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hsc4125c_case_study_2_thomas.docx
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by_now_you_should_have_decided_which_of_the_3_case_study_options_you_are_going_to_analyze_for_your_course_project.docx
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Case Study – Option 2: Thomas
Thomas is a 52 year old African American male. Thomas is a retired Army Sergeant and
currently works part time as a contractor with the United States Military. He teaches new
recruits. Thomas smokes 1-2 packs of cigarettes a day. Since Thomas retired from the military,
he has put on about 30 pounds. Thomas has stopped exercising since he left the military. Thomas is
married and has 2 grown children. He reports that his relationship with his wife is tenuous at
best.
Thomas has developed a drinking problem since he left the military. He indulges in binge drinking.
This binge drinking does affect his work but it is a part time job and Thomas is often heard asserting “I
don’t need this job anyway.” Thomas has mood swings and his mood swings have grown more severe,
and he alienated the people around him. His problem was accentuated by his abuse of alcohol and
other drugs. His boss has told him that he needs to settle down or he will lose his job. Thomas’ wife
indicates that his moods have become difficult to deal with. He is happy and exhilarating one minute
and crashes into devastating depression, during which he would withdraw from all social contact,
refuse to eat, and lie in bed crying for days at a time.
While in the military, Thomas experienced 4 deployments to active war zones, but insists that the
deployments did not affect him. “It is part of the job” is his token response to his any discussion of war
time activities. Thomas has never sought counseling, nor has he considered it. Recently, his children
and his wife have told him that he needs help. However, Thomas refuses help. In the last week,
Thomas was admitted to the hospital with complaints of chest pains and panic.
Diagnosis – Bipolar Disorder – Rule out PTSD
DSM-5 – Diagnostic Criteria for Bipolar Disorder
1.
2.
3.
4.
5.
6.
7.
8.
Depressed mood most of the day, nearly every
day, as reported by self.
Markedly diminished interest or pleasure in all,
or almost all, activities most of the day, nearly
every day.
Significant weight loss or gain, or decrease or
increase in appetite nearly every day.
Insomnia or hypersomnia nearly every day
(difficulty or delay in falling asleep or excessive
sleep).
Loss of energy nearly every day.
Fluctuate between depression and mania.
Rapid jumping around of ideas or feels like
thoughts are racing.
Distractibility
DSM-5 – Diagnostic Criteria for PTSD
1.
2.
3.
4.
5.
6.
Repeated or extreme indirect exposure to
aversive details of the event(s), usually in the
course of professional duties (e.g., first
responders, collecting body parts; professionals
repeatedly exposed to details of child abuse).
Recurrent, involuntary, and intrusive memories
Traumatic nightmares.
Dissociative reactions (e.g., flashbacks)
Intense or prolonged distress after exposure to
traumatic reminders.
Marked physiologic reactivity after exposure to
trauma-related stimuli.
For this assignment, imagine that you have been asked to make a presentation to a group of nurses,
discussing obesity and the Biopsychosocial Model.
1. Create a PowerPoint presentation explaining obesity according to the Biopsychosocial Model. Be
sure to describe how the model explains obesity and the factors that contribute to obesity.
2. Your finished Presentation should have:
a. 1 Title Slide
b. 2-3 slides for Biological Factors
c. 2-3 slides for Psychological Factors
d. 2-3 slides for Social Factors
e. 1 References Slide
3. Be sure to adhere to APA formatted references on your References slide.
Submit your completed assignment to the drop box below. Please check the Course Calendar for
specific due dates.
Save your assignment as a Microsoft PowerPoint presentation. (Mac users, please remember to
append the “.pptx” extension to the filename.) The name of the file should be your first initial and last
name, followed by an underscore and the name of the assignment, and an underscore and the date.
An example is shown below:
By now you should have decided which of the 3 case study options you are going to analyze for your
Course Project. It is now time to reflect upon the course concepts which have been introduced so far
and apply them to your chosen case.
Review the Course Project – Introduction found in Module 01 and prepare Part A of your Course
Project. This submission should be 2-3 pages in length and written in APA format using proper
spelling/grammar. Be sure to include APA formatted references and in text citations where
appropriate.
…
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