Medical Case Study and Recommendations for Treatment

December 9, 2022

Medical Case Study and Recommendations for Treatment

Order Number	636738393092
Type of Project	ESSAY
Writer Level	PHD VERIFIED
Format	APA
Academic Sources	10
Page Count	3-12 PAGES

Instructions/Descriptions

Medical Case Study and Recommendations for Treatment

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Brenda is a 32-year-old, single, Mexican American Female. Brenda has two children,
Brandon (14) and Anna (13). Brenda was raised in a traditional Mexican household in
Los Angeles area with both parents, Jessica (mother) and Jesus (father), as well as two
siblings, Carla (36) and Carlos (40) who left the home as soon as they turned 18-years-
old.
Brenda's father has always maintained a stable income has a contractor; however, he
would come home every night and consume a 12 pack of beer. On good nights Jesus
would just fall asleep but more than often Jesus will become
belligerent with Jessica. Jessica was a stay-at-home mom that experience verbal and
emotional abuse from her husband. Brenda was a witness to the abuse.
At the age of 18-years-old, Brenda moved in with her boyfriend (Jose) to get away from
her parents. During this time, Brenda worked two jobs. She was a cashier at the dollar
store and worked as dispatcher for a meat delivery service. Brenda and Jose lived in a
small house. Brenda thinks of it more as cozy studio, where the kitchen and bathroom
were all in one area.
Brenda disclosed that everything started out "fine" but after 3 months of living with Jose
she noticed that he would come home late and smell of alcohol. Jose has able to obtain
a job as a bouncer for the local club and insisted he was trying to "get in" with the club
owner for better pay. Brenda believed Jose he did not really give her any reason not to
trust him.
Until one night he asked her to dance for him and his friends. Brenda felt uncomfortable
but complied because Jose was the only person she trusted. Brenda feels a lot of guilt
and shame because it happened more than once. This went on about a year she
struggled to hold on to her jobs because Jose wanted to her to stay at home.

Brenda thought that maybe things were getting more serious. Brenda always had to ask
for money to buy what she needed. There were times Jose accused her of keeping the
money and would go buy what she needed. Brenda was made to close her bank
accounts and rely strictly on Jose.
One night Jose came home intoxicated and angry he was let go from his job
because the manager accused Jose of stealing 1000 dollars from the safe. Brenda
thought it was time to help and tried to console Jose and ensure him she would help
pay the bills. Jose became angry and broke everything in their home. Brenda recalls
feeling scared and confused.
Within that month Jose spent all their saving drinking and their rent was due. Brenda
thought she must do something. She started to apply for jobs and got a job interview.
Brenda was reluctant to tell Jose, but she needed a ride to the interview. Everything
was going well until Jose pulled over and slapped her. Jose started to yell " You think
this is funny!
I know what you’re trying to do". Brenda was really confused. Jose believed that Brenda
was trying to leave him. he repeatedly slapped her and threw her purse and documents
out the window. Brenda was rarely allowed to leave the house and if she did Jose was
right there with her.
One day Brenda felt ill, and Jose took her to the doctors. it was confirmed that Brenda
was 4 weeks pregnant with her son Brandon (14). As soon as Jose heard the news, he
abandoned her. It was months before she heard from him again. After Brandon was
born Brenda received a phone call from Jose apologizing for the way he treated her.
Brenda still really loved Jose and forgave his mistakes "We all make mistakes and
deserve second chances".
This led to Brenda's second pregnancy (daughter, Anna,13). When Jose became
aware of the pregnancy, he once again abandoned her. That was the last time Brenda
had contact with him. After years of the abandonment from Jose, Brenda continues to
feel responsible for her children not having a father. Brenda has always been focused
on providing for her children, which meant that she had to work two jobs in order to do
so.
She is currently working as a cashier in two different locations in order to make ends
meet. Due to the lack of time spent with her children, Brenda was never really able to
create an emotional bond with them. Brandon and Anna both felt abandoned by both
parents, resulting in both having behavioral issues. Brandon has become a bully at
school and getting poor grades. Brenda tries to support Brandon though prayer.
However, when asked how she corrects his behavior, Brenda believes that her kids
have gone through enough and doesn't want to add to their stress. Brenda tries her best
to be supportive by giving her kids the things they want. At times, Brenda secretly drinks
when the kids are asleep, and she feels very withdrawn from society. All she does is
work, sleep, and attempt to care for the home.
Brenda laughs at the idea of having a social circle as she is fully devoted solely to
working for her children. Brenda admits that although she struggles to pay her bills at
times, she will hold off on paying some to be able to buy her son things that he
wants. Brandon's self-image is important to her, and she is willing to do anything to
preserve it. Anna, who also struggles with behavioral issues, has explosive outbursts at
home, attempts to throw things at Brenda and calls her names. Brenda often will just
ignore the behavior than engage because she does not want to a dictator like her father
and ex-boyfriend.
Brenda realizes that their behaviors can be challenging but she feels this is part of their
growth. Both Brandon and Anna are struggling with school. However, Brandon is
currently failing 9th grade, he is getting into fights, cutting class, and has been accused
of bullying other students. The school calls Brenda every time Brandon is not present
for class.
When Brenda asks him why he did not attend class, Brandon becomes upset and yells
at her, often screaming "Mind your own business! Don't you have to go to work or
something?". Brenda admits to feeling lots of guilt because she is aware that due to
having two jobs, she is not able to provide her children with the needed attention.
Three weeks ago, Brandon told Brenda that he would be staying at his grandparent’s
home. Brenda loved the idea since Brandon did not have much of a bond with them.
Brenda shared that the same day, Brandon was invited to a friend's party. However, she
thought that he wanted to spend time with his grandparents instead. That night,
Brandon waited until his grandmother went to sleep to take her car for a joyride with his
friends and go to the party.
Brandon's grandmother, Jessica, woke up in the middle of the night to realize that
neither Brandon nor her car were there. Jessica waited up until Brandon got home at 4
in the morning to confront him. Jessica shared that she does not want Brandon over
anymore because she does not trust him, however, Brenda believes that her mother is
overreacting, and Brandon is just being a teenage boy.

After the incident, Brenda started to have uncontrollable feelings of
hopelessness. Brenda is currently seeking outpatient treatment because she is feeling
overwhelmed with life and feels she is doing everything she can to be a supportive
mom. Brenda does not understand why she is feeling so disconnected from herself and
sometimes questions if this life is worth living.
Although it is against her religion to commit suicide, Brenda feels that she is better off
gone. Although religion is not her highest priority, she does identify as Christian. Brenda
is open to receiving help as long as she doesn't have to take medication.

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Recommendations for treatment:
· Recommend one of these evidenced-based family interventions to treat this family.
· Discuss the theoretical orientation of the theory behind the intervention, the major
tenets of the intervention and the strategy/techniques used.
· Explain why your group recommends this treatment.
Engagement and assessment:
· Describe techniques of how a social worker would engage with this family and assess
the presenting issue.
· Explain any cultural factors that should be taken into account during engagement and
assessment.
· Provide scholarly evidence to support techniques.

Medical Case Study and Recommendations for Treatment

RUBRIC

Excellent Quality

95-100%

Introduction

45-41 points

The context and relevance of the issue, as well as a clear description of the study aim, are presented. The history of searches is discussed.

Literature Support

91-84 points

The context and relevance of the issue, as well as a clear description of the study aim, are presented. The history of searches is discussed.

Methodology

58-53 points

With titles for each slide as well as bulleted sections to group relevant information as required, the content is well-organized. Excellent use of typeface, color, images, effects, and so on to improve readability and presenting content. The minimum length criterion of 10 slides/pages is reached.

Average Score

50-85%

40-38 points

More depth/information is required for the context and importance, otherwise the study detail will be unclear. There is no search history information supplied.

83-76 points

There is a review of important theoretical literature, however there is limited integration of research into problem-related ideas. The review is just partly focused and arranged. There is research that both supports and opposes. A summary of the material given is provided. The conclusion may or may not include a biblical integration.

52-49 points

The content is somewhat ordered, but there is no discernible organization. The use of typeface, color, graphics, effects, and so on may sometimes distract from the presenting substance. It is possible that the length criteria will not be reached.

Poor Quality

0-45%

37-1 points

The context and/or importance are lacking. There is no search history information supplied.

75-1 points

There has been an examination of relevant theoretical literature, but still no research concerning problem-related concepts has been synthesized. The review is just somewhat focused and organized. The provided overview of content does not include any supporting or opposing research. The conclusion has no scriptural references.

48-1 points

There is no logical or apparent organizational structure. There is no discernible logical sequence. The use of typeface, color, graphics, effects, and so on often detracts from the presenting substance. It is possible that the length criteria will not be reached.