Medical Geriatric Case Study

Paper Summary:

This paper indicates that the patient's past medical history includes poorly controlled type 2 diabetes and hypertension and significant obesity; however, at the home visit, he was in no apparent distress. The author points out that the Calgary Family Assessment Model (CFAM) is a method of providing a thorough family assessment in a healthcare setting, utilizing three major categories: 1) The structural dimension of family life, 2) the developmental dimension of the family life and 3) the functional dimension of the family life. The paper concludes that, on the surface, it would seem that all the pathology in this family lies solely in the range of the patient's medical problems; however, the Calgary Assessment Model indicates that many of the issues surrounding his poor diabetic control, weight gain and high blood pressure were related to family dynamics and lack of education surrounding disease state and disease management.

Table of Contents
Presenting Problem
Past Medical History
Past Surgical History
Review of Systems
Current Medications
Social History
Objective Data
HEENT
CV
Neuro
GU/Rectal
Mental Status Exam
Assessment
Plan
Calgary Family Assessment Model (CFAM)
Calgary Family Intervention Model
Problem List and Discussion
Relative Lack of Knowledge of Diabetes
Relative Lack of Knowledge of Hypertension
Relative Social Isolation
Critique of the Calgary Assessment Model

From the Paper:

"Home visit was accomplished on 2 April 2005. The visit was accomplished in the midmorning and present at the visit were the patient, Mr. Schelley, his wife of 40 years, Mrs. Annette Schelley, and their 38 year old son, Thomas, who lives in the household with Mr. and Mrs. Schelley. The family lives in a 1200 square foot ranch house in a middle class neighborhood. It is a two bedroom, one bathroom house purchased by the Schelley's five years ago when Mr. Schelley took early retirement from a local manufacturing plant. Thomas returned home about a year ago after separating from his wife. He is currently unemployed and living in the extra bedroom. His presence in the house is a source of significant stress and the cause of many arguments between Mr. and Mrs. Schelley. This write-up was done from information obtained over the course of two home visits.."

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