Concept of helping clients during the case management process The concept of helping clients during the case management process will reduce recidivism, enhance public safety, and promote success. The case management concept is complex because different components may happen at different times during the treatment process. Each individual is unique and different, so therefore, the treatment has to be different. Freeman (2001) stated, “The traditional case management plan calls for reduction of problematic symptoms by a certain percentage” (p. 77). Case managers are professionals who provide treatment and services to clients so they can live productive in society.
Groups that have a higher risk of becoming vulnerable include, children, people with learning and physical disabilities, people suffering with mental health problems, chronically ill people and the elderly. Age concern (1986) defines vulnerability in the elderly as ‘people in need of some support, help and/or advice in order to prevent personal or social deterioration or breakdown. Without this their level of dependency on others or their ability to manage their lives as they wish, might deteriorate to the point of necessitating their removal to institutional care, which is not their preferred option and might otherwise be prevented or postponed (page 11).’ This statement is proven in my clinical experience. Whilst on placement on a busy acute medical ward, at a local hospital, I helped to care for an elderly lady, whom I shall refer to as Mrs Berry. Mrs Berry was 87 and had been admitted to hospital following a fall
Education is important with this form of treatment so clients can recognize how different factors affect the course of the disease and what they can do to manage these factors (Steinkuller and Rheineck 342). Family therapy is also a means of treatment where family members as well as the client see a mental health provider to find solutions and ways to deal with the disorder. Family involvement provides structure and could increase adherence to treatment leading to delays or reductions in relapses (Steinkuller and Rheineck 342). Interpersonal and social rhythm therapy involves stabilizing social and circadian rhythms based on the hypotheses that unstable daily routines result in increased bipolar episodes in individuals prone to them (Steinkuller and Rheineck 349). Social rhythm therapy recognizes the need for regular sleep/wake cycles, regulation of meals, exercise, sleep and plans for keeping rhythms stable when disruptions occur.
For example, if a service user has been prescribed medication, but seems to be suffering side effects, it is important to inform their GP so they can review the medication. 3.3 Many skill and approaches are needed when trying to resolve conflicts, it very much depends on the individual case. The first step in any case is to find out exactly what the conflict is, and who it involves, then it might be helpful to have each party discuss their issues, either with each other or to a third party. Once the
In the health and social care settings, difficulties may arise when trying to implement ant-discriminatory practices. These issues may lie with staff or with patients who think they might be being discriminated against. In these situations it is the company or the managers responsibility to promote anti-discriminatory practise with the staff and patients. It is also important to act professionally and quickly against discriminatory actions that happen within the company. It is important that when implementing anti-discriminatory practise because there are different factors that could affect different people.
Should Addiction to Drugs Be Labeled a Brain Disease? YES: Alan Lesher maintains that chronic use of drugs changes how the brain works so drastically that recurring use of drugs becomes its sole focus and thus addiction is a brain disease. Lesher says that determining physical or physiological dependency of drugs will no longer help the cause of addiction, ad that the main aspect of drug use is whether the drug eventually causes compulsive, uncontrollable cravings. It is these compulsive cravings that will do the most damage to the individual, their families, and society. Lesher says, “Addiction is a brain disease expressed in the form of compulsive behavior.” As with most chronic diseases, addiction should also be treated with multiple recurring treatments since the brain chemistry of addicts often causes them to relapse into drug use.
Now the patient is hyperkalemic from the metabolic acidosis causing dysrhythmias leading to cardiac arrest. (Excited Delirium Strikes Without Warning). Dopamine can be a self-induced problem by taking illegal drugs that block the uptake of dopamine or it can be something the body produces too much of on its own. Wesley goes on to say that, “A large number of these patients who suffer from excited delirium have pre-existing psychiatric conditions…” (Excited Delirium Strikes Without
Something that is very important is to screen suicidal or homicidal ideations. The client and clinician as well as others safety has to be considered. If a client has either and they appear to be a safety risk a clinician has a duty to warn by contacting law enforcement. Screening for past and present mental health disorders is an important step and should be taken seriously. When contacting other providers they may be treating a client for other mental health disorders.
Treatment is difficult because the behavioral perspective is based on past experiences and learned behaviors. Treatment can be lengthy and difficult. If treatment is going well and you were successfully detoxed, you then have to go back into the environment that enabled you to become addicted to alcohol. This can create the never ending cycle and individuals can fall right back into their old ways very quickly. One is not able to avoid stressors in their lives, hardships, frustration, anxiety, sadness and anger so again, it is very easy for them to quickly engage in old habits.
With this being the case, antipsychotic medications often have side effects that need to be monitored regularly by the health professionals (Young et al, 2011). Compliance is often a challenge with patients either because of the unmanageable side effects they experience or through limited insight. It is a role of the health professionals involved in the care to closely monitor this behaviour, as the effectiveness of the treatment may be affected (Young et al, 2011). Keller, Drexler &Lichtenberg (2009) discuss the benefits of treating paranoid schizophrenia with atypical antipsychotic medication clozapine and Electroconvulsive Therapy (ECT). However both forms of treatment are linked with harsh side effects.