Assignment task:
Using the case study details and personal experience as a patient, carer or from clinical placements, create a Discussion (document from the patient point of view. This should include concerns and/or fears and similar, related to case study admission and can cover physical and/or psychosocial concerns.
Describe three (3) concerns/issues that the patient may be experiencing from the patient's point of view.
Describe the potential complications that may arise if the three (3) concerns are left untreated (use resources to support your discussion in this part).
Social History:
John is a 52-year-old Caucasian male, unemployed and separated from his wife. He has two children who live interstate. He currently lives in a two-bedroom housing commission flat on the second floor. He has been trying to lose weight and increase his exercise for the past 6 months without success. He drinks two bottles of beer every night and a glass of wine with dinner. He also smokes 8 cigarettes a day.
Relevant Medical History:
- Diabetes mellitus type 1, kidney failure on haemodialysis X 3 times a week
- Chronic back pain which he sustained 10 years ago on a building site
- Depression
- Substance dependence
- Coronary artery disease (CAD), was diagnosed 3 months ago
- Obesity
Presenting Problem:
John has revealed that he has 'given up hope' and has stopped taking his antidepressant medications. John had indicated he is 'not in a good relationship' with his two sons and that he has not seen either of them for the past 3 years. John has also indicated that he is lonely since he does not go out due to his mobility issues. His GP has recently referred him to a vascular surgeon for a review of a black discolouration on his right big toe.