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Case Studies II This assignment must be typed, double-spaced, in APA7 style, and

    Case Studies II
    This assignment must be typed, double-spaced, in APA7 style, and must be
    written at University level English.
    These resources are
    required to complete the course. PLEASE CITE THESE TWO BOOKS
    Book
    Larsen, P.D., Whitney, F.W.
    (2019). Chronic illness: Impact
    and intervention. (10th
    edition). Jones & Bartlett
    Learning.
    Book
    American Psychiatric Association
    (2013). Diagnostic and
    statistical manual of mental
    disorders. (5th ed).
    You should be able to
    access these books on your own means.
    For this assignment, you
    are given 2 cases. Your response to each case must integrate
    the material presented in the text in your own understanding. You
    are encouraged to use additional current (5 years or less)
    evidence-based sources to support and compliment the text, but not replace
    the text. Cite your work according to APA format. Legal and ethical
    issues, and issues of culture and diversity must be addressed when relevant.
    Your response to each case should be 4 pages per case
    The entire assignment should be 8 pages total plus a title and
    reference page.
    Jose and Maria
    Jose and Maria, are a 48-year-old Hispanic American couple, married for 28
    years. The couple has 3 grown children, all in college or living on their own.
    Maria has been struggling with MS for the past 10 years. Research shows that
    women with MS live with the unpredictable course of their disease and doubts
    about their worthiness, attractiveness, and identity. The male partners of
    these women with MS perceived little impact on the women’s sexuality, likely
    because the women went to great lengths to maintain their customary roles and
    to buffer their male partners from the full impact of the disease.
    Recently Jose, was diagnosed with Stage I testicular cancer. His doctor
    informed him that he needs surgery and chemo treatments. Jose tells you that he
    feels “unreal and in another world” and “at the mercy of the cancer and the
    treatments.” The ultimate question he cannot get out of his head is:
    “Am I going to die?” Jose loves his wife and children, and with
    their first grandchild (a boy) on the way, he wonders if he will ever get to
    see him. Since the diagnosis, Maria tells you that Jose is distant,
    has no interest in intimacy. She knows it is his cancer diagnosis,
    but can’t help but think that her own chronic illness is part of the problem.
    A. The phenomenon of powerlessness is dynamic and complex in chronic illness.
    Feelings of powerlessness can recede and advance throughout the course of the
    chronic illness as individuals negotiate between control and loss and the
    changing landscape of their daily realities. Powerlessness can extend beyond
    medical and treatment issues to feelings of insecurity and threats to social
    and personal identity. What do you think that Jose has experienced over the
    course of his illness? His family? His friends? How about Maria?
    B. Chronic illness is described as a dialectic between the individual and
    his/her world. Clients shift between the perspectives of wellness in the
    foreground and illness in the background. What are Jose and Maria’s experiences
    and actions as you examine the principles of the Shifting Perspectives
    Model? How can you apply the principles of the Self-Determination
    Theory to Jose and Maria’s situation?
    C. Outcomes associated with powerlessness in clients with chronic conditions
    can be measured from three perspectives: self, relationships with others, and
    client behaviors. What specific outcomes do you think that Jose and Maria would
    want? Their family? Their friends? Their healthcare providers?
    Anna
    Anna, is an 83-years old Native American woman who lives alone, and takes
    numerous medications for heart disease, COPD and an anxiety disorder.
    Recently, Anna has fallen several times, but has sustained only minor bruising.
    Anna’s daughter Betty and her husband have been discussing whether or not Anna
    should continue to live alone. Anna is quite independent although she no longer
    drives and is occasionally “forgetful” about family birthdays and appointments.
    Anna has expressed her concerns about retirement community, assisted living, or
    nursing home living as she does not feel comfortable in strange situations.
    Betty wonders if she should decrease her work hours in order to spend more time
    at her mother’s house. Betty and her husband are considering having someone
    live with Anna part time or full time, but she worries about her mother’s
    safety and her mother’s distrust of strangers. Finances are also an
    issue and Betty is seeking information and referral resources to assist the
    family’s informed decisions.
    A. The decision about where and how to provide care for family members who have
    chronic conditions is emotionally charged and multifaceted. Reliance on family
    members as care providers creates multiple stressors for the family. What types
    of stressors might Anna, Betty, and other family members experience?
    B. What are potential/actual policy, legal, ethical, emotional, financial, and
    spiritual issues that Anna’s family may experience? What resources can you
    offer to them?
    C. Client and family education is “critical to successful coping with chronic
    illnesses.” Clinicians must carefully approach every client and family who may
    be similar in some respects to others, yet be quite distinct. The clinician
    must consider characteristics such as age, culture, socioeconomic status,
    functional status, motivation, self-efficacy, and learning capability. How will
    this assessment information guide your work with Anna and Betty? What
    developmental stage characteristics do you need to consider?
    Activity Outcomes
    1. Evaluate
    the impact of chronic illness on interpersonal and family relationships.
    2.
    Recognize legal and ethical issues relevant to chronic illness.

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