Case Context:You are working in the Emergency Department and have just begun an early shift. One of your allocated patients is Jenny, a 27 year old female, who was brought into ED by friends after falling in the road when running out of a night club. Jenny’s husband, Lloyd, was called and has arrived at the Emergency Department. Lloyd has returned from a business trip interstate and is anxious about Jenny and how her mental state has changed in the time that he has been away. You have a conversation with Lloyd and he provides consent for you to document your conversation with him in Sophie’s notes.Jenny has been examined and is waiting to be assessed by someone from the Consultation-Liaison psychiatry team.The ED manager has asked you to draw together all of the information from Jenny’s assessment and other corroborative information available as a case formulation that can be instructive in developing the plan of care for Jenny.
bipolar disorder, discuss medication adherence, pychosocial issues, employment, proposed care plan
IntroductionIdentify the key facts, problems and important issues in the case study, however as stated, focus primarily on 2 to 3 key points to help focus your assignment. This is just a short summary (no more than 10% of word count) of the points and issues that will be addressed in the case study. It is often a good idea to come back to this once you have finished the ‘Evaluation of the case’ and the ‘Proposed plan of case’ so that you are only introducing the points and issues that will be evaluated and analysed rather than all the possibilities in this case.Formulate and include a clear and concise statement. Just a single sentence that clearly and concisely spells out the main points for discussion.BackgroundSet the scene concisely: background information, relevant facts, and the most important issues and implications. Be careful not to just repeat information that has been provided. You can provide a summary of what is happening and has happened for Jenny or Edgar as background, then provide some context. For example, consider her diagnosis and use literature to help the reader to understand what might be going on for Jenny or Edgar at the moment.Demonstrate that you have researched the problems and issues raised in this case study. In other words, support with literature.Evaluation of the CaseEvaluate the corroborative information and discuss what is working and what is not working, supported by contemporary evidence.Choose a limited number of points/issues/occurrences to consider, evaluate and analyse. You may find it easier to take one main point and evaluate in full, then move to the next in a new paragraph. For example, is there anything in Jenny or Edgar’s social functioning/relationships/connections/supports that you can evaluate and analyse. What is working, what is not, what may need support to work more effectively.Limit the number of main issues so that you can analyse in depth rather than just mentioning many issues.Use literature to support your thoughts and statements. Reference any works cited.Proposed plan of careUsing a recovery and person-centred approach, provide specific and realistic plans for how Jenny or Edgar and their partners/friends/family can be supported. Use the points/issues that you have analysed in the ‘Evaluation of the case’ above to inform your proposed plan of care.
Explain why this plan of care has been chosen, supported with evidence. Determine and discuss specific strategies for implementing and evaluating care.The sections ‘Background’, ‘Evaluation of the case’ and ‘Proposed plan of care’ would make up the body of the case study, therefore worth 70% of the total grade. The bulk of this would be the latter two.ConclusionJust a short pulling together of your evaluation, what you have determined and how it will be implemented.ReferencesUse relevant, contemporary, peer-reviewed sources to support your thoughts, ideas and statements. You may make use of the sources provided in the course topics, but always find the original source;i.e. don’t reference a video presentation, find the source used in the presentation. Also, importantly, do research to find sources beyond the course materials, ensuring relevance for within the last 5-10 years.
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