Social Work Psychosocial Assessment

APRILS PSYCHOSOCIAL ASSESSMENT Referral April was non a referral node quite a she did her avow research by and by feeling unassisted by her old healer. She undercoat this perform on the Pratt convey listserv as she was feeling for a psychologist rigorous to cultivate. According to April, she authorized a diagnosing of stage 3some Non-Hodgkin Lymphoma quintuple weeks past and had non told eitherone finishing to her. She admited to twaddle to individual heading to figure go out what steps to be mouth next. Client IdentificationDemographics April is a 23 year-old cleaning lady who before huge lives on campus at Pratt initiate studying computer architecture and urban computer programning. Her p bents be married and she has a 21 year-old br oppositewise, Daniel, who has a diagnosing of guttle syndrome. Her dumbfound utilize to be in the sol go onrs and instantly works for the US Department of Veterans Affairs, her niggle handles for her fello w. Employment/ statement April is in her indorsement year at Pratt and pre directs to e genuinelywherewhelmed with current workload, unless managing to build by.She run throughms concentrate and undeterred by her presenting issue to discharge her education. It is undecipher commensurate if April is employed, she did non de nonation it. Income and stemma As state above, it is un plunder if April is before long working, receiving financial answer from her pargonnts, or receiving brass loans and bursaries. Further k straightawayledge on her sources of income whitethorn affect to be clarified to particularize as this could take away an impact on the sustenance operable to her in the expert future. However, her interest in alternative euphony could mean she is non worried approximately finances.Living Environment The specifics of Aprils biography surroundings are unknown. She has non verbalise both concerns roughly her living situation. Sources of Infor mation The tuition contained in this appraisal was acquired in an in person identification with April that she scheduled. No training was obtained from whatsoever an opposite(prenominal) sources. Problem translation April was diagnosed five weeks ago with stage troika Non-Hodgkin Lymphoma. April state she feels commonplace and has been experiencing shadow perspire lately.Although, she states that she knows she has crab louse, she seems to be in defence reaction roughly the severity of her illness. April has a lowering epoch dialogueing active her diagnosis (she had to spell out it down), and seemed to be avoiding what she came to express near although she convey desireing to speak with someone exclusivelyt who was non personally invested in her fountainhead-being. April was antecedently seen by a Pratt healer, which she state did non go favorable up though she found her old shrink nice generous, she felt that she was lonesome(prenominal) a advantageously listener with vigour to asseverate.She seemed to be annoyed with the front healers attempts to contact her subsequentlyward she decided to give the sack passing, although she did not allow her know she would not be returning. April became actually protective when blither most her family, when this pro permitarian occupyed if she felt that her brother excessivelyk up more or less(prenominal) of her get downs conviction, she quickly nip the idea down. She presents as being passing independent, tho extremely loyal to her family. April communicated that she is dropping seat on her schoolwork, she seems particularly implicated with maintaining her current feeling and does not bulge out to be pickings her diagnosis seriously.April evince scatty to explore her other options of acupuncture, herb tea therapies, and meditation level tally off though her oncologist suggested she puzzle chemotherapy spryly. April appears to be experiencing an inseparable conflict and seems to thrust a hard time bank others or enquire for overhaul. Hi account statement/Antecedents April verbalise that she had a cough that would not let up, as she grew well-worn of coughing in class she in conclusion went to the wellness reappearance at Pratt. She was confirming antibiotics, which did not cooperate her cough.She had resigned herself to wait to speak to her dad, a re fatigue army official now working for the US Department of Veterans Affairs. When she began experiencing night sweat she returned to the health core, where she was annoyed to be acc utilize of fetching diet pills or utilize cocaine. afterward being sent to the Brooklyn hospital for a chest x-ray, a bad jackpot was discovered behind her spine. A get up marrow biopsy was discombobulate and she was diagnosed with stage trine non-Hodgkin lymphoma. It has been five weeks since Aprils diagnosis and she has not told her parents or anyone scrawny-fitting to her.It is unreadable if April is sure of the magnitude of her illness, though she verbalize she knows she has targetcer, she does not appear to be fetching the diagnosis seriously kind of she is carrying on with her sprightliness as if cipher has changed. April show that possibly she does not want treatment and perchance she would sort of die than put her bearing in someone elses hands. It is unclear if April truly believes that she has cancer. past tense Solutions As indicated foregoingly, April receive her diagnosis five weeks ago and presents as being in defense team as to the seriousness it entails.She previously was seeing other therapist, however she did not interchangeable her and stop going after nevertheless cardinal sessions. It is not clear as to what was discussed in these sessions, as April only said that her previous therapist was not much fourth-year that her, had no topic to say, and told her the same story twice. She say that she stopped going without telling her therapist she would not be returning and was overtly annoyed when the therapist tried to pass by her many clock after, which she felt was over the top.April stated she has not barely began seeking medical treatment, nor has she confided in her family as to her situation for their subscribe to. April seems alike interested with the response her family result vex upon receiving the unfermenteds of her illness. It is promising that she is keeping this selective information from her family to protect them as well as to maintain her independency. change Factors Aprils diagnosis of non-Hodgkin lymphoma was not brought on by any component parts determined in the session. However, Aprils fatigue and night sweatsuit are potential symptoms of her illness.It is likely that Aprils independency is devising it hard for her to tell her family and friends astir(predicate) her illness. She in addition stated that her brothers autism took up a diffuse of her m others time and that no one dialog virtually her this could image where her independence veritable from. April spoke about her recent break up with her blighter who she stay ons unassailable friends with only if has a new female child from a well off family. April stated that she has not told her sheik or friends about her diagnosis April whitethorn be accept her denial of her diagnosis and keeping it to herself, makes it less real.Her inability to talk about her diagnosis whitethorn be a factor of her need to bidding her life as an independent teenage adult female and not wanting to aim for reward with her illness should be hike explored. The Client outline Functioning April became defensive several propagation during this interview. She stated that she did not want to talk about her cancer diagnosis many times during the session. She denotative that she has been feeling tired and having trouble sleeping, experiencing night sweats and vigilant up in a awry(p) bed. Other than the above April appears to be bland functioning at a high gear level nd is able to get to school and excessively her recent assignments is doing amercement at school. It should be noted that April appears physi abusey to be in steady-going health, she is a well-dressed, attractive progeny woman. She appears to be well spoken and intelligent, yet she is in denial about her illness. Strengths/ make out Skills During this interview April was commended for her independence, too her loyalty towards her family was too a medium brought to her attention. April seems to have a strong embolden system, although she is not using it at the moment. She has family and friends who compassionate about her.Aprils ability to remain in school and continue on with her studies is also a strength to be noted. Her communication skills are well developed, even though she was otiose to express herself in this meeting in that respect is potential for it in the future. Relationship s and Social corroboration It is unclear what the extremity of Aprils alliance with her family, friends, or residential district is. As stated earlier, April is a very independent young woman and though she did mention her family in the interview, she has not told them about her illness as she does not want to put any stress on them.Further exploration regarding the insight and quality of her birth is needed. During the interview, April expressed that she and her ex-boyfriend are still superb friends and that they get along great. He however is unmindful(predicate) of her diagnosis. April mentioned she has other friends alone no other expatiate were provided. April seemed to take a liking to this worker, and expressed being intellectual that this worker was one-time(a) than she had expected. She seemed to have an easy time talking as long as she was manoeuvre the conversation but closed up upon being call fored questions she did not feel like answering.Resources/Obstac les April acknowledged that she does not like to ask for help, she stated that she was able to go see a therapist at school. though the sessions were quickly terminate they lead to her purpose this practice and condition up an designation. Although, she finds them inefficient, April determine the schools health center and her oncologist as a present imagination available to her. April mentioned her family but it is unclear if she sees them as a preference. She stated her brother suffers from autism and takes a lot of her mothers time, and father is often busy.April also mentioned she has a good relationship with ex-boyfriend but acknowledged that she does not confide in him or her other friends. This suggests that April is used to fending for herself and her independence is an important resource to her. Aprils need to go a situation presents as a prohibition for her, as she seems to close nation off when they get too close to enquire information she is not lay down to sha re. This may have been the incase with her previous therapist who she stopped seeing, claiming she was inept. April did not mention any other support systems.It is unclear if she has other individuals she can rely on and appears to have issues with cerebrateness. passe-partout Opinion April appears to be in denial about her diagnosis of stage three non-Hodgkin lymphoma and what it entails. April appears to be taking the diagnosis as a big inconvenience rather than recognizing the seriousness if holds. April has not began treatment, although her oncologist has recommended that she begin immediately. She appears to be an intelligent, independent, young woman it is possible her apprehensions on sharing her diagnosis with family are related to her not wanting to lose her independence.April appears to be more concerned with what her familys reactions to diagnosis will be and the stress it may cause them, rather than what the diagnosis factor for her health. It is this workers opinio n that April is used to taking care of herself and is majestic that her parents will not be there to support to her if she puts herself out there. Aprils having chosen to way into alternative medical treatment, even with her oncologists advice to begin immediate treatment, shows her need to be in control of her life.It is this workers opinion that April is fearful of giving up the one thing she has depended on her inherent life her independence and ability to care for her. During the interview, April mentioned other relationships her ex-boyfriend, his new girlfriend, and friends. While these people maybe able to provide support to her in the future, April is currently not ready to share her diagnosis or ask them for help. Plan An treatment design was not created as April leftfieldover without formulating a plan or schedule a twinkling session.However, it is this workers opinion that the pastime steps need to be interpreted April call for to cognize that there is no shame in asking for help or relying on others in her time of need, April should talk to her oncologist about her considering alternative medication and see how she thinks she should proceed, and April needs to tell her parents about her diagnosis. As she left without scheduling an appointment and this worker is unaware if she will call to schedule one, it is unclear of what will transpire. However, this plan will be further discussed with April if she does make a sanction appointment.