Discussion: Theoretical Orientation

Want create site? With you can do it easy.

Discussion: Theoretical Orientation

Discussion: Theoretical Orientation

Permalink:

Struggling to find relevant content or pressed for time? – Don’t worry, we have a team of professionals to help you on
Discussion: Theoretical Orientation
Get a 15% Discount on this Paper
Order Now

Paula  is  a  43-year-old  HIV-positive  Latina  woman  originally  from  Colombia.  She  is  bilingual,  fluent  in  both  Spanish and English. Paula lives alone in an apartment in Queens, NY. She is divorced and has one son, Miguel, who is 20 years old. Paula maintains a relationship with her son and her ex-husband, David (46). Paula raised Miguel until he was 8 years old, at which time she was forced to relinquish custody due to her medical condition. Paula is severely socially isolated as she has limited contact with her family in Colombia and lacks a peer network of any kind in her neighborhood. Paula identifies as Catholic, but she does not consider religion to be a big part of her life. Paula came from a moderately well-to-do family. She reports suffering physical and emotional abuse at the hands of both her parents, who are alive and reside in Colombia with Paula’s two siblings. Paula completed high school in Colombia, but ran away when she was 17 years old because she could no longer tolerate the abuse at home. Paula became an intravenous drug user (IVDU), particularly of cocaine and heroin. David, who was originally from New York City, was one of Paula’s “drug buddies.” The two eloped, and Paula followed David to the United States. Paula continued to use drugs in the United States for several years; however, she stopped when she got pregnant with Miguel. David continued to use drugs, which led to the failure of their marriage. Once she stopped using drugs, Paula attended the Fashion Institute of Technology (FIT) in New York City. Upon completing  her  BA,  Paula  worked  for  a  clothing  designer,  but  realized  her  true  passion  was  painting.  She  has  a  collection of more than 100 drawings and paintings, many of which track the course of her personal and emotional journey. Paula held a full-time job for a number of years before her health prevented her from working. She is now unemployed and receives Supplemental Security Insurance (SSI) and Medicaid. Paula was diagnosed with bipolar disorder. She experiences rapid cycles of mania and depression when not prop­erly medicated, and she also has a tendency toward paranoia. Paula has a history of not complying with her psychi­atric medication treatment because she does not like the way it makes her feel. She often discontinues it without telling her psychiatrist. Paula has had multiple psychiatric hospitalizations but has remained out of the hospital for at least five years. Paula accepts her bipolar diagnosis, but demonstrates limited insight into the relationship between her symptoms and her medication. Paula was diagnosed HIV positive in 1987. Paula acquired AIDS several years later when she was diagnosed with a severe brain infection and a T-cell count less than 200. Paula’s brain infection left her completely paralyzed on the right side. She lost function of her right arm and hand, as well as the ability to walk. After a long stay in an acute care hospital in New York City, Paula was transferred to a skilled nursing facility (SNF) where she thought she would die. It is at this time that Paula gave up custody of her son. However, Paula’s condition improved gradually. After being in the SNF for more than a year, Paula regained the ability to walk, although she does so with a severe limp. She also regained some function in her right arm. Her right hand (her dominant hand) remains semiparalyzed and limp. Over the course of several years, Paula taught herself to paint with her left hand and was able to return to her beloved art. In 1996, when highly active antiretroviral therapy (HAART) became available, Paula began treatment. She responded well to HAART and her HIV/AIDS was well controlled. In  addition  to  her  HIV/AIDS  disease,  Paula  is  diagnosed  with  hepatitis  C  (Hep  C).  While  this  condition  was  controlled, it has reached a point where Paula’s doctor is recommending she begin treatment. Paula also has signifi­cant circulatory problems, which cause her severe pain in her lower extremities. She uses prescribed narcotic pain medication to control her symptoms. Paula’s circulatory problems have also led to chronic ulcers on her feet that will not heal. Treatment for her foot ulcers demands frequent visits to a wound care clinic. Paula’s pain paired with the foot ulcers make it difficult for her to ambulate and leave her home. As with her psychiatric medication, Paula has a tendency not to comply with her medical treatment. She often disregards instructions from her doctors and resorts to holistic treatments like treating her ulcers with chamomile tea. Working with Paula can be very frustrating because she is often doing very well medically and psychiatrically. Then, out of the blue, she stops her treatment and deteriorates quickly. I  met  Paula  as  a  social  worker  employed  at  an  outpatient  comprehensive  care  clinic  located  in  an  acute  care  hospital in New York City. The clinic functions as an interdisciplinary operation and follows a continuity of care model. As a result, clinic patients are followed by their physician and social worker on an outpatient basis and on an inpatient basis when admitted to the hospital. Thus, social workers interact not only with doctors from the clinic, but also with doctors from all services throughout the hospital. 23

SESSIONS: CASE HISTORIES • THE CORTEZ FAMILY After  working  with  Paula  for  almost  six  months,  she  called  to  inform me that she was pregnant. Her news was shocking because she did not have a boyfriend and never spoke of dating. Paula explained that she met a man at a flower shop, they spoke several times, he visited  her  at  her  apartment,  and  they  had  sex.  Paula  thought  he   was  a  “stand  up  guy,”  but  recently  everything  had  changed.  Paula  began to suspect that he was using drugs because he had started to  become controlling and demanding. He showed up at her apartment at all times of the night demanding to be let in.  He c   alled her relentlessly, and when she did not pick up the phone, he left her mean and threatening messages.  Paula was fearful for her safety.  Given Paula’s complex medical profile and her psychiatric diagnosis, her doctor, psychiatrist, and I were concerned about Paula maintaining the pregnancy. We not only feared for Paula’s and the baby’s health, but also for how Paula would manage caring for a baby. Paula also struggled with what she should do about her pregnancy. She seriously considered having an abortion. However, her Catholic roots paired with seeing an ultrasound of the baby reinforced her desire to go through with the pregnancy. The primary focus of treatment quickly became dealing with Paula’s relationship with the baby’s father. During sessions with her psychiatrist and me, Paula reported feeling fearful for her safety. The father’s relentless phone calls and voicemails rattled Paula. She became scared, slept poorly, and her paranoia increased significantly. During a particular session, Paula reported that she had started smoking to cope with the stress she was feeling. She also stated that she had stopped her psychiatric medication and was not always taking her HAART. When we explored the dangers of Paula’s actions, both to herself and the baby, she indicated that she knew what she was doing was harmful but she did not care. After completing a suicide assessment, I was convinced that Paula was decompen­sating quickly and at risk of harming herself and/or her baby. I consulted with her psychiatrist, and Paula was invol­untarily admitted to the psychiatric unit of the hospital. Paula was extremely angry at me for the admission. She blamed me for “locking her up” and not helping her. Paula remained on the unit for 2 weeks. During this stay she restarted her medications and was stabilized. I tried to visit Paula on the unit, but the first two times I showed up she refused to see me. Eventually, Paula did agree to see me. She was still angry, but she was able to see that I had acted with her best interest in mind, and we were able to repair our relationship. As Paula prepared for discharge, she spoke more about the father and the stress that had driven her to the admission in the first place. Paula agreed that despite her fears she had to do something about the situation. I helped Paula develop a safety plan, educated her about filing for a restraining order, and referred her to the AIDS Law Project, a not-for-profit organization that helps individuals with HIV handle legal issues. With my support and that of her lawyer, Paula filed a police report and successfully got the restraining order. Once the order was served, the phone calls and visits stopped, and Paula regained a sense of control over her life. From a medical perspective, Paula’s pregnancy was considered “high risk” due to her complicated medical situ­ation. Throughout her pregnancy, Paula remained on HAART, pain, and psychiatric medication, and treatment for her Hep C was postponed. During the pregnancy the ulcers on Paula’s feet worsened and she developed a severe bone infection, ostemeylitis, in two of her toes. Without treatment the infection was extremely dangerous to both Paula and her baby. Paula was admitted to a medical unit in the hospital where she started a 2-week course of intra­venous (IV) antibiotics. Unfortunately, the antibiotics did not work, and Paula had to have portions of two of her toes amputated with limited anesthesia due to the pregnancy, extending her hospital stay to nearly a month. The condition of Paula’s feet heightened my concern and the treatment team’s concerns about Paula’s ability to care for her baby. There were multiple factors to consider. In the immediate term, Paula was barely able to walk and was therefore unable to do anything to prepare for the baby’s arrival (e.g., gather supplies, take parenting class, etc.). In the medium term, we needed to address how Paula was going to care for the baby day-to-day, and we needed to think about how she would care for the baby at home given her physical limitations (i.e., limited ability to ambulate and limited use of her right hand) and her current medical status. In addition, we had to consider what she would do with the baby if she required another hospitalization. In the long term, we needed to think about permanency planning for the baby or for what would happen to the baby if Paula died. While Paula recognized the importance of all of these issues, her anxiety level was much lower than mine and that of her treatment team. Perhaps she did not see the whole picture as we did, or perhaps she was in denial. She repeatedly told me, “I know, I know. I’m just going to do it. I raised my son and I am going to take care of this baby too.” We really did not have an answer for her limited emotional response, we just needed to meet her where she was and move on. One of the things that amazed me most about Paula was that she had a great ability to rally people around her. Nurses, doctors, social workers: we all wanted to help her even when she tried to push us away. The Cortez Family David Cortez: father, 46 Paula Cortez: mother, 43 Miguel Cortez: son, 20  24

SESSIONS: CASE HISTORIES • THE CORTEZ FAMILY While Paula was in the hospital unit, we were able to talk about the  baby’s  care  and  permanency  planning.  Through  these  discus­sions, Paula’s social isolation became more and more evident. Paula had  not  told  her  parents  in  Colombia  that  she  was  having  a  baby.  She  feared  their  disapproval  and  she  stated,  “I  can’t  stand  to  hear  my mother’s negativity.” Miguel and David were aware of the preg­nancy, but they each had their own lives. David was remarried with children, and Miguel was working and in school full-time. The idea of  burdening  him  with  her  needs  was  something  Paula  would  not  consider. There was no one else in Paula’s life. Therefore, we were forced to look at options outside of Paula’s limited social network. After  a  month  in  the  hospital,  Paula  went  home  with  a  surgical  boot,  instructions  to  limit  bearing  weight  on  her  foot,  and  a  list  of  referrals  from  me.  Paula  and  I  agreed  to  check  in  every  other  day  by telephone. My intention was to monitor how she was feeling, as well as her progress with the referrals I had given her. I also wanted to  provide  her  with  support  and  encouragement  that  she  was  not  getting  from  anywhere  else.  On  many  occasions,  I  hung  up  the  phone frustrated with Paula because of her procrastination and lack of follow-through. But ultimately she completed what she needed to  for the baby’s arrival. Paula successfully applied for WIC, the federal Supplemental Nutrition Program for Women,  Infants, and Children, and was also able to secure a crib and other baby essentials.  Paula delivered a healthy baby girl. The baby was born HIV negative and received the appropriate HAART treat­ment after birth. The baby spent a week in the neonatal intensive care unit, as she had to detox from the effects of the pain medication Paula took throughout her pregnancy. Given Paula’s low income, health, and Medicaid status, Paula was able to apply for and receive 24/7 in-home child care assistance through New York’s public assistance program. Depending on Paula’s health and her need for help, this arrangement can be modified as deemed appro­priate. Miguel did take a part in caring for his half sister, but his assistance was limited. Ultimately, Paula completed the appropriate permanency planning paperwork with the assistance of the organization The Family Center. She named Miguel the baby’s guardian should something happen to her.

The problem-solving model was first laid out by . Her seminal 1957 book, Social Casework: A Problem-Solving Process, described the problem-solving model and the .  Since then, other scholars and practitioners have expanded the  problem-solving model and problem-solving therapy. At the heart of  problem-solving model and problem-solving therapy is helping clients  identify the problem and the goal, generating options, evaluating the  options, and then implementing the plan.

Because models are blueprints and are not necessarily , it is common to use a model and then identify a  to drive the conceptualization of the client’s problem, assessment, and  interventions. Take, for example, the article by Westefeld and  Heckman-Stone (2003). Note how the authors use a problem-solving model  as the blueprint in identifying the steps when working with clients who  have experienced sexual assault. On top of the problem-solving model,  the authors employed crisis theory, as this theory applies to the trauma  of going through sexual assault. Observe how, starting on page 229, the  authors incorporated crisis theory to their problem-solving model.

In this Final Case Assignment, using the same case study that you chose in Week 2, you will use the problem-solving model AND a from the host of different theoretical orientations you have used for the case study.

You will prepare a PowerPoint presentation consisting of 11  to 12 slides, and you will use the Personal Capture function of Kaltura  to record both audio and video of yourself presenting your PowerPoint  presentation.

To prepare:

  • Review and focus on the case study that you chose in Week 2.
  • Review the problem-solving model, focusing on the five  steps of the problem-solving model formulated by D’Zurilla on page 388  in the textbook.
  • In addition, review this article listed in the Learning  Resources: Westefeld, J. S., & Heckman-Stone, C. (2003). The  integrated problem-solving model of crisis intervention: Overview and  application. The Counseling Psychologist, 31(2), 221–239.  https://doi-org.ezp.waldenulibrary.org/10.1177/0011000002250638
  1. Identify the theoretical orientation you have selected to use.
  2. Describe how you would assess the problem orientation of  the client in your selected case study (i.e., how the client perceives  the problem). Remember to keep the theoretical orientation in mind in this assessment stage.
  3. Discuss the problem definition and formulation based on the theoretical orientation you have selected.
  4. Identify and describe two solutions from all the solutions possible. Remember, some of these solutions should stem from the theoretical orientation you are utilizing.
  5. Describe how you would implement the solution. Remember to keep the theoretical orientation in mind.
  6. Describe the extent to which the client is able to mobilize the solutions for change.
  7. Discuss how you would evaluate whether the outcome is achieved or not. Remember to keep the theoretical orientation in mind.
  8. Evaluate how well the problem-solving model can be used for short-term treatment of this client.
  9. Evaluate one merit and one limitation of using the problem-solving model for this case.
Did you find apk for android? You can find new and apps.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with MyCoursebay
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Psychology
Thanks so very much. The paper is well-researched and adequately referenced. You have been of great help during the pandemic!
Customer 452467, January 31st, 2021
Literature
Thank you , this is perfect !
Customer 452795, May 15th, 2022
Ethics
thank you
Customer 452493, March 15th, 2021
Philosophy
The paper is great. Will definitely use again.
Customer 452773, May 24th, 2022
Nursing
This is great! Thank you
Customer 452679, December 16th, 2021
Social Work and Human Services
Great Work!
Customer 452587, September 16th, 2021
Nursing
Great paper!
Customer 452707, July 1st, 2022
Nursing
Perfect as usual!!! Thanks team!
Customer 452453, May 26th, 2021
Technology
I can work with it and massage it to what I need. Thank You
Customer 452827, July 19th, 2022
Criminal Justice
Looks good! Thank you Jason
Customer 452711, January 25th, 2022
Criminal Justice
Great work! Followed directions to the latter.
Customer 452485, September 1st, 2021
Medicine
Great job! Thank you.
Customer 452707, May 29th, 2022
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Get your perfect essay with a 15% discount. Use DC15

NEW

Thank you for choosing MyCoursebay. Your presence is a motivation to us. All papers are written from scratch. Plagiarism is not tolerated. Order now for a 15% discount

Order Now