Medical and Health Services Managers

Running head: HEALTHCARE
Healthcare
Name of the Student
Name of the University
Author Note

HEALTHCARE1
a. Case study presentation
Mrs. X is a 65 years old older adult female. Her birth nation is Spain. She arrived at USA with
her husband when she was 24 years old. Since then she has been residing at Florida. Mr and Mrs.
X have 2 daughters and 1 son. In the age of 51, Mrs. X lost her husband in a car accident. After
the death of her husband, the financial condition of the family deteriorated. Both of her sons left
home just 1 year after the death of their father in the search of job. Both of them currently live in
Texas and California respectively for job purpose. As they themselves find it difficult to make
both the end meet, no financial support is sent by them to Mrs. X. Initially they used to pay
frequent visit to her. However with time, their frequency of visit is decreased. 5 years after the
dismiss of Mr. X, Mrs X daughter has got married. Her daughter, being a house wife also does
not provide her with any financial support. Considering the fact that the Social Security income
of Mrs X is too low to pay for an apartment, currently she lives alone in a rented room. For 7
long years, Mrs X is living alone. Being an introvert person, she lacks social interaction.
Additionally, over the past 6 months, she is suffering from widespread pain in on both sides of
her body, back of her head, neck, shoulders, elbows, knees, hips and above and below her
waistline. Initially, she ignored the pain, however, with time the pain became chronic and started
escalating. The pain got accompanied with fatigue and cognitive difficulties. She is often tired
and is suffering from sleeping disorder. She has visited a local physician who is suspecting that
Mrs X may be suffering from Fibromyalgia. However a detained diagnosis is required to confirm
that.
The excessive pain and fatigue makes it very difficult for her to conduct daily household
chores al alone. Not only this, the constant headache along with trouble sleeping is making the
situation worse. As a result of her current physical condition, she is found to be suffering from

HEALTHCARE2
acute depression. Her physical inability along with depression is enhancing the risk of stroke or
coronary heart disease. MRs X is now opting for effective treatment so that she can get rid of
her current physical as well as psychological issues.
b. Assessment procedures in the initial sessions
Considering the fact that the chief issue faced by Mrs X is fibromyalgia which in turn is
resulting in depression, it is highly crucial for the healthcare professional to assess the
following.
1. The past history of health issues faced by Mrs. X: the chief reason behind this is to
identify the relationship of the current heath issue with any previous health issues. For
instance, Fibromyalgia chiefly involves a variety of factors that includes genetic.
Infections and physical or emotional trauma (Taymur et al., 2015). Often fibromyalgia is
a disease that tends to run in family, certain genetic mutations often result in development
of this disorder. Not only have this some infections often triggered or aggravate
fibromyalgia. Additional, he mentioned disease is also triggered physical trauma or
psychological stress. This is the first step for assessment that needs to be taken by the
doctor is to assess the issues faced by Mrs X.
2. The major symptoms faced by Mrs. X: considering the fact that the major symptoms of
Fibromyalgia includes fatigue, sleep, memory and mood issues. The physician needs to
check 18 specific points on Mrs. X body for understanding how many of them are painful
when pressed in a firm manner.
c. Along with assessing her Fibromyalgia condition, the physician will also assess the
impact of the heath issue on her phycology. For this the physician will conduct interview
with her.