Case Presentation

April McKoy
 Biases

No personal biases.
But I felt the client would possibly have
biases towards me because I am an intern.
Background & Problem

Late 70s
Caucasian
Mild mental retardation (MR)
Physically disabled
Lives with boyfriend
All family has passed except a niece
Strengths & Limitations

Strengths Limitations

Mild MR
Has a niece that visits
Arthritis
and takes her shopping.
Cannot walk unassisted
Has a boyfriend that lives
with her Has a boyfriend that lives
with her
 Clients Life Experiences

Client had child at the age of 16.

Her parents gave the child up for adoption.
Parents arranged for her to have a tubal
ligation.
Family Deaths
Client was found in a puddle of urine and
was vomiting blood, and her home was
infested with bed bugs and roaches. At that
time was when DSS became involved.
 Staff Recommendations

DSS acts as the payee of her SSI

They pay her bills and give her an allowance
on the first and fifteenth of the month to
ensure that she has enough money for food
and that she would have proper shelter.
DSS also takes her to doctors appointments
and fills her prescriptions.
She also has a home health aide
 Research on MR

Low IQ
Delay in language development
Difficulty with problem solving skills and
learning social roles
Treatment
Developing a comprehensive management
plan that caters to the patient.
 Changes

No changes
Clients health and quality of life has
increased since having the set service plans.
The client has been on this particular
regimen since 2009. The client has a nice
apartment; makes it to doctors
appointments; takes prescribed medications;
and has food to eat. Taking her mental status
into consideration change can disrupt the
progress made for all these years.
Competencies & Behaviors

Demonstrate Ethical and Professional

Behavior
1.3. Demonstrate professional demeanor in
behavior; appearance; and oral, written, and
electronic communication.
Engage Diversity and Difference in
Practice
2.2 Present themselves as learners and
engage clients and constituencies as experts
of their own experiences.
Competencies & Behaviors
cont.

Engage with Individuals, Families, Groups,

Organizations, and Communities
6.1 Apply knowledge of human behavior and the
social environment, person-in-environment, and
other multidisciplinary theoretical frameworks to
engage with clients and constituencies.
6.2 Use empathy, reflection, and interpersonal
skills to effectively engage diverse clients and
constituencies.