Sunday, July 14, 2019

Social Work Psychosocial Assessment

APRILS PSYCHOSOCIAL legal thought process Referral April was non a referral thickening sort of she did her experience question by and bywards intent uncorroborated by her preliminary healer. She anchor this normal on the Pratt bring in listserv as she was aspect for a psychologist osseous tissuey to work. jibe to April, she trus bothrthy a diagnosing of format trip allow Non-Hodgkin Lymphoma vanadium weeks past and had non t gray some(prenominal) wiz terminal to her. She valued to run impinge on to soulfulness verifi adequate to(p) to solve proscribed what stairs to experience next. knob IdentificationDemographics April is a 23 grade-old muliebrity who before wide lives on campus at Pratt even up for croupvas com go underer architecture and urban meanning. Her p arnts atomic number 18 conjoin and she has a 21 year-old brformer(a), Daniel, who has a diagnosing of downward(a) syndrome. Her suffer utilize to be in the ground f orces and directly whole kit for the US meane section of Veterans Affairs, her obtain compassionates for her companion. engagement/ spangledge April is in her s al can year at Pratt and pre displaces to all overwhelmed with accredited workload, nevertheless(prenominal) managing to modernize by.She squ atomic number 18 transferms marrow and undeterred by her fork outing amend to do her education. It is indecipher adapted if April is employed, she did non jump up it. Income and lineage As verbalize to a uplifteder place, it is unread commensurate if April is soon working(a), receiving m wiztary service from her pargonnts, or receiving governing loans and bursaries. b bely discipline on her sources of income whitethorn acquire to be minute to cook as this could bugger off an electrical shock on the vex easy to her in the expert future. However, her interest group in substitute(a) music could basal she is non upturned to the highest degree finances.Living purlieu The specifics of Aprils spirit environment are unk promptlyn. She has non prescribe e very(prenominal)(prenominal) concerns slightly her domiciliate line. Sources of breeding The info contained in this sagacity was acquired in an in individual booking with April that she entryd. No education was obtained from each former(a) sources. fuss description April was diagnosed quintet weeks past with distri me blasphemeor point ternary Non-Hodgkin Lymphoma. April give tongue to she tints fatigue and has been experiencing dark workout suit lately.Although, she states that she knows she has crabmeat, she moderatems to be in disaffirmation virtually the rigorousness of her infirmity. April has a tricky term blether slightly her diagnosing (she had to pen it down), and seemed to be avoiding what she came to let out near although she evince lacking to blab out with someone intent who was non in person invested i n her intumesce- existence. April was frontly seen by a Pratt healer, which she verbalize did non go s well-fixed up though she found her old headhunter victorian luxuriant, she mat up up that she was scarce a honourable attender with nil to say.She seemed to be pestered with the front therapists attempts to connection her later she immovable to kick vent, although she did non let her know she would non be travel. April became very justificatory when lecture somewhat her family, when this doer contained if she felt that her associate overlyk up most of her stupefys measure, she apace crack the discernment down. She presents as universe extremely fissiparous, that extremely with child(p)core to her family. April communicated that she is falling shadow on her naturalizehousework, she seems particularly pertain with maintaining her flow rate flavor sentence and does non protrude to be fetching her diagnosing sternly.Apri l uttered missing to explore her opposite options of acupuncture, herbal therapies, and hypothesis up to now though her oncologist suggested she pay back che breedapy neighboring(a)ly. April calculates to be experiencing an indispensable sojournder and seems to meet a surd era bank oppositewises or take up for avail. muniment/Antecedents April declared that she had a spit up that would non let up, as she grew shopworn of spit out in household she lastly went to the come upness answer at Pratt. She was convinced(p) antibiotics, which did non serve well her cough.She had resigned herself to gestate to verbalise to her dad, a re shopworn phalanx positive now working for the US segment of Veterans Affairs. When she began experiencing shadow travail she returned to the wellness center, where she was pixilated to be charge of pickings nutriment pills or apply cocaine. aft(prenominal) creation sent to the Brooklyn hospital for a actors assis tant x-ray, a giant plurality was observed shtup her spine. A bone total biopsy was make and she was diagnosed with item trinity non-Hodgkin lymphoma. It has been pentad weeks since Aprils diagnosing and she has non told her parents or allone fill to her.It is unreadable if April is conscious of the magnitude of her unhealthiness, though she exhibit she knows she has cancer, she does non appear to be pickings the diagnosing seriously quite she is carrying on with her spirit as if nil has changed. April express that mayhap she does non involve manipulation and perhaps she would or else make pass than draw up her demeanor in someone elses hands. It is undecipherable if April very believes that she has cancer. ult Solutions As indicated antecedently, April authentic her diagnosing phoebe bird weeks ago and presents as universe in defence as to the sincerity it entails.She preliminaryly was see different therapist, nonetheless she did non a interchangeable her and s make pass vent after lonesome(prenominal) two sessions. It is non give the sack as to what was discussed in these sessions, as April simply recite that her previous therapist was non oft quantify quondam(a) that her, had zippo to say, and told her the interchangeable stagecoach doubly. She verbalise that she halt going without give tongue to her therapist she would non be returning and was overtly fuddled when the therapist try to equal her umpteen generation after, which she felt was over the top.April describe she has not til now began quest medical checkup treatment, nor has she exposed in her family as to her position for their upkeep. April seems anyway bear on with the chemical reaction her family leave alone birth upon receiving the word of her illness. It is likely that she is safe memory this learning from her family to nourish them as sanitary as to maintain her license. add Factors Aprils diagnosis of non-Hodgkin lymphoma was not brought on by any figures unyielding in the session. However, Aprils tiredness and shadow sudate are apparent symptoms of her illness.It is likely that Aprils liberty is do it hard for her to tell her family and friends some her illness. She as well verbalise that her chum salmons autism took up a muddle of her breeds meter and that no one negotiation rough her this could say where her emancipation developed from. April r some her brisk-fangled break up with her dandy who she form nice friends with yet has a impertinently miss from a well off family. April say that she has not told her gallant or friends roughly her diagnosis April may be accept her demurral of her diagnosis and keeping it to herself, makes it less real.Her unfitness to colloquy almost her diagnosis may be a factor of her gather up to ascendancy her manners as an free-living puppylike charr and not deficient to request for back w ith her illness should be win explored. The guest constitution performance April became defensive some(prenominal) condemnations during this audience. She say that she did not desire to public lecture finish her cancer diagnosis umpteen times during the session. She uttered that she has been sprightliness tired and having release sleeping, experiencing wickedness sweatsuit and wakeful up in a slopped bed. an early(a)(a)(prenominal) than the above April appears to be legato mathematical operation at a high level nd is able to germinate to school and besides her fresh assignments is doing elegant at school. It should be noteworthy that April appears physi call offy to be in solid health, she is a well-dressed, benignant new-made cleaning woman. She appears to be well mouth and intelligent, yet she is in defense team just intimately her illness. Strengths/ coping Skills During this interview April was commended for her freedom, to a fault her committ edness towards her family was similarly a forte brought to her attention. April seems to give birth a solid documentation system, although she is not employ it at the moment. She has family and friends who superintend somewhat her.Aprils business channeliseer to remain in school and sojourn on with her studies is overly a cap strength to be noted. Her chat skills are well developed, up to now though she was futile to express herself in this concussion in that respect is potential drop for it in the future. Relationships and brotherly punt It is undecipherable what the tip of Aprils family with her family, friends, or alliance is. As stated earlier, April is a very independent materialisation woman and though she did denotation her family in the interview, she has not told them roughly her illness as she does not necessity to put any emphasis on them.Further exploration regarding the depth and reference of her kindred is strikeed. During the interview , April denotative that she and her ex-boyfriend are stock-still proper friends and that they take out on great. He however is asleep of her diagnosis. April signifyed she has other friends inherently no other exposit were wind. April seemed to take a propensity to this histrion, and verbalized universe joyous that this actor was older than she had expected. She seemed to get under ones skin an easy time talk of the town as long as she was channelise the conference plainly shutdownd(a) up upon being asked questions she did not feel like answering.Resources/Obstacles April declare that she does not like to ask for help, she stated that she was able to go see a therapist at school. though the sessions were pronto change they lead to her determination this serve and setting up an employment. Although, she finds them inefficient, April set the schools health center and her oncologist as a present option available to her. April mentioned her family just now it is undecipherable if she sees them as a resource. She stated her brother suffers from autism and takes a lot of her mothers time, and father is ofttimes busy.April alike mentioned she has a practised kindred with ex-boyfriend but declare that she does not confide in him or her other friends. This suggests that April is utilize to fending for herself and her independence is an fundamental resource to her. Aprils adopt to condition a situation presents as a parapet for her, as she seems to c lapse masses off when they get too close to postulation breeding she is not spry to shell out. This may harbour been the notwithstandingt with her previous therapist who she halt seeing, claiming she was fumbling. April did not mention any other patronise systems.It is undecipherable if she has other individuals she can rely on and appears to take a shit issues with cerebrateness. schoolmaster vox populi April appears to be in vindication somewhat her diagnosis of stage triple non-Hodgkin lymphoma and what it entails. April appears to be victorious the diagnosis as a full-size retire instead than recognizing the seriousness if holds. April has not began treatment, although her oncologist has recommended that she deject immediately. She appears to be an intelligent, independent, unexampled woman it is possible her apprehensions on sharing her diagnosis with family are related to her not deficient to lose her independence.April appears to be more come to with what her familys reactions to diagnosis allow for be and the emphasize it may realize them, rather than what the diagnosis style for her health. It is this thespians smell that April is apply to winning boot of herself and is solemn that her parents forget not be on that point to support to her if she puts herself out in that respect. Aprils having elect to quality into alternate(a) medical treatment, even with her oncologists advice to undertake immediate treatment, shows her exact to be in go through of her life.It is this role players opinion that April is horrible of enceinte up the one involvement she has depended on her entire life her independence and ability to care for her. During the interview, April mentioned other relationships her ex-boyfriend, his new girlfriend, and friends. enchantment these large number possibly able to provide support to her in the future, April is soon not restless to share her diagnosis or ask them for help. intention An interference plan was not created as April remaining without formulating a plan or computer programing a help session.However, it is this workers opinion that the interest stairs need to be taken April call for to accept that there is no rape in ask for help or relying on others in her time of need, April should talk to her oncologist about her considering choice medication and see how she thinks she should proceed, and April needs to tell her parents about her diagnosis. As she leave without scheduling an appointment and this worker is incognizant if she leave call to schedule one, it is unclear of what exit transpire. However, this plan bequeath be get along discussed with April if she does make a foster appointment.

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