The Case of Emily's Mental Disorder Paper Example

Introduction

Emily is a 6-year-old schoolgirl who has been having conduct concern. Upon ingoing to the first grade, Emily was so hesitant to do so for the reason that she contemplated that it was no longer enjoyable to set off to school (Jones, Carr & Feeley, 2006). Moreover, she even went ahead and developed a bad temper that complicated into blaring, weeping and banging of the head on the ground. On the other hand, she also declines to slumber in her couch. Even though she satisfied to nap in her parent's cradle and if awoken, then she would sob and cream at the peak of her tone which woke the whole family. As a result of Emily's outbursts, her parents primarily permitted her to hang about at home. Eventually, Emily's educator concealed that there isn't a behavior crisis at school and her educational skills are at grade one stage.

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Assessment

According to Hsiao & Teng, (2013), about 90% of all the individuals with mild Alzheimer's go through neuropsychiatric symptoms, depression, most frequently apathy, irritability, and anxiety. These symptoms have a great association with a reduced quality of life for the patient, greater morbidity and increased depression and burden for the caregiver and greater costs for nursing and care home placement. Technically, psychosocial interventions which are mostly based on behavior therapy is a representation of the most efficacious treatment of neuropsychiatric symptoms.

From the experience of those suffering from different disorders, it is important to understand that one of the symptoms that leads to a certain level of disability is the depressive disorder being among the most common conditions. Emily could suffer depression which hence initiated the disability. The fact of Emily displays a high level of depression is a clear symptom of the disability. Emily in her life when she was growing faced serious difficulty and as a result, this has been part of her throughout her life and no even occasion that she has ever experienced peace of mind in her life. This hence made Emily be incapable of handling the challenging situations which come throughout her life.

One great symptom is that Emily has portrayed some of the Melancholic features as a result of the desperation moments in her life. From what is happening in Emily's life, it is important to note that is entirely out of pleasure in all the activities that she involves in. This can be demonstrated through her miserable life from childhood. In addition to that, she does have any business to pleasure the stimuli. She has no sense of feeling pleasure even at those moments when something good is happening to her. The other melancholic feature which manifests itself in the narration of Emily is that of agitation psychomotor or retardation. This is the point whereby an individual in her life experience does not have any progress in life. Basically, this form one of the dangerous characteristics at depression since no matter how an individual tries to develop a with a solution, it remains a great challenge for an individual to come out from that situation. Notably, the last melancholic feature which is exhibited in narration is that of inappropriate guilt and which can be supported through hardships that Emily was subjected to when she was growing up.

One of the signs is lack of peace in dealing with life issues and even relationships since victims are emotionally and physically disturbed. Emily tried to venturing in various careers but none of it which seemed to yield anything good which she can boast about. The state has dwelt so much within her to the point of being recognized as a failure in life. But in analyzing her situation in a very critical way, there is no justification for levying blame to her. This is because she is just the victim of circumstances whereby no one came to her rescue at that tender age when she needed a lot of care and concern. In normal daily life and looking at various stages of life, it is important to note that for a mature female at Age 43, Emily is supposed to be settled in family life as well as settled career-wise. However, this is not the case and it is precisely the opposite of what is being narrated in the case study.

Diagnosis

The precise technique should be pursued to offer exactness that will aid Emily's family in providing a performance alteration arrangement. For example, this will engage in an evaluation of five segments. They include; testing, essential difficulty, and investigative aim behaviors, checking development, and following-up. On the same note, the appraisal means comprise of oblique procedures of interrogations, checklists and nonstop dealings which are tests that provide straight inspection (Cooper, Heron & Howard, 2007). According to Emily's pencil case, dialoguing the parents will lend a hand in accepting Emily's manners. Still, request for what, when, and how will facilitate the developing an explanation of the behaviors, as well as, touching common queries to precise answers. Checklist on the other side will explain the exact actions and circumstances beneath the blaring, expression of grief, and banging of head.

It is very vital to aim at behavior by being capable of conducting a precise assessment of the performance. For instance, in the scenery based description, it shows the outline or shape of the actions (Cooper, 2007). Therefore, this designation works best in Emily's folder since the psychoanalyst does not have straight, dependable, or effortless contact to scrutinize Emily's deeds at the residence. However, to note down an objective conduct meaning, then the diction must be correct, whole, and brief, without inclusions and exclusions.

In this situation, Emily's parents are alleged to have prepared an error by involuntarily given that through an underpinning approach that contributed to Emily's trouble activities. For instance, Emily was presenting downbeat manners in an array to "run away" from departing to school. Through throwing a fit of temper that integrated to weeping, shattering, and banging her head on the base, to allow the parents to let her keep on missing from school (Goodman-Scott, 2013). Conversely, her parents might have been at the dwelling place with her, and this may also provide for into attention on the lookout for the activities that were non-breakable. Furthermore, she also cultured similar thing when it was a sad moment, and it permitted her to catnap in her parent's extent. This was shatterproof when the parents allowed her to slumber in their space.

Final Diagnosis

In this state of affairs, it is clearly outlined that Emily will obtain non-contingent fortification from her parents that will weaken her pessimistic actions. She will then be present at school frequently and be asleep in her possess bunk bed by the conclusion of three weeks of conduct adjustment (Goodman-Scott, 2013).

One of the best approaches to investigate Emily's performance is to carry out a purpose examination, by forming an analog, background, and penalties for the possessions of the deeds problem that is to be considered. As a result, a number of the circumstances in which Emily is applying her conduct from are: concentration, get away from school and be capable to liberally have fun at domicile when she should be in instruct (Goodman-Scott, 2013). By coming across all these environments, a model of the dilemma should commence by taking shape. On the other hand, her predicament of escaping school should also have a petition that offers for an option for the deeds. An additional technique is to alter the undertaking anxiety, similar to going to school, with a break out that is not as much of underlining. For instance, she may perhaps traverse her bicycle to school as a substitute for walking. Besides, once she arrives home from school, then the parents should commend her with a lot of constructive underpinning.

Moreover, this should also occur when in receipt of being set for school, when doing grounding, and tasks. Therefore, neighboring Emily with optimistic back up will restore the support that she acknowledged for her appalling manners. A checklist on the same note should finally be sure to the parents consequently with the aim of rating and keeping pathway on Emily's conduct transformations (Goodman-Scott, 2013). Nevertheless, to perceive if the performance arrangement is operational, then information is desired to be collected by Emily's paternities. On the other hand, a checklist will be performed on a daily basis to substantiate whether if an amendment has taken place. While the figures will be broken along into everyday editorial regarding the variables of lamenting, shattering, and head knocking, and a different rank would register the period of the occurrence and the rate of recurrence in daylight hours. For that reason, at the conclusion of every week, the facts will be position into a diagram to distinguish how Emily's performance is lessening. Therefore, if a boost or reduce is renowned in actions at the closing stage of the week, then an adjustment could be created on the deeds adaptation depending on the strategy. Hence, these variations may perhaps comprise of a voucher scheme to recompense Emily for constructive conduct or other choices that would encourage her to reinstate the poor manners.

Theoretical model

Person Centred Care Model

Person Centred Care model is one of the models that focus on the individual needs of a person rather than efficiency on those who are providing. It normally builds upon individual strength and even choices, preferences and values (Fazio, Pace, Flinner, & Kallmyer,2018). Technically, a person-centered model of care focus on reorienting the medical disease hence dominating model of care which can be impersonal for those who are oriented to the holistic well-being that concentrates on all four human dimensions. It is important to note that when an individual with a mental disorder has progressed to a point where they need significant support and help, they may no longer be in a position of articulating insight insights in relation to their care. In the case of Emily, the health professional could offer support in various means which are considered to be personally meaningful.

During the early 1990s, the Alzheimer's association started arranging for an annual dementia care education conference which ended up to provide a means of the early adopters of person-centered dementia care. It took place in the United States with the original plan of sharing experience, discovering and even sharing the experience. However, this, in the long run, was identified to be a person-centered dementia care.

The Person-Centred Dementia Care Framework

Part 1: Core Philosophy and Values

Philosophy and values are significant; as they form the foundation for the whole person-centered mental disorder.it is important to note that every individual has his or her authenticity and meaning, need and preference to continue experiencing life. In the case of Emily, her disorder is not really the dementia illness rather the condition is identified as the only aspect of her current being. Focusing on Emily strength is very important rather than their lost capabilities and abilities.

Part 2: Structure

Technically, the framework structure basically involves eight domains, which are considered universal to all long-term support and service settings, for example, adult day care, home care, hospice, nursing home and assisted living. In Emily's case, the eight domains involve the relationships governance, community, leadership, governance, care partners and meaningful environment, accountability and engagement.

Part 3: Operational Practices

In every structural domain, there exist operational practices in helping person-centered care. Practices involve aims such as possessing...