel for her decisions and
actions.There were times that the patient had to be confronted about her decision for
example “you are thinking and assuming that your mum will not be capable to look after
your baby. Did she show any signs of mistreating him or being unloving towards the baby?
Are these just your thoughts tormenting you or there are facts which might lead you to
think that she is incapable of looking after him?” There are many authors who criticise this
method because of the above: they argue that it is a harshly confronted therapeutic
approach towards the patient. Wubbolding and Brickell (2000), did not deny it but
emphasised the fact that reality therapy is a gently confronted approach. Glasser (2002),
explained clearly the consequences of seven deadly habits, which may arise during reality
therapy session. These habits are criticising, blaming, complaining, nagging, threatening
punishing and bribing or rewarding to control, but they cannot be allowed in any
relationship because they will simply destroy it (Sommers-Flanagan & Sommers-Flanagan,
2012).There was one episode at the beginning when Rachel entered the office unannounced
shaking and sobbing. She was so desperate at that moment that she could not even talk. The
nurse waited for Rachel to calm down but each time she did and the nurse asked her to talk
Rachel ended up sobbing again. After more than half an hour, in a soft but stern voice the
nurse had to tell Rachel that she had to speak up if she wanted help. The statement might
have sounded insensible and blunt but it was all about the reality of the situation; Rachel
understood that and reached for a paper and with great difficulty wrote what was troubling
6. her. Sommers-Flanagan & Sommers-Flanagan (2012) agreed with other above authors who
believe that Reality therapy at times is too directive and might become almost offensive and
unethical towards the patient. Post Natal Depression Case StudyConclusionRachel started to
look forward to her therapy session; she worked hard on her problems, kept with the plan
and gradually she reached her goal. Basic knowledge about the therapy helped the nurse
conduct the sessions but also made her aware of the need for more intensive training
(Sommers-Flanagan & Sommers-Flanagan, 2012). Post Natal Depression Case Study