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Case Study 1

Name: Tracy

DOB: 

Age: 30 years

UR: ------

Allergies: Nill

Address: ------

Smart Goal 1

Goal: To implement relationship building approaches for the management of autism spectrum disorder (ASD) in the patient, Tracy.

S - Specific

The patient should build socialization skills through engaging with members of the society

M - Measurable

The goal should be time bound and should be accomplished with the given timeframes (3 month) 

A - Attainable/Achievable

The goal is attainable when it is divided within weekly activities associated with socialization and relationship building

R - Relevant/Realistic

The expected time for the completion of the goal is 3 months, so this goal will be divided into the specific micromanagement tasks.

T - Timebound

The expected time for the completion of the goal is 3 months, so this goal will be divided into the specific micromanagement tasks.

Objective: To implement group-based social skills therapies to address the complex notion of social cognition in adolescents with ASD

Strategies

Activities

Timeframes

Person/s responsible

Resources Required

Measures of success

Strategy 1

Planning introduction games for the socializing with the group members 

1.5 month

During the introduction game, each member of the group says their name and then performs a gesture, like a bow or two-foot taps. The other participants then reiterate the deed and the person's name. This continues until each person has taken a turn, either by adding names and acts one after the other or not.

An open space such as park or conference room

The success of introduction game is measured by the number of people socializing with the patient, Tracy

Strategy 2

Group-based bond establishment therapy

1.5 month

Groups members and therapist’s staff and members

An open space such as park or conference room

The success of introduction game is measured by the number of people getting emotionally connected with Tracy

Rationale: 

Together with assisting clients in overcoming their mental health obstacles, group therapy is an excellent means of fostering client connections. Anxiety, depression, substance misuse, addiction, grieving, and more can all be treated with group therapy. In order to promote relationships and shared experiences, they are usually set up in groups of five to fifteen people, and they frequently include weekly sessions with discussions and activities. We acknowledge that, on sometimes, it may be challenging to select and organise counselling group treatment activities that encourage participation, conversation, and enjoyment (Smolkowski et al., 2022).

Smart Goal 2

Goal: To implement behavioural therapy approaches for the management of autism spectrum disorder (ASD) in the patient, Tracy.

S - Specific

The patient undergoes behavioural modulation & socialization skills through engaging with members of the society

M - Measurable

The goal should be time bound and should be accomplished with the given timeframes (3 month) 

A - Attainable/Achievable

The goal is attainable when it is divided within weekly activities associated with behavioural and cognitive therapy

R - Relevant/Realistic

With the approaches, patient’s communication, verbal and cognitive behaviour is expected to be improved. Moreover, it can help to remove stress

T - Timebound

The expected time for the completion of the goal is 3 months, so this goal will be divided into the specific micromanagement tasks.

Objective: To implement behavioural therapies-based task to address the complex notion of social cognition in adolescents with ASD

Strategies

Activities

Timeframes

Person/s responsible

Resources Required

Measures of success

Strategy 1

Positive activities for the behavioural interventions

1.5 month

Worksheets and online resources for positive thoughts implementation

Internet and laptop to resolve the questionnaire. Worksheet to solve positive thought questionnaire

The measure of success is implemented by measuring the changes in the behavioural interventions of the patient, Tracy

Strategy 2

Group-based bond therapy

1.5 month

Groups members and therapist’s staff and members

An open space such as park or conference room

The success of introduction game is measured by the number of people getting emotionally connected with Tracy

Rationale:
CBT investigates the connections between thoughts, emotions, and behaviour. It is an organised, prescriptive method to treating a variety of mental health conditions. It seeks to lessen patients' distress by assisting them in developing more adaptive cognitions and behaviours. It is the most extensively studied and empirically supported psychotherapy technique (Rajsp et al., 2018).

Case Study 2

Name: Barbara

DOB: 

Age: 68 years

UR:

Allergies:

Address:

SMART Goal 1

Goal: To implement non-therapeutic approaches for the management of dysarthria in the patient, Barbara

S - Specific

The patient undergoes exercise based skills through engaging with members of the society

M - Measurable

The goal should be time bound and should be accomplished with the given timeframes (3 month) 

A - Attainable/Achievable

The goal is attainable when it is divided within weekly activities associated with exercise therapy

R - Relevant/Realistic

The expected time for the completion of the goal is 3 months, so this goal will be divided into the specific micromanagement tasks.

T - Timebound

The expected time for the completion of the goal is 3 months, so this goal will be divided into the specific micromanagement tasks.

Objective:

To implement exercise-based intervention for the management of dysarthria in the patient, Barbara 

Strategies

Activities

Timeframes

Person/s responsible

Resources Required

Measures of success

Strategy 1

Group based exercise therapy

2 months

Physiotherapists or gym instructors

Exercise or gym area

These implemented by measuring the changes in the muscular atropy of the patient, Barbara

Strategy 2

Community based program

1 month

Health care instructors

Community hall or park for the management of community-based program

These implemented by measuring the changes in the muscular pain of the patient, Barbara

Rationale: 

Dysarthria is a neuromotor condition characterised by impairments in the speed, strength, accuracy, range, tone, or length required for speech control. The disease is distinguished by reduced speech intelligibility. The spoken language's content is preserved, allowing the patient to write and comprehend both spoken and written language (Im et al., 2022).

Smart Goal 2

Goal: To implement management approaches for the acute intracranial haemorrhage in the patient, Barbara

S - Specific

The patient undergoes therapeutic intervention through engaging with health care professional

M - Measurable

The goal should be time bound and should be accomplished with the given timeframes (3 month) 

A - Attainable/Achievable

The goal is attainable when it is divided within weekly activities associated with pharmaceutical interventions

R - Relevant/Realistic

The expected time for the completion of the goal is 3 months, so this goal will be divided into the specific micromanagement tasks.

T - Timebound

The expected time for the completion of the goal is 3 months, so this goal will be divided into the specific micromanagement tasks.

Objective: To implement surgical and pharmaceutical approaches for acute intracranial haemorrhage in the patient, Barbara

Strategies

Activities

Timeframes

Person/s responsible

Resources Required

Measures of success

Strategy 1

Pharmaceutical based interventions

2 months

Health care professional

Medicines and resources to implement the medicine

Through lower or reduced dose of medicines 

Strategy 2

Clot removal surgery

2 months

Surgeon and doctors

Surgical rooms and its associated requirements

Successful removal of the symptoms

Rationale: 

Half of all disability-adjusted life years lost due to stroke are related to intracerebral haemorrhage (ICH). Acute stroke care pathways result in the fast detection of ICH, but its acute management might be difficult because no single treatment has been proved definitively to enhance its outcome. Despite this, acute stroke unit care improves outcome after ICH, patients benefit from interventions to prevent complications, acute blood pressure lowering appears safe and may have a minor benefit, and implementing a bundle of high-quality acute care is associated with a higher chance of survival (Tseng et al., 2020).

Refrences

Im, Y. J., Choi, J., Kim, Y. H., & Chang, W. H. (2022). Transient Anarthria in a Patient With Non-Dominant Hemispheric Lesion: A Case Report. Brain & NeuroRehabilitation, 15(1), e8. https://doi.org/10.12786/bn.2022.15.e8

Smolkowski, K., Walker, H., Marquez, B., Kosty, D., Vincent, C., Black, C., ... & Strycker, L. A. (2022). Evaluation of a social skills program for early elementary students: We Have Skills. Journal of Research on Educational Effectiveness, 15(4), 717-747. https://doi.org/10.1080/19345747.2022.2037798

Rajsp, A., Horng-Jyh, P. W., Beranic, T., & Hericko, M. (2018). Impact of an introductory ERP simulation game on the students’ perception of SAP usability. In Learning Technology for Education Challenges: 7th International Workshop, LTEC 2018, Žilina, Slovakia, August 6–10, 2018, Proceedings 7 (pp. 48-58). Springer International Publishing. https://doi.org/10.1007/978-3-319-95522-3_5

Tseng, A., Biagianti, B., Francis, S. M., Conelea, C. A., & Jacob, S. (2020). Social Cognitive Interventions for Adolescents with Autism Spectrum Disorders: A Systematic Review. Journal of affective disorders, 274, 199–204. https://doi.org/10.1016/j.jad.2020.05.134

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