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Walden 6650 wk 5

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Walden University NUR 6650 Week 5
The HM Family
The family of HM is made of up five individuals, which are Mr. HM. Mrs. HM, LZ the first daughter who is
23 years, Nm, the first son who is 21 years, and ZO, the last son who is 19 years old. Do was diagnosed
with neurodevelopmental disorder at the age of three, and was noted to have low functioning autism.
Taking care of him was stressful to all the family members as he sometimes becomes aggressive to the
family members and destroys family properties. ZO has been in and out of the hospital due to his
disorder, which has taking a toll on the family’s finance. He is sometimes placed on restrictions for his
safety. The family situation got worst when Mrs. HM lost her nursing job, she became depressed as a
result of that and resorted to drinking alcohol as a coping skills. Her condition devastated her husband
and her children who has been looking up on to her. Her husband tried to make her seek for help but
she was so much into her depression and drinking, and could not understand that she is swimming away
from reality. The gap between her and the other family members began to grow wider and wider. At
about six months of losing her job, she also lost her 19 year old son ZO. Though ZO is autistic, he also has
a history of intermittent seizures, on a certain day, he had the seizure with no one around to help him,
except his drunken mother who was sleeping in another room. He was found death in the room, which
was presumed to be due to aspiration. Mr. HM was so devastated on the death of his son that he
blames his wife for the cause of their son’s death as she was so depressed to realize that the boy has not
been taking his seizure medications as supposed. Her husband and her other two children hated her for
that reason. They distanced themselves from her, which made her resort more into drinking, and due to
the fear of losing her family, she decided to take her life. Fortunately she was stopped from hanging
herself by her husband who walked in on her, and later brought her to the hospital, where she was
placed in the psychiatric unit of the hospital.
Mrs. HM
Mrs. HM is a 55 year old Caucasian woman who was referred for family therapy due to the incessant
family conflict with the other members of her family. Mrs. HM is a nurse and has been working at the
community clinic for about 11 years. He is married to Mr. HM for 25 years and they have three children
together, a girl and two boys. Their names are LZ who is 23 year, NM, who is 21 years and ZO who is 19
years and diagnosed with low functioning autism and seizure disorder. The family live together in the
city, and has been peaceful until last year when Mrs. HM lost her job due to patient negligent, which led
to the suspension of her nursing license. She became depressed as a result of that and resorted to
drinking as a coping skill for her depression; an action that brought a big gap among the members of her
family as she was not fully able to take care of the family affairs. Her husband and children felt
disappointed at her sudden change of behavior and all attempt to make her seek for help proved
abortive. In the cause of her inability to run the home as usual, she lost her 19 year old son to the cold
hand of death. She was blamed by her husband and her children for the death of ZO because they felt it
was due do her carelessness. She could not monitor her son to know that she has not been taking his
seizure medication as supposed. Besides, she was the only one at home the day ZO died of aspiration
due to seizure attack. She was drunk on that day and was sleeping when ZO began seizing and was
found dead afterwards. Her family distanced themselves for that and even hated her the more. The fear
of losing her family made her attempt killing herself but was intercepted by her husband who walked in

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on her, and he brought her to the hospital. Hence the family was referred for family counseling. Mrs.
HM has no known allergies; however, she has a history of cigarette smoking, and consumes a pack of
cigarette per day. She has no history of illicit drug use. Mrs. HM was diagnosed with increased
cholesterol four years ago and has been placed on simvastatin 20 mg daily. There is no known history of
any other medical problems. She has no previous history of psychiatric problems, so this is her first
inpatient hospitalization. She attends the nearby Baptist church, and has developed some friends from
the church.
Diagnosis for Mrs. HM
Major Depressive Disorder (MDD) 296.23 (F32.2) The criteria for the diagnosis of major depressive
disorder in DSM-5 include if the client is depressed most of the day or nearly every day. If the client has
reduced interest or pleasure in the things he or she use to enjoy, and has developed insomnia. If the
client feels worthless hopeless and helpless, and inappropriate guilt feeling. Also, if the client has
constant thought of death or suicidal ideation. Mrs. HM has met the DSM-5 criteria for the diagnosis of
MDD because she develop suicidal thought and would have almost carried out her plan if her husband
did not intercept. Besides, she is depressed daily, does not sleep well at night unless when she is drunk,
and has lost interest in her motherly role, which she once cherish.
Alcohol Use Disorder 303.90 (F10.20) Some of the criteria in DSM-5 for the diagnosis of alcohol use
disorder is when the client repeatedly takes a large amount of alcohol, which is more than the client
intended for a long time. The person tries to stop the intake of excessive alcohol but have not been able
to do so. The person develops strong desire and urge to drink all the time, and if alcohol has prevented
the client from performing his or her rales and responsibilities at home or work. Continuous use of
alcohol even when the client has had some legal or social problems as a result of alcohol use (American
Psychiatric Association, 2013). The above diagnosis is right for Mrs. HM because she has met all the
listed criterial for the diagnosis of the disorder. She drinks too much even when she knows it is
negatively affecting her family. Alcohol drinking has prevented her from effectively performing her
motherly role in the family, which has brought about the death of her 19 year old son. Also, she
developed increased craving for alcohol, and would not stop even when she desires to stop.
Mr. HM
Mr. HM is a 57 year old Caucasian man, who who was referred for family therapy due to the conflict in
his family that has brought about some psychiatric problems to his family members. Mr. HM retired
from the military service three years ago and currently volunteers with the fire fighters. He is married to
Mrs. HM for 25 years and they have three children together; two boys and a girl. There names are, LZ,
NM and ZO. He live together with his wife and children in the city, and the family has been living
peacefully together until his wife lost her nursing job, and his last son ZO died after having a severe
seizure attack. He was presumed to have died due to aspiration, and Mr. HM blames his wife for the
cause of his son's death. He believes that his death was due to the carelessness of his wife who has
resorted to excessive drinking as a coping skill for her depression and has ignored her family obligation
as a mother. He reported that his wife who as a nurse takes care of her son's medications failed to
realize that his son has not been taking his seizure medications as prescribed. Besides, she was the only
one at home with the boy on the day he died. She was drunk, and sleeping heavily when the boy started
seizing , and later died as a result. Mr. HM hated his wife for that and vows that he will never forgive her
for killing his son. He was devastated on the death of his son, he has been morning abnormally by

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Walden University NUR 6650 Week 5 The HM Family The family of HM is made of up five individuals, which are Mr. HM. Mrs. HM, LZ the first daughter who is 23 years, Nm, the first son who is 21 years, and ZO, the last son who is 19 years old. Do was diagnosed with neurodevelopmental disorder at the age of three, and was noted to have low functioning autism. Taking care of him was stressful to all the family members as he sometimes becomes aggressive to the family members and destroys family properties. ZO has been in and out of the hospital due to his disorder, which has taking a toll on the family’s finance. He is sometimes placed on restrictions for his safety. The family situation got worst when Mrs. HM lost her nursing job, she became depressed as a result of that and resorted to drinking alcohol as a coping skills. Her condition devastated her husband and her children who has been looking up on to her. Her husband tried to make her seek for help but she was so much into her depression and drinking, and could not understand that she is swimming away from reality. The gap between her and the other family members began to grow wider and wider. At about six months of losing her jo ...
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