Linda Case Study

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University of Cincinnati, Main Campus *

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2254

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Nursing

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Nov 24, 2024

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docx

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12

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1 Linda Case Study By: Course: Department: Professor: Date:
2 Set 1 How would you assist Linda to create value in her current situation? Firstly, I would empathize with Linda and acknowledge her achievements in her career as a neurosurgeon. I would highlight how her work has helped countless patients and remind her that retirement does not negate her past accomplishments (Renfrow et al., 2018). Secondly, I would encourage Linda to seek professional help for her depression and to manage her diabetes more effectively. This would involve referring her to a mental health specialist and a dietician to assist her in creating a plan to manage her diabetes. Thirdly, I would work with Linda to identify new hobbies or activities that she can participate in, taking into account her physical limitations. This could include meditation or yoga, which can also help with her mental health, or volunteering at a local community center or hospital. Discuss steps you could take to encourage Linda to work collaboratively to turn her identified problems into goals 1. Acknowledge Linda's feelings: Start by validating Linda's emotions and acknowledging her struggles. Assure her that it is not uncommon for people to experience such emotions when transitioning into a new phase of life, and that her feelings are understandable given her situation (Johnson, 2019). Let her know that you are there to support her and work with her to find a way forward. 2. Help Linda identify her goals: Encourage Linda to identify what she wants to achieve. Ask her about her aspirations and what she wants to do in retirement. Her goals may not necessarily be work-related, but could involve spending more time with family or pursuing a new hobby. Help her to set specific, realistic goals that she can work towards. 3. Break down goals into achievable steps: Once Linda has identified her goals, help her to break them down into smaller, achievable steps (Tomasello, 2018). This will make the goals less overwhelming and easier to achieve. Encourage her to take small steps towards her goals each day, such as taking a short walk or researching a new hobby. 4. Create a plan: Collaborate with Linda to create a plan to achieve her goals. This could involve identifying resources and support systems, such as community groups or exercise
3 classes. Encourage her to seek the advice of her healthcare provider to improve her diabetes management and overall health. 5. Monitor progress: Regularly check in with Linda to monitor her progress towards her goals. Celebrate her successes and provide encouragement and support when needed (Lambert et al., 2018). Remind her of the progress she has made so far and encourage her to keep moving forward. What interventions could you use in this case to assist her with this? Intervention 1: Psychotherapy Linda is struggling with feelings of failure, depression, and loss of identity due to her deteriorating health and inability to continue her career as a neurosurgeon. Psychotherapy could be a useful intervention for Linda to work through these difficult emotions and develop coping strategies to manage her current situation (Gaus, 2018). A cognitive- behavioral approach may be helpful to challenge negative thinking patterns and beliefs about her self-worth, career, and future. A therapist could also help Linda to explore other activities or interests that could bring her joy and a sense of purpose outside of her previous career. Intervention 2: Diabetes Management Program Linda’s Type II diabetes has been a significant challenge for her, and it may be exacerbating her fatigue and other symptoms (Rastogi et al., 2020). A diabetes management program could help Linda to develop a personalized plan for managing her blood sugar levels, diet, exercise, and medication. A program that includes support from a diabetes educator, nutritionist, and physical therapist could be especially helpful for Linda to manage her diabetes while also addressing her fatigue and lack of energy. Intervention 3: Social Support Linda has no family or children, and her depression may be worsening due to her sense of isolation and loneliness. Social support could be a crucial intervention for Linda to improve her mental health and overall well-being. Encouraging Linda to participate in social activities, such as joining a support group or taking a class, may help her to connect with others and feel less alone. A therapist could also work with Linda to develop communication skills and assertiveness to strengthen her relationships with others and increase her social support network.
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4 References Gaus, V. L. (2018). Cognitive-behavioral therapy for adults with autism spectrum disorder . Guilford Publications. Johnson, S. M. (2019). Attachment theory in practice: Emotionally focused therapy (EFT) with individuals, couples, and families . Guilford Publications. Lambert, M. J., Whipple, J. L., & Kleinstäuber, M. (2018). Collecting and delivering progress feedback: A meta-analysis of routine outcome monitoring. Psychotherapy , 55 (4), 520. Rastogi, R., Chaturvedi, D. K., Singhal, P., & Gupta, M. (2020). Investigating diabetic subjects on their correlation with TTH and CAD: a statistical approach on experimental results. In Opportunities and Challenges in Digital Healthcare Innovation (pp. 197-220). IGI Global. Renfrow, J. J., Rodriguez, A., Wilson, T. A., Germano, I. M., Abosch, A., & Wolfe, S. Q. (2018). Tracking career paths of women in neurosurgery. Neurosurgery , 82 (4), 576-582. Tomasello, M. (2018). A natural history of human thinking . Harvard University Press.
5 Set 2 How would you assist Linda to create value in her current situation? To assist Linda in creating value in her current situation, I would suggest she focus on using her experience and knowledge to mentor and inspire the next generation of medical professionals. Linda could volunteer her time to speak at local schools or universities, sharing her experience and expertise in the field of neurosurgery (Dewan et al., 2018). She could also consider writing a book or blog about her experiences, providing a resource for other medical professionals who may be struggling with similar challenges. Additionally, Linda could explore opportunities to consult or advise medical organizations or advocacy groups, using her expertise to influence policy and decision-making. Discuss steps you could take to encourage Linda to work collaboratively to turn her identified problems into goals 1. Discuss the benefits of collaboration: Explain to Linda the benefits of working collaboratively towards achieving her goals. Emphasize that by working together, she will have a support system to help her overcome obstacles and keep her motivated (Wegrich, 2019). Encourage her to seek the advice of her healthcare provider, friends, and family members. 2. Help Linda identify her strengths: Ask Linda about her strengths and how she has overcome challenges in the past. This will help her to build confidence and resilience as she works towards her goals. 3. Brainstorm solutions: Collaborate with Linda to brainstorm solutions to the challenges she is facing. Encourage her to think outside the box and consider alternative solutions to her problems. Remind her that setbacks are a normal part of the process and that she can learn from them. 4. Create a support system: Help Linda to create a support system to help her achieve her goals (Sutton et al., 2020). This could involve identifying friends, family members, or community groups that can provide encouragement and support.
6 5. Set up regular check-ins: Set up regular check-ins with Linda to monitor her progress and provide support. This will help her to stay motivated and on track towards achieving her goals. What interventions could you use in this case to assist her with this? Intervention 1: Cognitive Behavioral Therapy Linda’s depression and feelings of failure can be addressed through cognitive-behavioral therapy (CBT). CBT focuses on identifying and changing negative thought patterns that contribute to depression and low self-esteem. A therapist can work with Linda to reframe her negative self-talk and develop coping strategies to manage her emotions (Kenny et al., 2019). The goal of CBT is to help clients build skills to change their negative thought patterns and improve their mental health. Intervention 2: Lifestyle Modification Linda's recent incidents of dizziness and fatigue may be due to her sedentary lifestyle and diabetes. Lifestyle modification can help Linda to improve her physical health and mental well-being. Encouraging Linda to exercise regularly and adopt a healthier diet can help her to manage her diabetes and improve her overall health (Seenivasan, 2018). A physical therapist or nutritionist can work with Linda to develop a personalized plan that meets her needs. Intervention 3: Career Transition Linda’s passion for being a neurosurgeon may be making it difficult for her to come to terms with retiring. A career transition program could help Linda to explore other interests or careers that align with her values and skills (Rockinson & Wendt, 2020). A career coach can work with Linda to identify her strengths and transferable skills and help her to develop a plan for transitioning to a new career or pursuing other interests.
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7 References Dewan, M. C., Onen, J., Bow, H., Ssenyonga, P., Howard, C., & Warf, B. C. (2018). Subspecialty pediatric neurosurgery training: a skill-based training model for neurosurgeons in low- resourced health systems. Neurosurgical focus , 45 (4), E2. Kenny, M. C., Helpingstine, C. E., & Weber, M. (2019). Treatment of a commercially sexually abused girl using trauma-focused cognitive behavioral therapy and legal interventions. Clinical Case Studies , 18 (1), 18-35. Rockinson-Szapkiw, A., & Wendt, J. L. (2020). The benefits and challenges of a blended peer mentoring program for women peer mentors in science, technology, engineering and mathematics (STEM). International Journal of Mentoring and Coaching in Education , 10 (1), 1-16. Seenivasan, V. (2018). A study to assess the effectiveness of structured teaching programme on lifestyle modifications of patients with myocardial infarction attending Cardiology Outpatient department in Rajiv Gandhi Government General Hospital, Chennai (Doctoral dissertation, College of Nursing, Madras Medical College, Chennai). Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine , 3 (1), 17. Wegrich, K. (2019). The blind spots of collaborative innovation. Public management review , 21 (1), 12-20.
8 Set 3 How would you assist Linda to create value in her current situation? My approach to helping Linda create value in her current situation would involve assisting her in rediscovering her passion and purpose. I would work with her to explore new interests and activities that she can pursue. This could include pursuing a hobby or passion that she had previously neglected, such as painting or music. Alternatively, Linda could explore new career opportunities or volunteer work that align with her values and passions. For instance, she could consider mentoring or coaching younger medical professionals, taking on a leadership role in a healthcare organization or advocacy group, or volunteering for a medical mission abroad. By focusing on her passions and interests, Linda can find renewed purpose and fulfillment in her life, even after retirement. Discuss steps you could take to encourage Linda to work collaboratively to turn her identified problems into goals 1. Emphasize the importance of self-care: Explain to Linda the importance of self-care and how it can help her manage her diabetes and overall health (Kristensen et al., 2018). Encourage her to take small steps each day towards improving her health, such as taking a short walk or preparing healthy meals. 2. Explore new hobbies: Encourage Linda to explore new hobbies and activities that she may enjoy. This could involve trying a new exercise class, joining a book club, or learning a new skill. Help her to identify activities that align with her interests and passions. 3. Create a positive mindset: Help Linda to develop a positive mindset by focusing on her strengths and accomplishments. Encourage her to practice gratitude and positive self-talk. 4. Build a support system: Help Linda to build a support system of friends, family members, and healthcare providers who can offer encouragement and support (Sutton et al., 2020). This could involve attending support groups or talking to a therapist. 5. Celebrate progress: Celebrate Linda's progress towards her goals and remind her that setbacks are a normal part of the process. Encourage her to focus on the progress she has
9 made so far, and to be proud of herself for taking steps towards her goals. Celebrate milestones along the way, no matter how small they may seem. 6. Encourage self-reflection: Encourage Linda to reflect on her life and identify what is important to her. This can help her to set meaningful goals that align with her values and passions (Mulvogue et al., 2019). Encourage her to journal, meditate, or engage in other self-reflective practices to help her gain clarity and insight. 7. Collaborate with her healthcare provider: Encourage Linda to work collaboratively with her healthcare provider to manage her diabetes and improve her overall health. Her healthcare provider can offer guidance and support in making lifestyle changes that can benefit her health. 8. Encourage social engagement: Encourage Linda to engage in social activities and maintain social connections with friends and family members. This can provide emotional support and help her to stay motivated towards her goals. What interventions could you use in this case to assist her with this? Intervention 1: Mindfulness-Based Interventions Linda’s depression and negative self-talk can be addressed through mindfulness-based interventions. Mindfulness-based interventions can help Linda to increase her awareness of her thoughts and emotions, develop self-compassion, and reduce stress (Cherry, 2019). A therapist can work with Linda to teach her mindfulness techniques such as meditation, breathing exercises, and body awareness practices. Intervention 2: Nutritional Counseling Linda’s Type II diabetes may be contributing to her fatigue and dizziness. Nutritional counseling can help Linda to develop a healthy diet plan that meets her nutritional needs and supports her diabetes management (Powers et al., 2020). A nutritionist can work with Linda to identify foods that may be contributing to her fatigue and dizziness and develop a plan to manage her blood sugar levels through dietary changes. Intervention 3: Volunteer Work Linda may benefit from engaging in volunteer work as a way to find purpose and meaning in her life outside of her career as a neurosurgeon. Volunteering can help her to connect with others, build a sense of community, and develop a sense of
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10 accomplishment through helping others. A therapist could help Linda to identify volunteer opportunities that align with her interests and skills and support her in pursuing these opportunities.
11 References Cherry, M. (2019). Decreasing stress through an emotion regulation and non-judging based intervention with trauma-exposed college students. Kristensen, M. A. T., Guassora, A. D., Arreskov, A. B., Waldorff, F. B., & Hølge-Hazelton, B. (2018). ‘I’ve put diabetes completely on the shelf till the mental stuff is in place’. How patients with doctor-assessed impaired self-care perceive disease, self-care, and support from general practitioners. A qualitative study. Scandinavian Journal of Primary Health Care , 36 (3), 342-351. Mulvogue, J., Ryan, C., & Cesare, P. (2019). Nurse simulation facilitator experiences learning open dialogue techniques to encourage self-reflection in debriefing. Nurse Education Today , 79 , 142-146. Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., ... & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care , 43 (7), 1636-1649. Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine , 3 (1), 17.
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