Gerontology Mirta Immigrated to the Term Paper

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Bio-psychological Assessment

Personal data: fill as you see fit

Referral: depressed, poor sleep,

Family Background: raised by parents and older siblings

Family medical/psychiatric history: brother had heart attack; mother had issues with drugs and alcohol

Marital/family relationships: widow with four children and eight grandchildren

Social development: maintains friendships, supportive friends, attends social functions

Strengths: kind, nurturing, empathetic, understanding, calm

Weaknesses: can be impatient, overbearing with family members

Educational history: middle school

Employment history: retired; worked as live-in housekeeper for over twenty years

Military history: none

Spiritual assessment: attends Catholic Church regularly

Financial history: dependent on others

Patient health and psychiatric history: hypertension

Alcohol and drug abuse: none

Sexual identity and history: heterosexual

Physical, sexual, and emotional abuse and neglect history: none

Current living support system: lives with family

Identity: has insight

Ethnicity, culture, and values: Hispanic

Legal status and history: none; person entered U.S. As illegal immigrant but later acquired green card

High risk: Decreased intellectual functioning

Mental status exam: fill out as you see fit Summary: Mirta lives with her family, who assist her with daily living activities.

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She is mainly functional but recently lost her husband and so has had trouble sleeping and managing her depressed mood. Mirta's mental functioning is on the whole good but aging is starting to take a toll on her. To prevent further complications with her health, Mirta is advised to avail herself of professional counseling services but is unwilling to do so because she relies on the church and her family for support.

Social service plan/Problems Identified: Depressed mood, Sleep disorders, Decreased cognitive functioning

Social service plan/Method of Intervention: Encourage counseling, recommend a psychiatrist, recommend increased mental and physical activity to prevent health problems.

Treatment goals/short-term: manage moods, regulate sleep patterns

Treatment goals/long-term: maintain physical health and well-being, maintain mental acumen, monitor physical health continually

Preliminary discharge plan: before discharge one session with counselor or psychiatrist is recommended. Also, a meeting with family members present is recommended......

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