Comprehensive Client Family Assessment Essay.
To prepare: • Select a client whom you have observed or counseled at your practicum site. • Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected. Comprehensive Client Family Assessment Essay.
The Assignment
Part 1: Comprehensive Client Family Assessment With this client in mind, address the following in a Comprehensive Client Assessment (without violating HIPAA regulations): •Demographic information •Presenting problem •History or present illness •Past psychiatric history •Medical history • Substance use history •Developmental history •Family psychiatric history •Psychosocial history •History of abuse/trauma •Review of systems •Physical assessment •Mental status exam •Differential diagnosis •Case formulation •Treatment plan
Part 2: Family Genogram Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents).Comprehensive Client Family Assessment Essay.
Required Readings:
(1) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.Comprehensive Client Family Assessment Essay.
ATTACHED WITH THIS HOMEWORK IS A SAMPLE OF THIS ASSIGNMENT AND REMEMBER IT HAS TWO PARTS.
Part 1: Comprehensive Client Family Assessment
Demographic information
J.S is an 8-year-old, African American/Caucasian, male.
Presenting problem
Mother reports that she and J.S’s father separated in October of 2015. She reports J.S wishes for her and his father to reunite and get back together. She believes that he could benefit from additional support with understanding the separation of his parents. Mother reports since separation J.S is “clingy” as evidenced by wanting to be with mother all the time (e.g., wanting to sleep with mother, wanting to be with mother in the house and not alone in his room). Mother reports J.S talks to her, but is uncertain if he has any suppressed thoughts or feelings. She shared that J.S’s father was recently on the phone with a women while he was visiting. Mother reports since this J.S has been having a lot of questions about whether his parents will be together again and whether they have other significant relationships. She shared that she wants J.S to understand the concept of his parents being apart.
History or present illness
Mother reports onset of Jayden’s behavior occurred in 2015 when her and Jayden’s father separated.
Past psychiatric history
Mother reports none
Medical history
Mother reports none.
Substance use history
Mother reports none.
Developmental history
Mother reports no delays.
Family psychiatric history
Mother reports anxiety and depression on both J. S’s paternal and maternal side of family. Father is struggling with addiction.
Psychosocial history
J.S reports having a lot of friends. He reports getting along with his friends.
History of abuse/trauma
Mother reports none.
Review of systems
Gen: Denies weakness, fatigue, fever, chills, night sweats, heat intolerance.
Head: normocephalic; denies migraine headaches.
ENT: Denies visual changes, eye pain, hearing loss, tinnitus, vertigo, ear pain, ear discharge, epistaxis, nasal discharge, sinusitis, teeth problems, abnormal taste, sore throat, or speech difficulty
Neck: Denies neck swelling, pain, stiff neck, goiter, or masses, nodes. Cardiopulmonary: Denies cough, dyspnea, wheezing, hemoptysis, chest pain, palpitations, orthopnea, murmurs, edema, claudication, syncope, hypertension. Comprehensive Client Family Assessment Essay.