CHCCSM004: Developing case plans for clients: A collaborative process in case management - Medical Science Assignment Help

Assignment Task

Read the case study and answer the questions below

Based on the 2 client profiles provided, make an assessment of each client and develop a case plan. As the assessment and planning stages of CM are collaborative processes, you should provide an overview of how you would complete an assessment and how the case plan would be created for each scenario.

The report should include, for each client:

1. What you would need to consider when allocating the case to a worker (i.e. experience, workload and geographical location of worker)

2. An overview of how you would complete the assessment and work with the client to create the case plan (i.e. how was the client included in the creation of the plan)

3. A clear understanding of what actions will be taken for each client

4. What services can your agency provide to the client.

5. What other services would you involve and why

6. How would you communicate with your client and the other services to minimise confusion and overlap.

7. A case plan that addresses the following:

8. What are the goals? Are they realistic? Have you considered immediate, short and long term needs of the client and other relevant parties?

9. Who/what resources might be needed to assist the client in reaching their goals?

10. What are the timeframes?

11. How will it be monitored?

12. How will it be evaluated?

13. How were appropriate cultural considerations integrated into the case management planning process?

14. How would you get client feedback their progress and services? Why is getting this feedback important?

Case Study 1 - Harry Cross

Mr Harry Cross is 78 years old and lives alone. Mr Cross worked as a carpenter before he retired at 65 years of age and speaks very proudly of his past career and of his accomplishments.

Mr Cross was married for over 40 years; his wife died approximately two years ago. He often speaks about how he misses her and feels quite lonely without her companionship. Mr Cross presented as depressed, sad and stated life does not have much to offer him lately. Mr Cross has a diagnosis of Type 2 diabetes, coronary artery disease, hypertension and arthritis. He states that he smoked cigarettes for 30 years, but quit sometime in the early 1980s.

Mr Cross manages to take care of himself, although he does have Meals on Wheels deliver him lunch most days. Mr Cross states he is not much of a cook eats mostly sandwiches at night. Mr Cross occasionally drives to the supermarket but not when it is raining or dark.

Over the past several months, Mr Cross has been experiencing repeated falls which he blames on his "clumsiness." His hobbies include woodworking, which has decreased significantly since his arthritis has gotten worse, and writing poetry which takes up much of some of his free time but has difficulty holding writing instruments. Overall, Mr Cross seems content and relatively outgoing. Mr Cross admits to drinking beer most nights but states he limits himself to 6 cans per night.

With regard to social support, he lives alone but his neighbour Mildred, visits him at least three times per week. She stops by to visit a couple of times during the week and sometimes they have lunch.

Mr Cross has one a son, Jim, who works in construction and lives about two and a half hours away. Jim is not married and has no children. Mr Cross states he sees his son every couple of weeks but that he phones him at least twice a week.

Harry has been referred to your agency and you are his allocated caseworker.

Case Study 2 – Daniel Khaled

Daniel is 17 and was raised in a middle class family in a suburb of Melbourne after fleeing his home country of Syria due to the war.

Daniel was recently arrested and charged with drug possession and motor vehicle infringements. Daniel disclosed he has not attended school since he was 15 years of age and had been using drugs and alcohol since he was about 13 years of age. When asked why he used drugs, Daniel stated he found it a way of escaping and having fun.

Daniel talked of having a good relationship with his family prior to his drug and alcohol use. He described his mother as a push-over and his father as strict and controlling.

Daniel was realistic about the consequences of drug use and was worried he would spend time in Juvenile Justice as this was not his first offence. He had previously been charged and found guilty of stealing, break and enter and assault.

Daniel has been living on the streets, although does go home when his father is interstate on business. Daniel has a younger brother Michael, who he gets along with and talked of not wanting his brother to follow in his footsteps.

CASE STUDY

Task

Read the case study and answer the questions below

Bonnie is 15 years, in Year 10 and has recently been diagnosed with Social Phobia.

Bonnie is lives with her parents, Bill and Zelda. Bill and Zelda are supportive of Bonnie and report having a good relationship with their daughter. Bonnie has two siblings, Michael who is 7 years of age and Clare who is 3 years of age.

Bonnie reports having 2 – 3 close friends and is able to make friends easily, however, will not make the first move due to her anxiety. Bonnie’s friends are also reported to be shy and unimposing. Bonnie reports her friends make her feel safe.

Psychologists state Bonnie’s social anxiety is due to an inherited tendency to be socially inhibited as well as a strong reaction to stress as the result of some bullying at school.

Bonnie describes she would get nervous about everything, particularly things at school and doing anything new. When asked to give an example, Bonnie stated her father wanted her to go to camp and she did not want to go due to nerves. Bonnie’s fear appeared to stem from a persistent fear of social situations where she might be the focus of other people’s attention. Bonnie further stated she felt self-conscious when shopping as she was worried about what others might think of her.

Bonnie stated she felt fearful of situations such as eating in public, using public toilets, being in crowded places and meeting new people. She claimed she would almost always try to avoid these situations. At school Bonnie reported fear and avoidance of activities such as speaking up in class, writing on the blackboard, and talking to her teachers or school principal. Bonnie also mentioned she had dropped out of the school band due to her anxiety.

In most of these situations, Bonnie said her fear and avoidance related to her worry about possibly saying the wrong thing or not knowing what to say or do. Bonnie also experienced panic attacks which would present as shortness of breath, hot flashes, sweating, trembling, dizziness and difficulty swallowing.

You work at an Anxiety Clinic and have been working with Bonnie for several months now. Things have been going well and you have been able to gain rapport with Bonnie, and although she is still somewhat reserved, is much more comfortable around you.

Bonnie has started to talk about the end of year formal and has expressed a strong desire to attend. Her parents are happy for her to go and are supportive of you helping Bonnie to achieve this goal. Given Bonnie’s difficulties with social situations, you have decided to start to implement some plans to make this situation less stressful for Bonnie.

Case Study – Part 1

Develop a case management plan with Bonnie to assess her needs and establish some goals using your organisation’s case management plan template. You will need to follow your organisation’s case management process and any other relevant policies and procedures.

One of the treatment goals is to help Bonnie confront her fears in order to reduce her symptoms and your supervisor has asked if you could plan activities which will:

1. Help Bonnie feel more comfortable in public.

2. Help Bonnie to become more independent.

3. Ensure Bonnie makes it to the school formal.

Case Study – Part 2

Bonnie calls you and tells you home has been difficult due to her mother’s recent illness. Bonnie asks if you are able to help as although the hospital Social Worker has put services into place to support the family there seems to be some confusion as to who is doing what.

Bonnie has been helping with her siblings but has found it difficult to get them to and from childcare and make it to school on time. While she has tried to explain the situation to her teachers, she has felt they do not understand and she is embarrassed to tell them the whole story.

Bonnie has become unhappy as the fees are late and they are threatening to withdraw services. Bonnie does not know what to do as her father is overseas on business and does not know about her mother’s illness as she did not want to worry him.

Bonnie’s social phobia is getting worse and there are days where she is unable to move from the house at all. She has not seen her psychologist in weeks and knows she is not coping. Bonnie also asks if you are able to provide food vouchers as she has not been able to make it to the shops and her mother is in hospital until the end of the week.

You decide to put together a case meeting to ensure all services are supportive of Bonnie.

Answer the 8 questions below 

1. Who would you invite to the case meeting and why?

2. How would you ensure all services are aware of the meeting?

3. What would you like to discuss at the meeting?

4. What would be the goals?

5. Should Bonnie be at the meeting?

6. Write a case plan for Bonnie – to include

7. Help Bonnie feel more comfortable in public.

8. Help Bonnie to become more independent.

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