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Case Study of John Name of the Student Name of the University Author note Past Medical History

12 Pages2312 Words309 Views
   

University of Nairobi

   

Past Medical History (HNS302)

   

Added on  2020-03-04

About This Document

The following paper is a case study of John's past medical records. The paper starts with talking of John's past medical records and it gives info about john's background. The documents cover all the aspect of his medical examination, serious concerns and every little detail of his issue. At last, the paper also gives a care plan for him to follow.

Case Study of John Name of the Student Name of the University Author note Past Medical History

   

University of Nairobi

   

Past Medical History (HNS302)

   Added on 2020-03-04

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Running head: CASE STUDY OF JOHNCase Study of JohnName of the StudentName of the UniversityAuthor note
Case Study of John Name of the Student Name of the University Author note Past Medical History_1
1CASE STUDY OF JOHNPast Medical HistoryJohn is 45-year-old man who is living with his family. John was referred to the MonashMedical centre with the history of headache and muscle pain in the legs that he was forced toleave his job as a carpenter. Upon diagnosis, it was found that John was going through anxietyand depression that have worsened in the past few months.Mental Status ExaminationGeneral description John is an English Carpenter who is has come with the problem of major muscular painand has problems in sitting and while walking. He is well oriented and well perfuse. There wasno abnormality found while looking at him. Mood and Affect He does not have any extreme mood while talking to him. However, he remaineddisturbed due to his pain in the muscles. Speech John articulated himself very clearly. He answered all the questions very clearly but in aslower rate. He has soft spoken man and was having some breathing problems while talking for avery long time. Perceptual disturbances John exhibits a normal perception. The symptoms of illusions, delusions, hallucinations,misinterpretation and passively phenomenon were not seen elicited in John.
Case Study of John Name of the Student Name of the University Author note Past Medical History_2
2CASE STUDY OF JOHNThought Processes The thought process of John has decreased. It has also decreased the rate of the speech inhim. He did not exhibit any formal form of thought disorder. He did not use or created his ownword to express his feelings. No negative thought disorder was seen in John.However, John is very much disturbed and anxious about his health and feels restlesswhile thinking about his health. He is very much guilty that he is unable to care of himself andfinance his own medication. CognitionJohn is alert and oriented in terms of time and place. He is able to answer all thequestions asked about his past and is able to recall every single incident. Judgement and Insights treatmentHowever, when John was questioned about his condition, he accepted that he is ill and herequires treatmentCase formulationSummary of presenting problems 80% blood clot in his left legPersistent and worsened headache over a last 4 weeksExperienced non-epileptic tremorsSymptoms of anxiety and irritabilityAcute depression
Case Study of John Name of the Student Name of the University Author note Past Medical History_3
3CASE STUDY OF JOHNInsomniaHistory of melancholy Fear of brain tumorFinancial crisis and stress Main concernMajor depressive disorder and anxiety is the main concern of the client.Predisposing factorsJohn has a strong family history, which predisposes him to develop a mood disorder.According to Levinson et al. (2014),a large sample of people diagnosed with non-anxiouscontrol and general anxiety disorder showed the family history of the psychologicalproblems. As per the behavioral genetics research, metal disorders are highlyattributed to genetic factors. In the govern case study, John’s parental cousin BipolarAffective Disorder and maternal cousin has anxiety. His older brother, Jeffrey has also sufferedfrom panic and depression with admission at the clinic previously. His youngest brother, Jamesis currently suffering from severe sleep deprivation due to being the new father of twins. John’sfather suffered from Post-Traumatic Stress Disorder. Thus, it is evident that these geneticfactors have cumulative influence on John’s psychological condition. Precipitating factorsThe precipitating factor in case of John is the financial dependence. He is financially notstable to fund the whole process of medications. Due to lack of financial independence, John
Case Study of John Name of the Student Name of the University Author note Past Medical History_4

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