SlideShare a Scribd company logo
[From 10$/Pg] Two Couples Would Get
[From 10$/Pg] Two Couples Would GetParkinson’s Disease Case Study [WLOs: 1, 2, 3]
[CLOs: 1, 2, 3, 4, 5, 6, 7]Prior to beginning this assignment, read Chapter 9 from the course
textbook, The Stigma of Parkinson’s Disease (Links to an external site.) blog
post, Neurodegenerative Diseases (Links to an external site.) web page, and the Instructor
Guidance.As the average life span increases, the likelihood of developing a chronic disease
increases as well. This assignment focuses on Parkinson’s Disease (PD), which is a
neurodegenerative disease. Neurodegenerative disease causes dysfunction and death of
nerve cells in the brain and can affect motor, cognitive, and behavioral or psychological
functioning. Usually, such disease has a profound impact on the family, as well as the
affected individual. The case study below gives you the opportunity to learn more about
issues faced by people who have PD as well as exploring the impact of PD on the micro-,
meso-, and macro-level systems and the reverse – the micro-, meso-, and macro-level effects
on the individual.Parkinson’s Disease Case Study Details:BackgroundDoug and his wife
Maria have three adult children, all of whom are married with young children of their own.
Doug works as a regional sales representative for a chemical company that produces
plastics, chemicals, and agricultural products. He has been in the position for 15 years,
having moved into this job after leaving a different company doing similar work. The job
requires him to travel to give demonstrations of the products across a six-state region. This
requires him to fly and drive in unfamiliar areas. Maria works as a junior high school
principal. Doug and Maria are financially set for retirement at age 65. Overall, they are in
good health. At the age of 60, Doug received a diagnosis of Parkinson’s Disease (PD).Early
phaseIn the year before his diagnosis, Doug had three minor car accidents while he was
traveling in unfamiliar territory. Maria was suspicious that the accidents were related to his
PD and, after consulting with the neurologist and Doug, they decided he should no longer
travel alone out of his immediate area. After a few months of traveling with a colleague, he
reluctantly stepped down to a district sales representative position to stay closer to home.
Within the next year, Doug started experiencing exacerbated (worsened) symptoms related
to fine motor coordination, changes in speech, as well as anger, anxiety, and depression. The
neurologist placed Doug on short-term disability at the age of 61. After six months on short-
term disability, the law mandates that the individual must apply for Social Security
Disability. Therefore, due to Doug’s health continuing to decline and his inability to return
to work, Maria had to file for long-term disability for Doug. At first, Maria attempted to work
with Doug to complete the disability paperwork. Doug was easily frustrated with
formulating the responses to the questions on the forms; he did not know how to answer
the questions nor where to find the information within their household records, so Maria
hired a lawyer to complete the paperwork.Three months after submitting the application,
Doug was approved for Social Security Disability Income (SSDI). This was a significant drop
in income. Doug’s employment income was twice that of Maria’s; he was bringing home
$7500 per month. His SSDI income is $2788 per month. Since Doug left his full-time job, he
was no longer eligible for health benefits from his employer. He is not eligible for Medicare
under the disability guidelines until two years after payments begin. Maria completed the
paperwork to add him to the health insurance through her job, which doubled her monthly
contribution to health insurance. The decrease in household income required them to
utilize their retirement funds earlier than planned. In addition, Maria knows, as the disease
progresses, she may have to make decisions about her own full-time work as a principal,
which will further strain their financial situation.Middle phaseDoug and Maria enjoyed
playing Scrabble with their friends Susan and Bob, who lived nearby. The two couples
would get together every Saturday for some friendly competition along with dessert and
lively discussion. A year after his diagnosis, Doug was exhibiting stooped posture and
changes in his speech, which made it difficult to understand what he said. These were clear
signs the disease was progressing. In some aspects of his life, he appeared to function well
enough, such as easily performing most activities of daily living, but it became clear he
struggled with activities in the game of Scrabble. For example, he was having a difficult time
creating words from the tiles he chose, where to place them on the board, and he could no
longer add up his points correctly. In addition, Doug was embarrassed because he
continually knocked tiles out of place on the board, struggled to communicate clearly and
interact with friends in a social situation. Doug felt a great deal of shame due to the changes
and told Maria that he no longer wanted to participate in the weekly game night. This meant
that Doug and Maria had less interaction in their own community and became more socially
isolated, which is not uncommon for families with a chronically ill member.Late phaseDoug
was in charge of managing his own medications, which he needs four times a day. One day,
about four years after his diagnosis, Maria was away from home at noon when Doug called
her to ask what he was supposed to do with the noon pills. “I’m supposed to throw them
out, right?” That was an early sign of dementia. It was a signal for Maria that Doug could no
longer control his own medications and that he probably shouldn’t be left alone for very
long. The incident marked the start of a steep decline in Doug’s cognitive and emotional
abilities, and the couple’s relationship changed from one of partners to one of patient and
caregiver. Maria relied on their children and other family members to help with Doug’s care,
and she began looking for support groups to help her figure out how to handle the
deteriorating situation. Even though she had a rotation of helpers, most of the work of
Doug’s care was Maria’s responsibility.Doug’s condition progressed to the point of needing
full-time care in a skilled nursing facility a little more than a year later, after he lost the
ability to stand up, even with help. He always needed two people to help him, and that just
wasn’t possible at home. In addition to the tremendous emotional stress on the family,
moving Doug to a skilled nursing facility further increased the financial burden. Maria made
the decision to sell the house and move to a small apartment by herself. She had to spend
the proceeds from their home to pay for Doug’s nursing home care before Medicaid would
help pay for his care, due to the Medicaid eligibility spend-down requirements. Doug passed
away five months after moving to the skilled nursing facility. Maria was still paying for his
care out of the proceeds from the sale of their home, so she never received Medicaid
assistance for Doug’s care.Address the following within the required Parkinson’s Disease
Case Study template:Briefly define Parkinson’s Disease.What physical changes occur related
to the onset of the disease?What are the possible psychological changes with PD?What
system(s) are affected?What are the treatments and therapies?The case study shared
details that indicate Doug is no longer able to identify and resolve problems.Identify two
examples in the study that indicate Doug is losing this ability.Provide two other examples
that may arise as the disease progresses that are related to identifying and resolving
problems.Discuss possible feelings and stressors Doug may be experiencing as the disease
progresses and he must rely on caregivers more.Refer to the required reading list for the
topics related to this assignment for ideas.Discuss the effects of the diagnosis of PD and its
progression can have on a spouse and family (micro-level).Refer to the chapter and
required readings regarding caregiving and caregiver burden (e.g., employment,
psychological effects, financial stressors, role in the marriage, etc.).Locate two services in
your own community that offer assistance to people with PD and their caregivers (meso-
level).Describe the services available, cost, and eligibility requirements.In your opinion, are
Doug and Maria eligible for the services? Explain your answer based on your findings and
the knowledge of Doug and Maria.At the macro-level, research the state and federal
programs, legislation and initiatives that affect chronic illnesses. Discuss the pros and cons
of two of the following items as they affect patients and caregivers.Legislation and lobbying
efforts (e.g., changes to the Affordable Care Act [ACA], stem-cell research, etc.)Requirements
to qualify for Social Security Disability Income (SSDI)Requirements to take advantage of the
Family and Medical Leave Act (FMLA)Requirements to qualify for Medicaid/Medicare.What
are the requirements of these programs in terms of paying for skilled nursing for Doug? Do
Doug and Maria qualify for assistance through these programs? Why or why not?Americans
with Disabilities Act (ADA).A program, legislation, or initiative of your finding.Use a
minimum of three scholarly sources. List references in APA format within the response box
on the template.The Parkinson’s Disease Case Study assignmentMust be completed within
the Parkinson’s Disease Case Study template.

More Related Content

Similar to Two Couples Would Get.docx

June week 3.docx
June week 3.docxJune week 3.docx
June week 3.docx
write4
 
Tickled Pink Campaign.pdf
Tickled Pink Campaign.pdfTickled Pink Campaign.pdf
Tickled Pink Campaign.pdf
AnnaKateHaney
 
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx
drennanmicah
 
Thesis
ThesisThesis
Prevention of mental health issues.pdf
Prevention of mental health issues.pdfPrevention of mental health issues.pdf
Prevention of mental health issues.pdf
sdfghj21
 
  Long-term care decisions are often complex and highly emotional..docx
  Long-term care decisions are often complex and highly emotional..docx  Long-term care decisions are often complex and highly emotional..docx
  Long-term care decisions are often complex and highly emotional..docx
taishao1
 
Stigma and mental illness
Stigma and mental illnessStigma and mental illness
Stigma and mental illness
Richard Asare
 
February 2016
February 2016February 2016
Unemployment and depression
Unemployment and depression Unemployment and depression
Unemployment and depression
Luba Berezina
 
Unemployment and depression
Unemployment and depression Unemployment and depression
Unemployment and depression
Toronto Workforce Innovation Group
 
2013 Patient Access for Florida Flyer: Lourdes Duarte (detailed)
2013 Patient Access for Florida Flyer: Lourdes Duarte (detailed)2013 Patient Access for Florida Flyer: Lourdes Duarte (detailed)
2013 Patient Access for Florida Flyer: Lourdes Duarte (detailed)
Rebecca Sage
 
ASSIGNMENT Respond to at least two of your colleagues.docx
ASSIGNMENT Respond to at least two of your colleagues.docxASSIGNMENT Respond to at least two of your colleagues.docx
ASSIGNMENT Respond to at least two of your colleagues.docx
mckellarhastings
 
Are Mental Health Problems Increasing
Are Mental Health Problems IncreasingAre Mental Health Problems Increasing
Are Mental Health Problems Increasing
Mental Health Center San Diego
 
Soc100 research paper (grammarly)
Soc100 research paper (grammarly)Soc100 research paper (grammarly)
Soc100 research paper (grammarly)
Bridget Pody
 
SOC100 Research Paper (Grammarly)
SOC100 Research Paper (Grammarly)SOC100 Research Paper (Grammarly)
SOC100 Research Paper (Grammarly)
Bridget Pody
 
Treatment plan david_schmidt
Treatment plan david_schmidtTreatment plan david_schmidt
Treatment plan david_schmidt
SueAnn Land
 

Similar to Two Couples Would Get.docx (16)

June week 3.docx
June week 3.docxJune week 3.docx
June week 3.docx
 
Tickled Pink Campaign.pdf
Tickled Pink Campaign.pdfTickled Pink Campaign.pdf
Tickled Pink Campaign.pdf
 
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx
 
Thesis
ThesisThesis
Thesis
 
Prevention of mental health issues.pdf
Prevention of mental health issues.pdfPrevention of mental health issues.pdf
Prevention of mental health issues.pdf
 
  Long-term care decisions are often complex and highly emotional..docx
  Long-term care decisions are often complex and highly emotional..docx  Long-term care decisions are often complex and highly emotional..docx
  Long-term care decisions are often complex and highly emotional..docx
 
Stigma and mental illness
Stigma and mental illnessStigma and mental illness
Stigma and mental illness
 
February 2016
February 2016February 2016
February 2016
 
Unemployment and depression
Unemployment and depression Unemployment and depression
Unemployment and depression
 
Unemployment and depression
Unemployment and depression Unemployment and depression
Unemployment and depression
 
2013 Patient Access for Florida Flyer: Lourdes Duarte (detailed)
2013 Patient Access for Florida Flyer: Lourdes Duarte (detailed)2013 Patient Access for Florida Flyer: Lourdes Duarte (detailed)
2013 Patient Access for Florida Flyer: Lourdes Duarte (detailed)
 
ASSIGNMENT Respond to at least two of your colleagues.docx
ASSIGNMENT Respond to at least two of your colleagues.docxASSIGNMENT Respond to at least two of your colleagues.docx
ASSIGNMENT Respond to at least two of your colleagues.docx
 
Are Mental Health Problems Increasing
Are Mental Health Problems IncreasingAre Mental Health Problems Increasing
Are Mental Health Problems Increasing
 
Soc100 research paper (grammarly)
Soc100 research paper (grammarly)Soc100 research paper (grammarly)
Soc100 research paper (grammarly)
 
SOC100 Research Paper (Grammarly)
SOC100 Research Paper (Grammarly)SOC100 Research Paper (Grammarly)
SOC100 Research Paper (Grammarly)
 
Treatment plan david_schmidt
Treatment plan david_schmidtTreatment plan david_schmidt
Treatment plan david_schmidt
 

More from write5

This week we are going to participate in a.docx
This week we are going to participate in a.docxThis week we are going to participate in a.docx
This week we are going to participate in a.docx
write5
 
This week begins an overview of the Research In.docx
This week begins an overview of the Research In.docxThis week begins an overview of the Research In.docx
This week begins an overview of the Research In.docx
write5
 
This week you are exploring what it means to have.docx
This week you are exploring what it means to have.docxThis week you are exploring what it means to have.docx
This week you are exploring what it means to have.docx
write5
 
Watch the TED Talk for Chapter 8 on Pay.docx
Watch the TED Talk for Chapter 8 on Pay.docxWatch the TED Talk for Chapter 8 on Pay.docx
Watch the TED Talk for Chapter 8 on Pay.docx
write5
 
The value of diversity in groups and society is continually.docx
The value of diversity in groups and society is continually.docxThe value of diversity in groups and society is continually.docx
The value of diversity in groups and society is continually.docx
write5
 
The Travels of Sir John Mandeville.docx
The Travels of Sir John Mandeville.docxThe Travels of Sir John Mandeville.docx
The Travels of Sir John Mandeville.docx
write5
 
This will enable you to understanding the extent to which.docx
This will enable you to understanding the extent to which.docxThis will enable you to understanding the extent to which.docx
This will enable you to understanding the extent to which.docx
write5
 
The Superfund website will have information about contaminated how.docx
The Superfund website will have information about contaminated how.docxThe Superfund website will have information about contaminated how.docx
The Superfund website will have information about contaminated how.docx
write5
 
The Strengths and Weaknesses of the North and South in.docx
The Strengths and Weaknesses of the North and South in.docxThe Strengths and Weaknesses of the North and South in.docx
The Strengths and Weaknesses of the North and South in.docx
write5
 
This assignment will help you to explain the concept of.docx
This assignment will help you to explain the concept of.docxThis assignment will help you to explain the concept of.docx
This assignment will help you to explain the concept of.docx
write5
 
The Institutional Structure of the Communist.docx
The Institutional Structure of the Communist.docxThe Institutional Structure of the Communist.docx
The Institutional Structure of the Communist.docx
write5
 
The next couple of weeks begins an overview of the.docx
The next couple of weeks begins an overview of the.docxThe next couple of weeks begins an overview of the.docx
The next couple of weeks begins an overview of the.docx
write5
 
Two general technology trends in my workplace are that EHRs.docx
Two general technology trends in my workplace are that EHRs.docxTwo general technology trends in my workplace are that EHRs.docx
Two general technology trends in my workplace are that EHRs.docx
write5
 
Two of the religions that we have studied in the.docx
Two of the religions that we have studied in the.docxTwo of the religions that we have studied in the.docx
Two of the religions that we have studied in the.docx
write5
 
XYZ restaurant owner wishes to extend his current operation by.docx
XYZ restaurant owner wishes to extend his current operation by.docxXYZ restaurant owner wishes to extend his current operation by.docx
XYZ restaurant owner wishes to extend his current operation by.docx
write5
 
Write at least 4 paragraphs in your own words after.docx
Write at least 4 paragraphs in your own words after.docxWrite at least 4 paragraphs in your own words after.docx
Write at least 4 paragraphs in your own words after.docx
write5
 
You mention in your post that you will be.docx
You mention in your post that you will be.docxYou mention in your post that you will be.docx
You mention in your post that you will be.docx
write5
 
to in which you draw from the assigned.docx
to in which you draw from the assigned.docxto in which you draw from the assigned.docx
to in which you draw from the assigned.docx
write5
 
Title Executive Order on Improving the Cybersecurity.docx
Title Executive Order on Improving the Cybersecurity.docxTitle Executive Order on Improving the Cybersecurity.docx
Title Executive Order on Improving the Cybersecurity.docx
write5
 
Write a to paper in APA format that.docx
Write a to paper in APA format that.docxWrite a to paper in APA format that.docx
Write a to paper in APA format that.docx
write5
 

More from write5 (20)

This week we are going to participate in a.docx
This week we are going to participate in a.docxThis week we are going to participate in a.docx
This week we are going to participate in a.docx
 
This week begins an overview of the Research In.docx
This week begins an overview of the Research In.docxThis week begins an overview of the Research In.docx
This week begins an overview of the Research In.docx
 
This week you are exploring what it means to have.docx
This week you are exploring what it means to have.docxThis week you are exploring what it means to have.docx
This week you are exploring what it means to have.docx
 
Watch the TED Talk for Chapter 8 on Pay.docx
Watch the TED Talk for Chapter 8 on Pay.docxWatch the TED Talk for Chapter 8 on Pay.docx
Watch the TED Talk for Chapter 8 on Pay.docx
 
The value of diversity in groups and society is continually.docx
The value of diversity in groups and society is continually.docxThe value of diversity in groups and society is continually.docx
The value of diversity in groups and society is continually.docx
 
The Travels of Sir John Mandeville.docx
The Travels of Sir John Mandeville.docxThe Travels of Sir John Mandeville.docx
The Travels of Sir John Mandeville.docx
 
This will enable you to understanding the extent to which.docx
This will enable you to understanding the extent to which.docxThis will enable you to understanding the extent to which.docx
This will enable you to understanding the extent to which.docx
 
The Superfund website will have information about contaminated how.docx
The Superfund website will have information about contaminated how.docxThe Superfund website will have information about contaminated how.docx
The Superfund website will have information about contaminated how.docx
 
The Strengths and Weaknesses of the North and South in.docx
The Strengths and Weaknesses of the North and South in.docxThe Strengths and Weaknesses of the North and South in.docx
The Strengths and Weaknesses of the North and South in.docx
 
This assignment will help you to explain the concept of.docx
This assignment will help you to explain the concept of.docxThis assignment will help you to explain the concept of.docx
This assignment will help you to explain the concept of.docx
 
The Institutional Structure of the Communist.docx
The Institutional Structure of the Communist.docxThe Institutional Structure of the Communist.docx
The Institutional Structure of the Communist.docx
 
The next couple of weeks begins an overview of the.docx
The next couple of weeks begins an overview of the.docxThe next couple of weeks begins an overview of the.docx
The next couple of weeks begins an overview of the.docx
 
Two general technology trends in my workplace are that EHRs.docx
Two general technology trends in my workplace are that EHRs.docxTwo general technology trends in my workplace are that EHRs.docx
Two general technology trends in my workplace are that EHRs.docx
 
Two of the religions that we have studied in the.docx
Two of the religions that we have studied in the.docxTwo of the religions that we have studied in the.docx
Two of the religions that we have studied in the.docx
 
XYZ restaurant owner wishes to extend his current operation by.docx
XYZ restaurant owner wishes to extend his current operation by.docxXYZ restaurant owner wishes to extend his current operation by.docx
XYZ restaurant owner wishes to extend his current operation by.docx
 
Write at least 4 paragraphs in your own words after.docx
Write at least 4 paragraphs in your own words after.docxWrite at least 4 paragraphs in your own words after.docx
Write at least 4 paragraphs in your own words after.docx
 
You mention in your post that you will be.docx
You mention in your post that you will be.docxYou mention in your post that you will be.docx
You mention in your post that you will be.docx
 
to in which you draw from the assigned.docx
to in which you draw from the assigned.docxto in which you draw from the assigned.docx
to in which you draw from the assigned.docx
 
Title Executive Order on Improving the Cybersecurity.docx
Title Executive Order on Improving the Cybersecurity.docxTitle Executive Order on Improving the Cybersecurity.docx
Title Executive Order on Improving the Cybersecurity.docx
 
Write a to paper in APA format that.docx
Write a to paper in APA format that.docxWrite a to paper in APA format that.docx
Write a to paper in APA format that.docx
 

Recently uploaded

How To Sell Hamster Kombat Coin In Pre-market
How To Sell Hamster Kombat Coin In Pre-marketHow To Sell Hamster Kombat Coin In Pre-market
How To Sell Hamster Kombat Coin In Pre-market
Sikandar Ali
 
Genetics Teaching Plan: Dr.Kshirsagar R.V.
Genetics Teaching Plan: Dr.Kshirsagar R.V.Genetics Teaching Plan: Dr.Kshirsagar R.V.
Genetics Teaching Plan: Dr.Kshirsagar R.V.
DrRavindrakshirsagar1
 
E-learning Odoo 17 New features - Odoo 17 Slides
E-learning Odoo 17  New features - Odoo 17 SlidesE-learning Odoo 17  New features - Odoo 17 Slides
E-learning Odoo 17 New features - Odoo 17 Slides
Celine George
 
A beginner’s guide to project reviews - everything you wanted to know but wer...
A beginner’s guide to project reviews - everything you wanted to know but wer...A beginner’s guide to project reviews - everything you wanted to know but wer...
A beginner’s guide to project reviews - everything you wanted to know but wer...
Association for Project Management
 
What is Rescue Session in Odoo 17 POS - Odoo 17 Slides
What is Rescue Session in Odoo 17 POS - Odoo 17 SlidesWhat is Rescue Session in Odoo 17 POS - Odoo 17 Slides
What is Rescue Session in Odoo 17 POS - Odoo 17 Slides
Celine George
 
Allopathic M1 Srudent Orientation Powerpoint
Allopathic M1 Srudent Orientation PowerpointAllopathic M1 Srudent Orientation Powerpoint
Allopathic M1 Srudent Orientation Powerpoint
Julie Sarpy
 
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
mansk2
 
Introduction to Banking System in India.ppt
Introduction to Banking System in India.pptIntroduction to Banking System in India.ppt
Introduction to Banking System in India.ppt
Dr. S. Bulomine Regi
 
DepEd School Calendar 2024-2025 DO_s2024_008
DepEd School Calendar 2024-2025 DO_s2024_008DepEd School Calendar 2024-2025 DO_s2024_008
DepEd School Calendar 2024-2025 DO_s2024_008
Glenn Rivera
 
How to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POSHow to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POS
Celine George
 
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
mansk2
 
C Interview Questions PDF By Scholarhat.pdf
C Interview Questions PDF By Scholarhat.pdfC Interview Questions PDF By Scholarhat.pdf
C Interview Questions PDF By Scholarhat.pdf
Scholarhat
 
C# Interview Questions PDF By ScholarHat.pdf
C# Interview Questions PDF By ScholarHat.pdfC# Interview Questions PDF By ScholarHat.pdf
C# Interview Questions PDF By ScholarHat.pdf
Scholarhat
 
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Alvaro Barbosa
 
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa
 
How to Manage Line Discount in Odoo 17 POS
How to Manage Line Discount in Odoo 17 POSHow to Manage Line Discount in Odoo 17 POS
How to Manage Line Discount in Odoo 17 POS
Celine George
 
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
Nguyen Thanh Tu Collection
 
Codeavour 5.0 International Impact Report - The Biggest International AI, Cod...
Codeavour 5.0 International Impact Report - The Biggest International AI, Cod...Codeavour 5.0 International Impact Report - The Biggest International AI, Cod...
Codeavour 5.0 International Impact Report - The Biggest International AI, Cod...
Codeavour International
 
ASP.NET Core Interview Questions PDF By ScholarHat.pdf
ASP.NET Core Interview Questions PDF By ScholarHat.pdfASP.NET Core Interview Questions PDF By ScholarHat.pdf
ASP.NET Core Interview Questions PDF By ScholarHat.pdf
Scholarhat
 
2 Post harvest Physiology of Horticulture produce.pptx
2 Post harvest Physiology of Horticulture  produce.pptx2 Post harvest Physiology of Horticulture  produce.pptx
2 Post harvest Physiology of Horticulture produce.pptx
UmeshTimilsina1
 

Recently uploaded (20)

How To Sell Hamster Kombat Coin In Pre-market
How To Sell Hamster Kombat Coin In Pre-marketHow To Sell Hamster Kombat Coin In Pre-market
How To Sell Hamster Kombat Coin In Pre-market
 
Genetics Teaching Plan: Dr.Kshirsagar R.V.
Genetics Teaching Plan: Dr.Kshirsagar R.V.Genetics Teaching Plan: Dr.Kshirsagar R.V.
Genetics Teaching Plan: Dr.Kshirsagar R.V.
 
E-learning Odoo 17 New features - Odoo 17 Slides
E-learning Odoo 17  New features - Odoo 17 SlidesE-learning Odoo 17  New features - Odoo 17 Slides
E-learning Odoo 17 New features - Odoo 17 Slides
 
A beginner’s guide to project reviews - everything you wanted to know but wer...
A beginner’s guide to project reviews - everything you wanted to know but wer...A beginner’s guide to project reviews - everything you wanted to know but wer...
A beginner’s guide to project reviews - everything you wanted to know but wer...
 
What is Rescue Session in Odoo 17 POS - Odoo 17 Slides
What is Rescue Session in Odoo 17 POS - Odoo 17 SlidesWhat is Rescue Session in Odoo 17 POS - Odoo 17 Slides
What is Rescue Session in Odoo 17 POS - Odoo 17 Slides
 
Allopathic M1 Srudent Orientation Powerpoint
Allopathic M1 Srudent Orientation PowerpointAllopathic M1 Srudent Orientation Powerpoint
Allopathic M1 Srudent Orientation Powerpoint
 
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
 
Introduction to Banking System in India.ppt
Introduction to Banking System in India.pptIntroduction to Banking System in India.ppt
Introduction to Banking System in India.ppt
 
DepEd School Calendar 2024-2025 DO_s2024_008
DepEd School Calendar 2024-2025 DO_s2024_008DepEd School Calendar 2024-2025 DO_s2024_008
DepEd School Calendar 2024-2025 DO_s2024_008
 
How to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POSHow to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POS
 
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
 
C Interview Questions PDF By Scholarhat.pdf
C Interview Questions PDF By Scholarhat.pdfC Interview Questions PDF By Scholarhat.pdf
C Interview Questions PDF By Scholarhat.pdf
 
C# Interview Questions PDF By ScholarHat.pdf
C# Interview Questions PDF By ScholarHat.pdfC# Interview Questions PDF By ScholarHat.pdf
C# Interview Questions PDF By ScholarHat.pdf
 
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
 
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
 
How to Manage Line Discount in Odoo 17 POS
How to Manage Line Discount in Odoo 17 POSHow to Manage Line Discount in Odoo 17 POS
How to Manage Line Discount in Odoo 17 POS
 
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
 
Codeavour 5.0 International Impact Report - The Biggest International AI, Cod...
Codeavour 5.0 International Impact Report - The Biggest International AI, Cod...Codeavour 5.0 International Impact Report - The Biggest International AI, Cod...
Codeavour 5.0 International Impact Report - The Biggest International AI, Cod...
 
ASP.NET Core Interview Questions PDF By ScholarHat.pdf
ASP.NET Core Interview Questions PDF By ScholarHat.pdfASP.NET Core Interview Questions PDF By ScholarHat.pdf
ASP.NET Core Interview Questions PDF By ScholarHat.pdf
 
2 Post harvest Physiology of Horticulture produce.pptx
2 Post harvest Physiology of Horticulture  produce.pptx2 Post harvest Physiology of Horticulture  produce.pptx
2 Post harvest Physiology of Horticulture produce.pptx
 

Two Couples Would Get.docx

  • 1. [From 10$/Pg] Two Couples Would Get [From 10$/Pg] Two Couples Would GetParkinson’s Disease Case Study [WLOs: 1, 2, 3] [CLOs: 1, 2, 3, 4, 5, 6, 7]Prior to beginning this assignment, read Chapter 9 from the course textbook, The Stigma of Parkinson’s Disease (Links to an external site.) blog post, Neurodegenerative Diseases (Links to an external site.) web page, and the Instructor Guidance.As the average life span increases, the likelihood of developing a chronic disease increases as well. This assignment focuses on Parkinson’s Disease (PD), which is a neurodegenerative disease. Neurodegenerative disease causes dysfunction and death of nerve cells in the brain and can affect motor, cognitive, and behavioral or psychological functioning. Usually, such disease has a profound impact on the family, as well as the affected individual. The case study below gives you the opportunity to learn more about issues faced by people who have PD as well as exploring the impact of PD on the micro-, meso-, and macro-level systems and the reverse – the micro-, meso-, and macro-level effects on the individual.Parkinson’s Disease Case Study Details:BackgroundDoug and his wife Maria have three adult children, all of whom are married with young children of their own. Doug works as a regional sales representative for a chemical company that produces plastics, chemicals, and agricultural products. He has been in the position for 15 years, having moved into this job after leaving a different company doing similar work. The job requires him to travel to give demonstrations of the products across a six-state region. This requires him to fly and drive in unfamiliar areas. Maria works as a junior high school principal. Doug and Maria are financially set for retirement at age 65. Overall, they are in good health. At the age of 60, Doug received a diagnosis of Parkinson’s Disease (PD).Early phaseIn the year before his diagnosis, Doug had three minor car accidents while he was traveling in unfamiliar territory. Maria was suspicious that the accidents were related to his PD and, after consulting with the neurologist and Doug, they decided he should no longer travel alone out of his immediate area. After a few months of traveling with a colleague, he reluctantly stepped down to a district sales representative position to stay closer to home. Within the next year, Doug started experiencing exacerbated (worsened) symptoms related to fine motor coordination, changes in speech, as well as anger, anxiety, and depression. The neurologist placed Doug on short-term disability at the age of 61. After six months on short- term disability, the law mandates that the individual must apply for Social Security Disability. Therefore, due to Doug’s health continuing to decline and his inability to return to work, Maria had to file for long-term disability for Doug. At first, Maria attempted to work with Doug to complete the disability paperwork. Doug was easily frustrated with
  • 2. formulating the responses to the questions on the forms; he did not know how to answer the questions nor where to find the information within their household records, so Maria hired a lawyer to complete the paperwork.Three months after submitting the application, Doug was approved for Social Security Disability Income (SSDI). This was a significant drop in income. Doug’s employment income was twice that of Maria’s; he was bringing home $7500 per month. His SSDI income is $2788 per month. Since Doug left his full-time job, he was no longer eligible for health benefits from his employer. He is not eligible for Medicare under the disability guidelines until two years after payments begin. Maria completed the paperwork to add him to the health insurance through her job, which doubled her monthly contribution to health insurance. The decrease in household income required them to utilize their retirement funds earlier than planned. In addition, Maria knows, as the disease progresses, she may have to make decisions about her own full-time work as a principal, which will further strain their financial situation.Middle phaseDoug and Maria enjoyed playing Scrabble with their friends Susan and Bob, who lived nearby. The two couples would get together every Saturday for some friendly competition along with dessert and lively discussion. A year after his diagnosis, Doug was exhibiting stooped posture and changes in his speech, which made it difficult to understand what he said. These were clear signs the disease was progressing. In some aspects of his life, he appeared to function well enough, such as easily performing most activities of daily living, but it became clear he struggled with activities in the game of Scrabble. For example, he was having a difficult time creating words from the tiles he chose, where to place them on the board, and he could no longer add up his points correctly. In addition, Doug was embarrassed because he continually knocked tiles out of place on the board, struggled to communicate clearly and interact with friends in a social situation. Doug felt a great deal of shame due to the changes and told Maria that he no longer wanted to participate in the weekly game night. This meant that Doug and Maria had less interaction in their own community and became more socially isolated, which is not uncommon for families with a chronically ill member.Late phaseDoug was in charge of managing his own medications, which he needs four times a day. One day, about four years after his diagnosis, Maria was away from home at noon when Doug called her to ask what he was supposed to do with the noon pills. “I’m supposed to throw them out, right?” That was an early sign of dementia. It was a signal for Maria that Doug could no longer control his own medications and that he probably shouldn’t be left alone for very long. The incident marked the start of a steep decline in Doug’s cognitive and emotional abilities, and the couple’s relationship changed from one of partners to one of patient and caregiver. Maria relied on their children and other family members to help with Doug’s care, and she began looking for support groups to help her figure out how to handle the deteriorating situation. Even though she had a rotation of helpers, most of the work of Doug’s care was Maria’s responsibility.Doug’s condition progressed to the point of needing full-time care in a skilled nursing facility a little more than a year later, after he lost the ability to stand up, even with help. He always needed two people to help him, and that just wasn’t possible at home. In addition to the tremendous emotional stress on the family, moving Doug to a skilled nursing facility further increased the financial burden. Maria made the decision to sell the house and move to a small apartment by herself. She had to spend
  • 3. the proceeds from their home to pay for Doug’s nursing home care before Medicaid would help pay for his care, due to the Medicaid eligibility spend-down requirements. Doug passed away five months after moving to the skilled nursing facility. Maria was still paying for his care out of the proceeds from the sale of their home, so she never received Medicaid assistance for Doug’s care.Address the following within the required Parkinson’s Disease Case Study template:Briefly define Parkinson’s Disease.What physical changes occur related to the onset of the disease?What are the possible psychological changes with PD?What system(s) are affected?What are the treatments and therapies?The case study shared details that indicate Doug is no longer able to identify and resolve problems.Identify two examples in the study that indicate Doug is losing this ability.Provide two other examples that may arise as the disease progresses that are related to identifying and resolving problems.Discuss possible feelings and stressors Doug may be experiencing as the disease progresses and he must rely on caregivers more.Refer to the required reading list for the topics related to this assignment for ideas.Discuss the effects of the diagnosis of PD and its progression can have on a spouse and family (micro-level).Refer to the chapter and required readings regarding caregiving and caregiver burden (e.g., employment, psychological effects, financial stressors, role in the marriage, etc.).Locate two services in your own community that offer assistance to people with PD and their caregivers (meso- level).Describe the services available, cost, and eligibility requirements.In your opinion, are Doug and Maria eligible for the services? Explain your answer based on your findings and the knowledge of Doug and Maria.At the macro-level, research the state and federal programs, legislation and initiatives that affect chronic illnesses. Discuss the pros and cons of two of the following items as they affect patients and caregivers.Legislation and lobbying efforts (e.g., changes to the Affordable Care Act [ACA], stem-cell research, etc.)Requirements to qualify for Social Security Disability Income (SSDI)Requirements to take advantage of the Family and Medical Leave Act (FMLA)Requirements to qualify for Medicaid/Medicare.What are the requirements of these programs in terms of paying for skilled nursing for Doug? Do Doug and Maria qualify for assistance through these programs? Why or why not?Americans with Disabilities Act (ADA).A program, legislation, or initiative of your finding.Use a minimum of three scholarly sources. List references in APA format within the response box on the template.The Parkinson’s Disease Case Study assignmentMust be completed within the Parkinson’s Disease Case Study template.