Holistic Assessment of the patient

Running head: ASSESSMENT BRIEF CASE STUDY 1
1
Assessment Brief Case Study 1
Student’s Name
Institutional Affiliation

ASSESSMENT BRIEF CASE STUDY 1 2
Holistic Assessment of the patient
Sally’s current State of health is wanting. Her old age, like in any other old people
suggest that a lot of unexpected conditions that comes because of lack of strength and aging body
becomes very vulnerable to various body illnesses and conditions particularly of the old age.
Generally, her eating lifestyle is recommendable that now this it quite evident that she is always
having a balanced diet even though she is in her old age (a stage that most people don’t give a
close attention on dietary intake. Her medical history indicates that she has ever had glandular
fever while she was a teenager and for several years, would always feel fatigue. Sally has been
using over the counter drugs (painkillers) and thus it is evident that she has been experiencing
pain but chose to ignore until it was too late.
Key contributing factors
One of the key contributing factor to the patient’s state of health is age. According to
Grøn (2016), age has a big role to play in the current state of everyone. Elderly people tend to
become vulnerable to some if the common infections, illnesses that are common in old age
unlike the young men. For this reason, Grigoryeva et al., 2019) is right in saying old age is a
stage with a lot of compromises. The other contributing factor is medical history. (Del Boca &
Venturini, 2016). Cardiovascular diseases are hereditary, since her parents had some of these
diseases it is likely that she would also have. Lastly, the use of unrecommended drug
prescription would also have contributed majorly to her state of health. It is evident that Sally
would use prescribed Panadol medications whenever she would feel headaches. As Gilleard
(2017) note, whenever there is some pain in the body that is always relieved by some pain killers
on short term basis, it means there is an underlying problem that only continually grows in bits

ASSESSMENT BRIEF CASE STUDY 1 3
Development of treatment plan
Priorit
y
WHAT/
GOAL (as a
clinician
what are you
trying to do?)
WHERE
(tissues/
system)
HOW – (What
are the
mechanisms of
action/physiolo
gy that you are
seeking to
modify?)
OUTCO
ME (how
will
patient
feel?)
Actions
(herbal,
nutrition
al,
emotiona
l)
MODALIT
Y (what
modalities
are you
going to
use – this
is not
actual
therapeutic
s)
Short
term
Alleviate
symptoms of
the
concerning
issue.
Check on the
daily
diet/appropri
ate diet.
Circulatory
system
Overall body
Use of drugs
Food that will
help maintain
Normal
Healthy
Proper
adherenc
e to
prescribe
d drugs
Individual
therapy