Question

Read the case study, then answer the questions that follow.

Lee’s parents remember first noticing that Lee had some behavioural problems when he was only six years old. Although Lee was obviously an intelligent child he had developed various rituals that he needed to perform before undertaking routine daily tasks. He also found it difficult to interact in social situations. He maintained one close friendship since childhood but otherwise tends to be quite isolated from his peers.

When he was 14, Lee experienced a breakdown during a period of family stress. During this time Lee became quite violent towards both his parents and his sister. Lee regularly threatens self-harm. He has no social contact with anyone outside of his immediate family.

Lee spent six months in hospital following his breakdown and was subsequently diagnosed with bipolar disorder.

His parents are concerned about the way Lee is becoming increasingly violent and non-communicative. They worry that he is at risk of self-harm. Barbara is his support worker and is also noticing an escalation in violent behaviour in Lee. Barbara feels that the services Lee is currently accessing are not meeting his current needs and additional health professionals need to be involved in the support and care of Lee.

1. List appropriate referral services that may now need to be considered for Lee.

2. If Barbara was present at the time of Lee’s violent behaviour, what prompt actions could she take to support Lee? (Approx. 65 words that you can present in a bullet point list if you wish).

3.

Answer 1

1.Referral services are those acute care services provided to a memberby a non participating hospitals which,due to the specialized nature of the services or facility required,cannot be the plan's participating hospitals. In the given data. Lee was already diagnosed with Bipolar disorders ,there is a chance of reoccur the bipolar episode so now we need to refer him to *Psychiatric hospital and rehabilitation center. *Refer for Electro convulsive therapy center. *Provide magnetic seizures therapy

2.when patient was violante. *Assess the trigger for violence. *Try to remove triggers . *Need to provide calm and quite environment . *Make sure that room where patient was living is without any sharp objects to prevent self harm. *Offer patient cool water or drink. *Slowly ask for what happen to patient. *Remove harming objects from the patient hand. *Encourage to avoid the caffeine that may more triggered the situation

If Barbara present at the time of lee violence behavior ,this action may perform