Due Friday by 3pm
Please Follow Directions for full points!!
You have been tasked with evaluating a case for the course project. For your final submission, you will create a hypothetical case scenario and a case plan.
The case may be an individual client or a family. The 1-2 page case scenario should be in depth and should include all the pertinent information that is necessary to create a comprehensive case plan. The case plan should be 1-2 pages in length
Combine your hypothetical case scenario and case plan into a single Word document.
Rubrics
Develops a 1-2 pages hypothetical case scenario based an individual or a family. The case scenario should be in depth and should include all the pertinent information that is necessary to create a comprehensive case plan. 50 pts
Develops a case plan based on real world examples and that is at least 12 pages in length. 50 pts
Combines hypothetical case scenario and case study into a single Word document.20
Follows standard mechanics for spelling, grammar, punctuation, and writing style. Any references are cited in APA format.15
Total 135 pts
Running head: JANIS 1
JANIS 2
Case Study Example
Janis
Janis is a 56-year-old lady on a fixed income. She lives in Monroe Plaza, which is subsidized housing downtown Green Bay Wisconsin. Janis has two adult children. Michael lives in Appleton, Wisconsin, and a daughter Michelle who lives in Bristol Tennessee. Neither of whom visit Janis. Michelle talks to her mother on the phone weekly. Janis is not married, as she has been divorced for many years and does not work. She is considered physically disabled and collects social security, SSDI and a small pension from when she worked at the pickle plant. Her total a month in income is $1024.00.
Janis has a history of sexual assault. From the age of 6-18 Janis, was raped by a relative repeatedly. Janis states she disassociated and pretended she was floating out of her body and hung from a chandelier when it occurred. Janis has extensive trauma in her life, and as a result has Post Traumatic Stress Disorder. She also has anxiety/depression, borderline personality disorder, explosive disorder, degenerative disc disease, chronic pain in her arms, hips and back. Janis is also a pathological liar and addicted to pain medication. Janis also abuses alcohol however she denies this. Janis also is diabetic and is non-compliant with her diabetes. With Janiss inability to trust people, she refuses all treatment for her diabetes stating, doctors dont know what they are talking about. Janis has a life expectancy of left that 6 months and is hospice appropriate but refuses hospice services. Janis is losing weight at a rapid rate and doctors have requested colonoscopy but Janis refuses. Janis also has hoarding tendencies.
Janis has 2 emotional support animals. One is a dog named Fuzzy Butt, and one is a cat named Sassy. Janis doesnt go anywhere, except to the doctors without Fuzzy butt. Janis becomes very anxious when she doesnt have Fuzzy Butt. Janis is very attached to her animals but doesnt care for them appropriately. Janis refuses to take fuzzy butt outside and has pads down where her animals urinate and defecate. Janis does not clean up after the animals.
Janis uses a medical van for transportation and does not drive anymore. She states she gets too tired when she drives and is afraid, she is going to fall asleep while driving. Janis has a van parked at Monroe Plaza and it is broke down in the parking lot. Janis requires others to drive her places she wants to go.
Janis denies practicing religion and denies being spiritual. She states that if there was a God, he wouldnt have allowed the things to be done to her that were.
Janis is below poverty line. While she receives $1024.00 a month, she pays $307.00 a month for her rent. She also receives $12.00 in food stamps. Janis pays for insurance for her van, and a storage unit. Janiss utilities, cable and Wi-Fi are included in the rent. Janis pays for her own groceries. Janis doesnt have any assets currently.
Care Plan
Medical
Problems:
Client is non-compliant with medication regime. Client experiences excessive pain. Client lacks understanding of disease progression. Client has type 2 diabetes that is not controlled.
Client consumes alcoholic beverages with on prescription pain medication.
Goals:
Client will receive regular, adequate medical care that addresses diabetes management and pain management. Client will follow medication regime. Client will experience the best possible health with life limiting illness. Client will be informed and make medical decisions on her health. Client will accept palliative/hospice care.
Client tasks:
Client will go to medical appointments as they are scheduled. Client will take medications as prescribed. Client will not consume alcoholic beverage while on pain medication.
Case Manager:
Case Manager will provide referrals to Medical providers in the area. Case Manager will assist client in making appointments and ensuring member has transportation to and from appointment. Case Manager will confer with RNCM at necessary. Case Manager will update MD as needed of any illnesses, pregnancies, or accidents. Case manager will make referral to lifeline for safety measures.
Functional Limitations
Problems:
Client needs assistance with activities of daily living. Client needs assistance with housekeeping.
Goals:
Client will live independently in the least restrictive setting as possible. Client will live safely in their home for as long as possible.
Client Tasks:
Client will accept assistance with activities of daily living with supportive home care worker. Client will assist in filling out paperwork and signing of paperwork and the development of a care plan with SHC agency.
Case Manager:
Case Manager will find and refer client for services to a cost effective, adequate Supportive home care Agency. Case Manager will attend assessment with SHC agency. Case Manager will consult with IDT members as needed.
Mental Health
Problems:
Client has extensive mental health issues. Client is non-compliant with medications regime.
Client has explosive and behavioral episodes.
Goals:
Client will receive regular and adequate mental health care. Client will take medications as prescribed. Client will limit the number of explosive and behavioral episodes to once a week.
Tasks:
Client will not self-harm and will sign risk agreement with Care Manager to not drink with pain medications. Client will go to counseling sessions as scheduled, and not cancel them. Client will agree to use medications correctly and be compliant with medication regime.
Case Manager:
Case Manager will make referral to Mental Health counselor. Case Manager will follow up with client regarding mental health appointments and ensure client has transportation for appointments. Case manager will provide emotional support to client. Case Manager will discuss alternative strategies for behaviors. Case Manager will make risk agreement with client regarding the use of prescription drugs and alcohol. Case Manager will allow client to share problem and issues. Case Manager will ensure that client has number for Crisis center/Diversion if the need arises.
Financial
Issues:
Client has lacks adequate income to fund transportation, medications, food, travel and rent. Client has not applied for all benefits she may be qualified for. Client has difficulty managing her own finances.
Goals:
Client will live in a safe stable environment. Client will be able to purchase adequate, healthy food. Client will receive all the benefits she qualifies for.
Tasks:
Client will budget finances with the help of a rep payee. Client will look up food pantries in the Green Bay area. Client will provide case manager with income levels, social security statements yearly. Client will keep all appointments with social security office, and any services in which she qualifies for.
Case Manager:
Case Manager will make refer to food pantries. Case Manager will advocate for client for food stamps/social security as needed. Case Manager will refer client for money management or rep payee services. Case Manager will review expenses with client.
