Question

Butch has been married to Rita for 51 years. They have three adult children who visit him weekly. Rita comes to visit Butch every day after work. Butch was a salesman for 35 years before he retired seven years ago. Butch believes he is at Pineville Estates for rehab, but his family is concerned that it is no longer safe at home if he were alone. Rita was recently awarded guardianship due to his declining mental status. He is a full code.

1. RELEVANT Data from Social History?

2.Clinical Significance?

Answer 1

1.

RELEVENT DATA

• Name: butch
• Age :56
• Married
• Children: 3 children
• Pre morbid occupation: salesman, retired seven years ago
• Rita his wife is taking care of him
• Insight is absent

He is not in good terms with his wife, maybe separated- due to his illness she became the legal guardian

2

CLINICAL SIGNIFICANCE

• Patient insight is absent, patient is a known case of psychiatric illness, mostly due to aging.
• Memory is affected
• Orientation is affected
• Understanding reality skills are affected
• Role is affected
• Occupation is affected
• Patient can be rehabilitated with proper care and activities.

answered by: anonymous