Behavioural Theory Case Study
Case Summary
Client Identifying Data
This client is a 73 year old Caucasian male who is a resident of a nursing home. He is alert and oriented and able to make his own decisions. He is receiving Medicaid benefits as a nursing home resident. He has been married twice, and his second wife is still living. The couple has children from previous marriages but do not share children with each other. He has been residing in the nursing home for about 3 years due to having a stroke which left him with a tracheostomy, and unable to care for himself.
Presenting Problem
The client has been remaining in his room in bed. In fact, for most of the time he has been in the nursing home, he has remained in bed. He states he feel sad, and depressed. He states …show more content…
He sees not positive points about placement in a nursing home even when others try to point them out to him. He feels his life is worthless because of his present situation. He very often will back out of any interventions which he feels may make his family or others think he has accepted placement in a facility. He will also under mind his own progress by refusing therapy and refusing to participate in his own care.
Theory and intervention
I have chosen to use the Cognitive Behavioral Theory with this client. The intervention will be Cognitive Restructuring and the use of the ABC model. I have decided to use this theory and intervention because it has been shown to be successful with a wide range of people, the client is alert and oriented, and I feel it will help him change his distorted views and ideas about living in a nursing home (Walsh, 2013).
Use of self
While planning my work with this client, I need to make sure my own opinions and feelings do not enter into the intervention while working with the client. I have to make sure the client does not think I am “picking sides” in the disagreements with his family and remain unbiased. I also have to keep my own thoughts and opinions about his refusal to participate in therapy and his care out of the conversations while working with him, and hope he realizes on his own how this is affecting his mood and feelings of
Client Identifying Data
This client is a 73 year old Caucasian male who is a resident of a nursing home. He is alert and oriented and able to make his own decisions. He is receiving Medicaid benefits as a nursing home resident. He has been married twice, and his second wife is still living. The couple has children from previous marriages but do not share children with each other. He has been residing in the nursing home for about 3 years due to having a stroke which left him with a tracheostomy, and unable to care for himself.
Presenting Problem
The client has been remaining in his room in bed. In fact, for most of the time he has been in the nursing home, he has remained in bed. He states he feel sad, and depressed. He states …show more content…
He sees not positive points about placement in a nursing home even when others try to point them out to him. He feels his life is worthless because of his present situation. He very often will back out of any interventions which he feels may make his family or others think he has accepted placement in a facility. He will also under mind his own progress by refusing therapy and refusing to participate in his own care.
Theory and intervention
I have chosen to use the Cognitive Behavioral Theory with this client. The intervention will be Cognitive Restructuring and the use of the ABC model. I have decided to use this theory and intervention because it has been shown to be successful with a wide range of people, the client is alert and oriented, and I feel it will help him change his distorted views and ideas about living in a nursing home (Walsh, 2013).
Use of self
While planning my work with this client, I need to make sure my own opinions and feelings do not enter into the intervention while working with the client. I have to make sure the client does not think I am “picking sides” in the disagreements with his family and remain unbiased. I also have to keep my own thoughts and opinions about his refusal to participate in therapy and his care out of the conversations while working with him, and hope he realizes on his own how this is affecting his mood and feelings of