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A Client in the Acute Inpatient Facility

Case Study: A Client in the Acute Inpatient facility


The client under consideration is called John. Various reasons rally behind the need for the admission of John in the acute inpatient facility. The primary reason for the admission is due to the deterioration of his health condition as portrayed by various symptoms. The journey to the current situation of John has been long from the time he was a teenager. John has been admitted to the acute inpatient facility as it seems impossible to remain outside. This is because the inpatient facility will offer better support in terms of medication as well as counseling. The form of medication offered to John is mixed up as his condition touches on physical as well as mental health. The fact that John suffers both mentally and physically makes his condition critical (White et al, 2017). It is, therefore, dangerous to have John staying in the outside world as he poses a threat to his life as well as that of others. For instance, John can be observed as a person who has turned out to be quite tempered and thus could result in attacks against the people he interacts with. The diseases that John battles touch on his mental, physical as well as the psychosocial stability aspects (Hyde et al, 2015). To make the matters worse, history traces that John has become an addict to the abuse of drugs and considers taking them rather than enjoying in any other forms. This is, therefore, a complicated situation that cannot be in any case attended from home. John requires the assistance of the psychiatrist due to the mental challenges (Klee et al, 2016). On the other hand, he requires a medical doctor to cater for the deteriorating physical health of the client. John also requires the attendance of a counselor to have back the social life as that led by a normal person.

Assessment of John’s Physical, mental as well as psycho-social health

Assessment of the physical health

John’s physical health is in question. This is due to the various aspects that he has portrayed in the recently. First, John has lost the ability to walk upright as he used to in the past. This means that he must be suffering from a disease that affects the walking system. In close examination, it is discovered that the inability to walk well and use his legs as well as hands results from the various injuries that he acquired in the various occurrences (Beasley et al, 2016). For instance, John’s life before getting admitted was full of violence cases, in some getting a beating and in some beating other people (Elbogen & Graziano 2016). John got serious bruises on many occasions but unfortunately did not make the efforts of getting medical attention. For this reason, the injuries became a problem to the proper functioning of the body.

Also, John is not able to eat properly as the men of his age do. This is an indication that he has lost appetite for food. Thus, the food system must be having some complications thus leading to the loss of appetite (Bucher et al, 2016). For a long time, John never took even the common medication such as deworming. It is probable that the problems have accumulated and led to the loss of appetite. Due to the low food and water intake, John has illustrated the signs of slimming at a very fast rate (Habib et al, 2015). This means that there are needful substances that lack in the body of the client.

On the eyesight assessment, it is also discovered that John’s eyesight capability has reduced with time. According to John, the inability to see effectively began after getting too much into alcoholism and other forms of drugs. It is, therefore, possible that the abuse of the drugs poses a threat to John regarding being able to see clearly. An attempt to give medical spectacles to John bore no fruits in the past as he later broke them after engaging in a quarrel with a family member (Gandhi et al, 2017). The effects to look for an alternative have been futile as John threatened any person coming to his rescue.

John also suffers from the breathing complications from time to time. Therefore, he has to make use of the breathing aids from time to time to prevent the possibility of suffocating. Before getting admitted, the situation was worse as John would faint anytime he had the breathing complications (Cai et al, 2018). However, being admitted has made things better as the breathing aids are always available and reliable. From John’s confession, he had been smoking tobacco for a long time (Faye et al, 2016). This could, therefore, be one of the main reasons that he suffers from the breathing problems, due to the possible destruction of the lungs and the entire breathing system (Bartels et al, 2018). The admission provides a chance for John to be rehabilitated from such behaviors to save the breathing systems. The admission also offers a good chance for John to be able to regain the lost health aspects.

Mental illness

Various aspects indicate that John suffers from the mental disorder. There are various medical disorders that John has been diagnosed with and thus complicating his heath further. First, John is diagnosed with the mood disorder. In this case, he has been diagnosed with the disorder of having his moods change abruptly, at times without any cause (Ture et al, 2017). He has also been diagnosed with the Schizophrenia disorder. In this case, it is indicated that he suffers from the ability to think clearly, resulting in the unclear behavior as well. Under this diagnosis, it is included that he has the inability to have clear feelings and gets lost of what he feels (Sakhvidi et al, 2015). This has led to lots of confusion all along. John also sufferers from the Drug-related disorder in which case he has also been diagnosed with. The drugs that John has taken in his life and especially the hard drugs have major impacts on the minds and affect his ability to behave clearly. The client also suffers from the anxiety disorder, in which case he gets anxious for small matters or even for nothing. It has therefore been considered fit to diagnose him for the same problem. John has also been diagnosed with dementia, which represents the loss of memory (Gühne et al, 2015). Signs have been conspicuous that he suffers from loss of memory due to the ease of forgetting small matters after a short period (Zarea et al, 2017). John also suffers from the impulse control disorder. This is because he is not able to control his tempers whenever he gets slightly angry (McKee et al, 2018). As part of his health complications, this has taken the health position to the worse side. John suffers critically from the personality disorder. This is because he doesn’t have the ability to determine the right and the wrong thing as accepted in the society (Sande et al, 2017). For this reason, he has engaged in assault cases in the past and never thought of being remorseful as he considered it the right thing to do.

Psychosocial health

In this case, John seems to suffer as well. He is unable to determine if he is healthy or not. The admission comes after being forced to seek medical attention in the hospital. This is an indication that he does not have the ability to determine if he is sick or healthy on his own (Bunyan et al, 2017). He is not able to determine what history provides for regarding a person being healthy and sick. He, therefore, suffers from the psychological inability to think effectively and make the right conclusion regarding his personal health.

Vulnerabilities and strengths

John is vulnerable to himself. This is because he may be tempted harm himself, to an extent of thinking of taking away his life (Russell et al, 2016). On the other hand, he is also a threat to the rest of the people. This is because he can easily attack those around him whenever he gets angry. He poses a risk to the family members and the rest of the people due to his violent character (Wells 2017). Also, John is vulnerable to addition. In this case, John is already an addict and has been doing drugs for a long time. For this reason, staying away from the inpatient facility would render him back into doing the drugs, thus deteriorating his health the more.

John’s strength is mainly exhibited physically. This is seen in his ability to fight off people with aggressiveness. In many cases, John illustrates lots of strength when he gets angry. However, the side3 of strengths is quite limited due to the poor health conditions.


It is clearly evident that John is seriously suffering and requires being in an inpatient acute admission facility. Various symptoms illustrate that he is unhealthy physically, mentally as well as psychosocial wise. For instance, the frequent loss of memory, abrupt changes of moods, hot tempers, and other aspects indicate that he suffers mentally. On the other hand, the slim body, poor walking style, loss of food appetite as well as the poor eyesight illustrates the unhealthy physical condition. Considering that John is unable to determine that he is sick until the time he is forced into the hospital, this indicates that he is psychosocially unhealthy. The combination of all the above factors makes John’s condition critical. It is therefore paramount that he remains in the acute inpatient facility for as long as he gets better.


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