Case Study - Bipolar I Disorder

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Question Description

APA Format

Times New Roman, 12 Font

Must answer letters A-Y

Do not have to provide video

Due in 24 hours or at most 7 p.m. Central Time 4.19.18

Case Study - Bipolar I Disorder
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Case Study - Bipolar I Disorder
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Case Study - Bipolar I Disorder
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Case Study - Bipolar I Disorder
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OTA 115 Principles of OT in Mental Health Case Study: Training in Use of Interventions and Therapeutic Use of Self Purpose: Provide training in use of interventions, therapeutic use of self, and ways to vary use of group and other activities as well as the environment to address psychosocial needs of clients relevant to occupations of daily living including but not limited to self-care, self-management, health management, home management, community re-entry, and school or work integration. Summary of Assignment: This assignment has two parts. 1) Review the assigned case study from Appendix A of MHC&T by Early 5th Edition, formulate three additional interventions, provide three supporting scholarly resources, and develop and write about your client’s treatment plan and interventions. 2) Provide a short training video that demonstrates the use of your three interventions. NOTE: Interventions are the activities or occupations you will use strategically to help your client achieve established goals. Your interventions should be relevant to one or more specific areas of occupation categorized and described within the OTPF-3. E.g., ADLS, IADLs, etc. such as self-care training, self-management and maintenance, home management, and/or community and work (or school) integration strategies and interventions you select and document in your APA paper. Assignment Objectives (You will accomplish these by the time you complete the assignment): The following Course Objectives will be addressed by the student: 1) Employ logical, critical analysis, problem solving, and creativity. 2) Analyze task relative to areas of occupation, performance skills, performance patterns, activity demands, context (s), and client factors to implement the intervention plan. 3) Use sound judgement in regard to treatment plan choices, safety of self and others, and adhere to safety regulations throughout the occupational process. 4) Document treatment plan and OT services in a manner that reflects applicable regulatory standards and communicates the need and rationale for occupational therapy services. Revised 032718_BAP OTA 115 Principles of OT in Mental Health Case Study: Training in Use of Interventions and Therapeutic Use of Self 5) Select and provide appropriate occupational therapy interventions and procedures to enhance safety, wellness, and performance in activities of daily living (ADL), instrumental activities of daily living (IADL), education, work, play, leisure, and social participation. 6) Participate in occupational performance and evidence based intervention planning and implementation, considering the occupational profile, client factors, performance patterns, contexts, activity demands, performance skills, and aspects of diversity. 7) Grade and adapt the environment, tools, materials, occupations, and interventions to reflect the changing needs of the client and the sociocultural context. 8) Provide therapeutic use of occupation, exercise and activities. 9) Provide training in self-care, self- management, home management, and community and work integration. 10) Provide development, remediation, and compensation for physical, cognitive, perceptual, sensory, neuromuscular, and behavioral skills. 11) Adapt and modify environment and adapt process to facilitate occupational performance. 12) Assess and recommend home and community programming that will support occupational performance. 13) Demonstrate the ability to problem solve with the OT to determine effective therapeutic interventions. 14) Make recommendations for referral to internal and external specialist as needed for complete comprehensive consultation and intervention. 15) Provide proof of collaboration with an OT to make recommendations for modified interventions, continuation or discontinuation of services, case management and transition services or discharge planning. 16) Make recommendations for discharge planning based on needs for resources, environmental adaptations, home programs and other referrals Revised 032718_BAP OTA 115 Principles of OT in Mental Health Case Study: Training in Use of Interventions and Therapeutic Use of Self Student Instructions for this Assignment 1. Based on the Case study you were assigned from Appendix A pp. 601-619, by the time you finish this assignment, you will achieve the course objectives listed above. 2. Create a paper that is typed in the APA format, with a cover sheet and all references cited, and include the following: A) A narrative Introduction to your Case Study B) List the personal data of the Client according to the Case Study and occupational profile: Include medical history, occupational history, education, work history (if any), leisure habits, self-care habits, social relationships, cultural background, support system, etc. If information is missing in the case study in the text, use your imagination and fill in the missing parts so that the occupational profile is complete. C) Review Client’s treatment plan as recorded in case study. D) Develop Client’s treatment plan further than is recorded in the case study. Use your imagination and critical reasoning and design three additional interventions for your client and your rationale for each. E) Describe your role (as an OTA) in the evaluation process. F) Describe your observation of the Client’s occupational deficits, and related underlying impairments. G) Describe how you would work in collaboration with your supervising OT using clinical reasoning in selecting evaluation tools and interventions during the initial evaluation for the client. H) Describe how you in collaboration with your supervising OT would select and write treatment goals for the client. I) What other referrals might the client benefit from? Why? Support your answer. J) Describe the additional treatment methods and interventions you would use with the client. Why? Support your answer. K) What occupational therapy interventions and procedures would you use to provide training to the client and his or her family in self-care, selfmanagement, health management and maintenance, home management, community and work or school integration, or any other area of occupation not listed but you deem important? Revised 032718_BAP OTA 115 Principles of OT in Mental Health Case Study: Training in Use of Interventions and Therapeutic Use of Self L) What methods would you use to enhance the client’s safety, wellness, and performance in activities of daily living (ADL), instrumental activities of daily living (IADL), education, work, play, leisure, and social participation? M) Describe how you would engage the client and his or her family in occupational performance and evidence based intervention planning and implementation, considering the client’s occupational profile, client factors, performance patterns, contexts, activity demands, performance skills, and aspects of diversity. N) Describe how you would provide therapeutic use of occupation, exercise and activities as part of the client’s intervention. O) Explain how you would provide training in self-care, self- management, home management, and community and work or school integration for the client. P) Provide development, remediation, and compensation for the client’s physical, cognitive, perceptual, sensory, neuromuscular, and behavioral skills. Q) Describe how you would modify the client’s environment and adapt processes to facilitate his occupational performance. R) Assess and recommend home and community programming that will support the client’s occupational performance. S) Describe when you in collaboration with your supervising OT may reevaluate, or have the treatment plan revised. T) Describe how you would collaborate with your supervising OT for discharge planning. What type of self-care training and/or management referrals would benefit the client and his family to make discharge transition smooth? Why? Support your answer. U) Answer the questions at the end of your assigned Case Study in Appendix A of the MHC&T text. V) Use textbooks, scholarly journals and other credible sources to help you answer the questions, and remember to cite your sources using APA format. W) Include a Summary of your Case Study, Interventions, and supporting sources. X) Submit online in Blackboard by due date and time. Y) Late submissions will not be accepted for this assignment. Revised 032718_BAP ...
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Tutor Answer

TeacherMellwanner
School: Rice University

Kindly use this

Running head: BIPOLAR I DISORDER

1

Bipolar I Disorder
Name
Institution

1

BIPOLAR I DISORDER

2

Introduction
The case study presents a white man who has been diagnosed of bipolar I disorder. For him to
resume to his wife and community living he has been referred to occupational therapy. It is
through the therapy that he is expected be evaluated and develop skill that are required. On
valentine day the man was involved in an incidence where he got admitted to a general hospital.
A year ago before this day he enucleated his leg after he got stabbed on his right eye. He said
that the self-mutilation was due to biblical passage. At the moment he was taken to men’s
outpatient clinic. 4 months later it was not possible for him to be maintained in a community thus
he got admitted in a state hospital. As such, this became the first psychiatric hospitalization even
though he had psychiatric consultations when he was at the age of 23 years. Due emotional
problems it became a problem for him to function in work.
Personal data
The parent of the patient separated when he was just 6 years old. This was just after his sibling
who is a girl was born. The man moved with his mother after the separation. Besides, they also
moved with his sister from Virginia to Maryland thus lacking any contact with his father from
that time. His mother is controlling, rigid and very religious in that matter. Baptism leads to
church affiliation. During his school years the patient experienced some emotional problems. In
this case, his description fits that of a schizoid child. Thus, he received special education in
school that compensated his social isolation. More so, the special education facilitated
interpersonal relationships difficulties. The patient holds a high school diploma. For five years
Mr. Kennedy worked as a horse trainer and other five years his mother’s florist business. When
the attained 24 years he got sick and could no longer work. This may be said to be precipitating

BIPOLAR I DISORDER

3

incident as it happened after a stranger knocked a door and asked a man with a similar name with
the patient. Afterwards the patient was subconscious and at the same was concerned about the
stranger who had knocked the door. Accompanied with his mother he attended bible study
classes and it is in the place where he met with his future wife. They later became engaged.
However, he was indecisive and anxious concerning the pending marriage. During this period he
got mutilated in his eye. He stayed in a general hospital for 4 months after when he was
discharged. He later followed weekly outpatient’s visits. He was advised by the clinic not to
marry but he went against that. However, he was not in a position of consummating his marriage
due to impotence. He could not manage feces and had incontinent urine. After the marriage he
got readmitted in a state psychiatric clinic.
He was withdrawn immediately after the admissions as he showed blunted effects. He became
delusional as he expressed the idea that there was someone gripping his mind. More so, he said
that Jesus was Satan. During this time his medication was changed to lithium and it appeared to
be effective and efficient from that time.
Client’s treatment plan as recorded in case study
The right eye of the patient remained extensive especially the first two months of the outpatient
tenure. The patient had Poor Corporation and carelessness causing poor hygiene, stretching of
the eye socket and chronic infections. As such, he was not able use prosthesis. He therefore wore
an eye patch.
The initial terms of treatment included rehabilitation. In the planning conference they had an aim
of helping the patient in making efficient adjustments thus resuming to community living and to
his wife. The wife had interests in switching of roles. She was still working as rental agent

BIPOLAR I DISORDER

4

secretary in an apartment complex. All the same, he was still taking care of the home. It was not
clear if this as the best arrangement or the patient should have returned to his former worker.
Another treatment plan included occupational therapy evaluation which involved the Kohlman
evaluation of living skills, a street survival questionnaire and assessment of sensory-perceptualmotor. These were given by an occupational therapist. In the process, they noted a deficit in the
standing balance of the patient. Moreover, the patient had no ability in performing house hold
chores, lacked proper first aid skills, unfamiliar with household tasks, had poor laundry skills not
able to identify household safety problem. Further he was not familiar with budgeting, paying
bills, grocery shopping as well as banking. He ha...

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Anonymous
Excellent job

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