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Pages:
6 pages/β‰ˆ1650 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 29.16
Topic:

The Medical and Wellness Model

Case Study Instructions:

COURSE GOAL ASSESSED
This assignment will demonstrate an ability to conduct a thorough patient assessment in a primary care setting. The case study below using two models of health care (medical model and prevention/wellness). Provide an assessment of the case utilizing the two models. Compare and contrast the two models as they relate to the issues presented within the case study. Include your perspective about how "integrated" the two approaches are. Is one better than the other? Which approach do you anticipate will have a more positive outcome for the patient? Support your argument.
Case Study
Case: Gerard
Gerard is a 49-year old attorney, referred to you by his PCP because of increasing symptoms of anxiety: rapid heartbeat, sweaty palms, hyperventilation, inability to sleep, and racing thoughts. He has a very stressful job, working up to 60 hours a week for a large law firm in town. He is married, but he and his wife separated recently because he is never at home to help care for his three young children, ages 6, 4 and 6 months. Recent blood work and other diagnostic tests done in the PCP office revealed that Gerard is at higher than average risk for some type of cardiac event. He has high cholesterol and high blood pressure, and there were some abnormalities on his EKG.
Routine screening with the SBIRT established that Gerard is drinking at least four mixed drinks 4 to 5 nights a week ("to relax") and is smoking marijuana ("to help me sleep") almost every night. On average, he is sleeping about 3 to 4 hours per night.
Gerard comes from a family of very high achievers. His mother is a cardiac surgeon, and his father was a federal judge until he died suddenly of a heart attack at age 50 (when Gerard was 12). His older brother is a famous author and his younger sister is the mayor of the small town in the Midwest where they all grew up.
Select one of the case studies below and two health care models presented in Chapter 2 of the Stanhope text (medical model Case: Gerard
Gerard is a 49-year old attorney, referred to you by his PCP because of increasing symptoms of anxiety: rapid heartbeat, sweaty palms, hyperventilation, inability to sleep, and racing thoughts. He has a very stressful job, working up to 60 hours a week for a large law firm in town. He is married, but he and his wife separated recently because he is never at home to help care for his three young children, ages 6, 4 and 6 months.
Recent blood work and other diagnostic tests done in the PCP office revealed that Gerard is at higher than average risk for some type of cardiac event. He has high cholesterol and high blood pressure, and there were some abnormalities on his EKG.
Routine screening with the SBIRT established that Gerard is drinking at least four mixed drinks 4 to 5 nights a week ("to relax") and is smoking marijuana ("to help me sleep") almost every night. On average, he is sleeping about 3 to 4 hours per night.
Gerard comes from a family of very high achievers. His mother is a cardiac surgeon, and his father was a federal judge until he died suddenly of a heart attack at age 50 (when Gerard was 12). His older brother is a famous author and his younger sister is the mayor of the small town in the Midwest where they all grew up.ocial, prevention/wellness). Provide an assessment of the case utilizing the two models. Compare and contrast the two models as they relate to the issues presented within the case study. Include your perspective about how "integrated" the two approaches are. Is one better than the other? Which approach do you anticipate will have a more positive outcome for the patient? Support your argument.
The APA format required is a maximum of five pages in length (not including cover and reference pages). A minimum of 2 references is required.

Case Study Sample Content Preview:

The Medical and Wellness Model
Name of Student
Department, Name of Institution
Course, Code, and Number
Professor’s Name
Date
The Medical and Wellness Model
Health is more than the absence of disease. The dynamic state of an individual promotes resilience, longevity, and joy. It is significant for the proper functioning of an individual in society. Health refers to all the dynamics of health, such as emotional, spiritual, mental, and physical well-being. Good health enables people to participate and contribute to society. Gerard is a forty-nine-year-old attorney experiencing symptoms of anxiety. He is experiencing hyperventilation, sleep deficiency, sweaty palms, restlessness, and rapid heartbeat. He comes from a family of high achievers and was recently separated from his wife. He is also working a stressful job and is barely at home to help take care of his three children. Gerard is experiencing mental, spiritual, and emotional challenges impeding his proper functioning in society. I will use the medical and wellness models to diagnose and treat his condition.
The Medical Model
The medical model has four main components: symptoms, diagnosis, physical examination, and treatment. The main aim of the medical model is to improve and maintain health (Yon et al., 2019). It considers factors such as the family history and current environment of the patient to come up with the most suitable treatment for the patient.
History
Gerard comes from a family of accomplished individuals. When he was 12 years old, his father died after a sudden heart attack. He is working up to sixty hours per week at a tough job. He was recently separated from his wife and is having trouble relating with his three children. Tests at the PCP reveal abnormalities in his EKG, a higher risk of a cardiac event, high blood pressure (HBP), and high cholesterol levels.
Symptoms
Rapid heartbeat, sweaty palms, racing thoughts, hyperventilation, and sleep deficiency.
Physical examination
Rapid heartbeat
Hyperventilation
Sweaty palms
High blood pressure and high levels of cholesterol
Abnormalities on his EKG
Prognosis and Diagnosis
Gerard comes from a family of high achievers, works a stressful job, and was recently separated from his wife. These factors point to mental and emotional distress contributing to his social and occupational environment. He is experiencing anxiety, restlessness, and trouble sleeping, pointing to a generalized anxiety disorder.
Treatment
The recommended treatment for the patient is medication and psychotherapy. Specifically, the patient needs to undergo cognitive behavioral therapy. This therapy will teach him specific skills and activities to help him directly manage his anxiety and gradually return to the normal activities he avoided because of stress. I would also prescribe Buspirone as an ongoing medicine to help manage the symptoms.
The Wellness Model
The Wellness Model has eight Dimensions: physical, spiritual, emotional, financial, mental, environmental, occupational, and social ones (Binghamton University, 2022). It considers all the aspects of an individual’s life in their treatment.
I prepared the following questions to help diagnose and treat Gerard.
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