David Case Study

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