This assignment must be typed, double-spaced, in APA style, and must be written


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This assignment must be
typed, double-spaced, in APA 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 reference page.
Janie and Jake
Janie is a 42-year-old African American woman, wife of Jake, and mother of
12-year-old Stacy. Once a vibrant business office manager, Janie is now on
disability and rarely leaves the house. She was diagnosed with major
depressive disorder at age 20 when she reported feelings of worthlessness,
fatigue, insomnia, and loss of concentration to doctor at her college health
services. Janie stated that she had felt “blue and emotionally needy.” She had
a relationship with a guy who “deceived me and physically and emotionally
abused me for two years. I lost interest and respect for myself and others.”
She was prescribed an antidepressant medication and referred to a counselor and
support group.
Janie’s therapist stated that Janie’s depression is a chronic condition and
Janie is at risk for recurrent episodes of depression. She asked Janie to
identity triggers that might precipitate those episodes. Janie stated these
triggers: (1) fear that I might return to my “lowest low” depression state, (2)
anxiety that I want to spare my daughter the pains that I have endured, (3) periodic
“sense of dread” for Stacy’s future in an uncertain world, and (4) wonder about
what my “hormonal change” menopause will look like.
A. How would you apply the “impaired-at-risk role” to Janie’s situation and
chronic condition? Illness behavior is shaped by sociocultural
and social-psychologic factors. What are demographic and past
experiences that shape Janie’s illness behaviors? What are some examples of
Janie’s statements to support your responses? B. Caring for a client with chronic illness requires a framework or model for
practice that differs from that of caring for those with acute, episodic
disease. Illness frameworks and models address the illness experience of the
individual and family that occurs as a result of changing health status. How
can you use the chronic illness and quality of life, the trajectory framework,
and the shifting perspectives model of chronic illness with Janie and her
family? C. Chronic illness is fraught with unpredictable dilemmas. Dependency in
chronic illness may link with a sense of powerlessness. How can you incorporate
strategies to decrease Janie’s/her family’s feelings of powerlessness? How do you
think that Janie would describe self-management? How can her healthcare team
foster Janie’s sense of order and other themes associated with
self-management? Tom and James Tom is a 62-year-old White man, who self-identifies as gay. He was diagnosed
with Diabetes Mellitus Type II about 10 years ago. He has chosen to live with
little diet control, weight gain, weekly elevated blood sugars of over 300,
sedentary lifestyle, and non-adherence to prescribed diabetes medications. He
freely admits that this disease “gets in the way of my life.” “I like to eat
whenever and whatever I please, especially while I watch TV. You know,
finger-sticks and doctors’ visits are not in my game plan. Maybe all of that
later.” Tom now faces increasing blood pressure, increasing vision problems,
unrelenting skin ulcers that will not heal, and insulin therapy. His partner of
30 years, James, describes Tom as, “he’s always been self-indulgent and does
what he wants regardless of the consequences. When we first met, he was smoking
marijuana daily, but he grew out of that”. James does not understand
Tom’s decisions and says, “If I had diabetes, I’d take care of myself by eating
well, exercising, and taking my medicines.”
A. Models help us to understand the process of adaptation, predict outcomes,
and modify interventions. Briefly discuss two of the following models
to Tom’s case: Biomedical Model, Chronic Care Model, and the Common-Sense Model
of Self-Regulation.
B. Coping is a complex, multidimensional process. It is sensitive both to the
environment and its demands and resources, to personality traits that influence
the appraisal of stress (such as a chronic illness), and to resources for
coping. Provide examples of interventions that may assist and support Tom
and his family.
C. Perhaps a blend of cognitive-behavioral, self-management, emotional
intelligence, and self-help/support strategies might be helpful to the
client and family’s adjustment/adaptation. How might you facilitate Tom’s
cognitive processing of the implications and meaning of his condition(s)?
Describe two interventions to address Tom’s coping effectiveness,
individual-level change, self-efficacy, self-management, and decision-making
that might also bridge the gap between Tom and James’ thinking and
approaches to adjustment/adaptation of living with Diabetes Mellitus Type II.
Activity Outcomes
1. Identify
neurophysiological and psychosocial factors associated with chronic illness.
2. Consider
factors of culture and diversity in assessment and treatment.tment.

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