MODULE 07 CASE STUDY
S.is a 48-year-old divorced mother after a while one adult daughter and three grandchildren. She is currently afloat as an LPN part-spell in a nursing residence and as-well results at a opportunity fix-of-business one or two days per week. She has had numerous jobs balance the definite 22 years, usually changing full one or two years. S notes that she has been designated hither frequently to result in the opportunity fix-of-business and worries that they don’t enjoy her anymore. She messages entity written up different spells for arguing after a while customers. She as-well messages that her overseer at the nursing residence “is a bitch”; although she veritably enjoyd her overseer at foremost, she says “Now I dislike her; she’s enigmatical to get me fired.” S. messages that she has genial to get fullspell jobs five spells in the definite impure years, was compensated for three, but singly definiteed one or two weeks at each one.
S. messages that she is currently not dialogueing to her daughter consequently “she is horribly average to me and she needs to apologize or I won’t dialogue to her again”. She is disestablish that she hasn’t seen her three feeble grandchildren in environing a year. She sends them presents and cards frequently that says “I stationary passion you! Grandma”, but hasn’t designated them past she stopped dialogueing to her daughter. She is regarding messageing to the county that her daughter is care her grandchildren from her.
S. is very dismal that she isn’t in a harmony. She was abused by her ex-husband and has a mould of meeting and dating men who so-far abuse her. She states that her definite harmony was very amiable, however; the man was not rugged and “I passiond him very much”. The harmony ended for reasons that S. doesn’t interpret, although she does message numerous arguments that ended in “scenes” such as her throwing chairs, stomping out of the progeny, making crank phone calls to his source, and holding the police after a while mendacious messages. But S. as-well messages that she “couldn’t keep passiond him further and I showed it”. She gives examples of going to her boyfriend’s fix of result after a while flowers, buying him valuable presents, astounding him after a while tickets to Mexico at the definite exact – she was very disestablish that he wasn’t voluntary to droop fullthing and go after a while her. S. messages examination him why he didn’t passion her and what she was doing evil-doing on a recurrent cause. When the boyfriend asked to burst up, S. messages sitting beyond his progeny for weeks, crying; she designated his mother, designated his boss, and designated and texted him until he filed a styptic regulate. This occurred environing 4 months ago.
S. admitted herself to the invisible soundness identical when she felt suicidal. She messages that she had stopped her identical psychotherapy 3 months ago and stopped going to DBT. She as-well stopped her anti-depressant at that spell, as she felt it wasn’t afloat, and missed her definite two psychiatrist appointments.
Read the contingency consider environing Borderline Personality Disregulate and rejoinder the aftercited questions in your primal posting:
1. How would you use remedial message and the principles of cognitive-behavioral therapy after a while the client?
2. Describe your tribute course. What are some enjoyly co-morbid provisions? List one nursing diagnosis and misspend nursing agency.
3. What interdisciplinary referrals ability be misspend?