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Case Studies II
This assignment must be typed, double-spaced, in APA7 style, and must be
written at University level English.
These resources are
required to complete the course. PLEASE CITE THESE TWO BOOKS
Book Larsen, P.D., Whitney, F.W. (2019). Chronic illness: Impact
and intervention. (10th edition). Jones & Bartlett
Learning. Book American Psychiatric Association (2013). Diagnostic and
statistical manual of mental disorders. (5th ed). You should be able to
access these books on your own means.
For this assignment, you
are given 2 cases. Your response to each case must integrate
the material presented in the text in your own understanding. You
are encouraged to use additional current (5 years or less)
evidence-based sources to support and compliment the text, but not replace
the text. Cite your work according to APA format. Legal and ethical
issues, and issues of culture and diversity must be addressed when relevant.
Your response to each case should be 4 pages per case
The entire assignment should be 8 pages total plus a title and
Jose and Maria
Jose and Maria, are a 48-year-old Hispanic American couple, married for 28
years. The couple has 3 grown children, all in college or living on their own.
Maria has been struggling with MS for the past 10 years. Research shows that
women with MS live with the unpredictable course of their disease and doubts
about their worthiness, attractiveness, and identity. The male partners of
these women with MS perceived little impact on the women’s sexuality, likely
because the women went to great lengths to maintain their customary roles and
to buffer their male partners from the full impact of the disease.
Recently Jose, was diagnosed with Stage I testicular cancer. His doctor
informed him that he needs surgery and chemo treatments. Jose tells you that he
feels “unreal and in another world” and “at the mercy of the cancer and the
treatments.” The ultimate question he cannot get out of his head is:
“Am I going to die?” Jose loves his wife and children, and with
their first grandchild (a boy) on the way, he wonders if he will ever get to
see him. Since the diagnosis, Maria tells you that Jose is distant,
has no interest in intimacy. She knows it is his cancer diagnosis,
but can’t help but think that her own chronic illness is part of the problem.
A. The phenomenon of powerlessness is dynamic and complex in chronic illness.
Feelings of powerlessness can recede and advance throughout the course of the
chronic illness as individuals negotiate between control and loss and the
changing landscape of their daily realities. Powerlessness can extend beyond
medical and treatment issues to feelings of insecurity and threats to social
and personal identity. What do you think that Jose has experienced over the
course of his illness? His family? His friends? How about Maria?
B. Chronic illness is described as a dialectic between the individual and
his/her world. Clients shift between the perspectives of wellness in the
foreground and illness in the background. What are Jose and Maria’s experiences
and actions as you examine the principles of the Shifting Perspectives
Model? How can you apply the principles of the Self-Determination
Theory to Jose and Maria’s situation?
C. Outcomes associated with powerlessness in clients with chronic conditions
can be measured from three perspectives: self, relationships with others, and
client behaviors. What specific outcomes do you think that Jose and Maria would
want? Their family? Their friends? Their healthcare providers? Anna
Anna, is an 83-years old Native American woman who lives alone, and takes
numerous medications for heart disease, COPD and an anxiety disorder.
Recently, Anna has fallen several times, but has sustained only minor bruising.
Anna’s daughter Betty and her husband have been discussing whether or not Anna
should continue to live alone. Anna is quite independent although she no longer
drives and is occasionally “forgetful” about family birthdays and appointments.
Anna has expressed her concerns about retirement community, assisted living, or
nursing home living as she does not feel comfortable in strange situations.
Betty wonders if she should decrease her work hours in order to spend more time
at her mother’s house. Betty and her husband are considering having someone
live with Anna part time or full time, but she worries about her mother’s
safety and her mother’s distrust of strangers. Finances are also an
issue and Betty is seeking information and referral resources to assist the
family’s informed decisions.
A. The decision about where and how to provide care for family members who have
chronic conditions is emotionally charged and multifaceted. Reliance on family
members as care providers creates multiple stressors for the family. What types
of stressors might Anna, Betty, and other family members experience?
B. What are potential/actual policy, legal, ethical, emotional, financial, and
spiritual issues that Anna’s family may experience? What resources can you
offer to them?
C. Client and family education is “critical to successful coping with chronic
illnesses.” Clinicians must carefully approach every client and family who may
be similar in some respects to others, yet be quite distinct. The clinician
must consider characteristics such as age, culture, socioeconomic status,
functional status, motivation, self-efficacy, and learning capability. How will
this assessment information guide your work with Anna and Betty? What
developmental stage characteristics do you need to consider?
the impact of chronic illness on interpersonal and family relationships.
2. Recognize legal and ethical issues relevant to chronic illness.