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Comprehensive Case Study of David: Addressing Complex Physical and Psychological Challenges

This case study focuses on David, who presents with a range of physical and psychological issues, including breathing problems, skin conditions, muscular skeletal issues, wounds, diabetes, and alcohol-related disorders. The psychological challenges he faces involve depression, anxiety, and substance dependency. The objectives include short-term medical treatment and mental health assessments, as well as long-term goals of stable accommodation, skills training, and community support. Key obstacles include his reluctance to cooperate and a history of negative healthcare experiences.

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Comprehensive Case Study of David: Addressing Complex Physical and Psychological Challenges

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  1. David Case Study By Rebecca Rose Natalie Holdsworth Amy MacLead Jayne Blake Bridget Harney Bethan Long Joanna Hile

  2. Problems - Physical • Breathing Problems • Skin conditions • Muscular Skeletal problems • Wounds • Digestive – nourishment • Diabetes • Alcoholic hep • Alcoholic ketoacidosis – fallen bp

  3. Psychological • Depression • Anxiety • Schizophrenia • Drug/alcohol dependency • Alcoholic hallucinations

  4. Social • Isolation from family and friends • Domestic violence • History of being in care (possible)

  5. Short – term goals for David • Medical treatment for head injury and feet • Assessment for mental health needs • Build a rapport • Stabilise abusive and threatening behaviour

  6. Long term goals • Accommodation – temporary and then permanent • Jobs skill training – volunteer work • Social services and community support • Community re-entry building on social skills • Exploration of skills and interests • Health and Nutritional education

  7. Obstacles • Reluctance to co-operate and involve in treatment • Multi-diagnosis • Lack of insight to condition • Lack of ability to look at long-term goals • Previous experience of health service may not have been positive

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