Assignment task:
Social Worker-Patient Interaction: Assessment for Brian Bailey
Biopsychosocial Assessment
Patient's Name: Brian Bailey
Demographic Information:
Brian is a 58-year-old man who visited Mighty Oak Medical Clinic for treatment of a serious infection in his foot cause by complications o Type2 diabetes. Brian is not affiliated with any particular religion but is open to spiritual practices for support. Brian has limited income from his disability benefits and struggles with medical expenses but uses Medicaid to cover most of treatments.
What Brings the Patient to the Clinic/Primary Concerns:
Brian was admitted for a serious infection in his foot due to diabetic complications. He expresses concerns about managing his diabetes and recovery alone, feels isolated, and fears worsening health in the future.
Mental Status Exam:
Brian affect is flat, but he is cooperative, and his appearance is clean he is wearing a casual hospital gown, he however appears to be tired. Brian mood appears to be anxious and worried about his future health and independence.
Brian's cognitive Assessment shows that he is able to make logical decisions related to his healthcare and he also displays awareness of his medical needs and risks but feels overwhelmed.
Living Arrangements:
Brian lives alone in a small apartment. He relies on a close friend, Kevin, for occasional errands and help. His daughter calls occasionally but lives far away. Limited physical mobility is a challenge in his current setup.
Support System:
The area of strength for Brian is that his friend Kevin provides some local support for him. His daughter, who lives out of town, often maintain emotional connection via phone calls and Brian is also open to support groups and counseling.
The potential barriers for Brian is the lack of consistent in-person support, feeling of isolation and loneliness and concerns about managing diabetes without regular help. Brian also believes in the importance of proactive care but feels disheartened by the complexity of managing his diabetes. He acknowledges a need for support to stay on track and prevent further complications.
Goals:
The short-term goals for Brian are to join a diabetes support group within 2 weeks post-discharge to gain peer guidance and reduce feelings of isolation. To attend and participate in at least one meeting and to coordinate with nursing staff to finalize a personalized diabetes management plan when he is discharged. Also, having a clear measure, a written plan and a schedule in hand is important to Brian's diabetes care.
The medium-term goals for Brian are to explore community-based programs for at-home assistance and emotional support within 1 month. Taking measures to ensure that Brian is enrolled or confirmed for eligibility in the program for at least one service.
The long-term goals for Brian is to improve self-management skills for diabetes by maintaining blood sugar levels within the target range consistently for 3 months. Taking measures to ensure that there are daily and ongoing tracking of blood sugar readings and follow-ups with primary care.
Instruction:
Discuss a script:
For this scenario, you are meeting in a hospital setting. The patient is being discharged but has also received a chronic illness diagnosis. This role play activity will build on the character (see above Biopsychosocial Assessment)
In this interaction your goals are to:
Discuss the purpose of the meeting (transition from in-patient).
Revisit and review the elements of the biopsychosocial assessment that are relevant to transition planning.
Develop a transition plan that includes treatment or management of the chronic illness.
Identify three SMART goals for the patient in transitioning from an in-patient setting (if the goals from your previous assessment are still relevant, you can continue to use them).
Identify any barriers to achieving these goals. Need Assignment Help?
Guidelines for the Patient script
The patient should use the same name,( Brian) condition, and general details from the previous role-plays. The patient will add a chronic illness diagnosis (if the initial condition that brought the patient to the hospital is a chronic illness, you do not need to add a new diagnosis).
The patient can make up any potential strengths and barriers to treatment or follow up care, as long as they are realistic for the diagnosis.
Guidelines for the Social Workerh Script
The social work can invent and review any specific instructions from the doctor for treatment and follow up care, as long as they are realistic for the diagnosis.
The social worker should focus on engaging with the client in a way that gathers information but allows the patient to be heard.
The social worker should discuss a document detailing the specific goals for the patient, potential barriers for each goal and strengths for each goal. This can be done in paragraph form. Include diagnosis and the mental state, mood, and/or affect of the patient as they are being discharged.
The social worker should also discuss and a reflection on the process of conducting the assessment. Focus on the following:
What was it like to transition the patient from the in-patient setting? Note any issues of counter transference that may have occurred for you.
What are areas of challenges and strengths and their potential impact on the patient's life cycle?
Does the patient seem prepared to address their chronic illness? What supports are necessary for the patient to succeed?