Jeremy is a 28-year-old man presenting with a learning disability, depression, and anxiety disorder. These conditions have subjected the patient to many psychological health challenges. An assessment of the patient’s health reveals he has significant dysarthria that makes him irritable when people fail to understand him. The patient has a poor social life.
Even though the patient has a healthy BMI of 24.3, he rarely engages in social activities that might boost his self-esteem and improve his psychological wellbeing (Atherton & Crickmore 2012). However, he receives support from a local health and social care agency. Jeremy’s condition has deteriorated to a point whereby he does not appreciate the support from a female social worker. In this case, it would have been important for the social to speak with the library supervisor concerning Jeremy’s condition to ensure a healing environment is created both at home and at work. The patient has also been experiencing abdominal cramps and nausea, which appears to have been misdiagnosed. Jeremy was initially advised to consume more fruits and vegetables and drink sufficient amount of water. It would have been better for the patient to seek medical attention once the symptoms were detected. This is an indication there is a disconnect in the treatment plan for this patient. Many areas are yet to be addressed; for instance, the patient has not been counseled on how to manage anxiety. The patient is scared he might die like his grandfather due to abdominal cramps.
Sarah Case Study
Assessment of the patient’s health reveals she is suffering from several health conditions including moderate learning disability, severe epilepsy, and Tuberous Sclerosis. The medical history of the patient reveals that she was diagnosed with epilepsy at the age of three due to frequent tonic-clonic seizures. The patient has been receiving social support from her parents and close members of the family. Her condition, however, is becoming a major hindrance to her involvement in social activities. During childhood, her epilepsy was managed through collaborative care between her parents, a consultant neurologist, and epilepsy nurse. The nursing principles in the management of epilepsy make it clear that the patient should be closely monitored and strict compliance with anticonvulsants observed. The treatment plan for this patient is aimed at improving her health condition through minimizing incidences of seizure attacks. Some of the medications that the patient has been administered with include Sodium Valproate 200mg BD, Lamotrigine 100mg TDS, Carbamazepine 600mg NOCTE, and Buccal midazolam 10mg (base). Even though her condition is well managed, she requires support and carried medications in case she suffers an emergency epileptic attack. Most of her needs and interests are well taken care of. She receives medical support from the Community LD Nurse who visits her regularly. The nurse evaluates the health condition of the patient and makes appropriate medical decisions including whether to refer the patient for specialized treatment. The patient has an appropriate social support system. This system has contributed greatly to the good health of the patient despite his communication challenges (Atherton & Crickmore 2012). The patient has limited verbal communication skills even though she understands easy-read information.
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