Seizure Disorder and Its Social Implications
Please note : My Intervention is CBT : COGNITIVE BEHAVORIAL THERAPY
ASSIGNMENT 1, PART B: INTERVENTION PAPER
For Part B of this assignment, use the illness or condition that you selected for Part A of this assignment. Select an evidence-based intervention and apply it to a hypothetical patient. Describe at least one appropriate clinical social work intervention for this issue or disease that would assist the patient and/or family in coping or improving their emotional state with this illness. Use at least six references, and most references should come from peer reviewed articles. The paper should comply with APA guidelines for citations and references. The paper should be a maximum of eight pages in length.
Steps to Complete This Assignment
1. Write a six- to eight-page paper, including the following sections:
• Introduction and Background—Summarize the hypothetical patient case and the presenting problem, and identify why you selected this intervention over other possible interventions (name those interventions that you did not select). Describe your setting. In your rationale, include details on the prevalence of the consequences of the problem addressed by the intervention and why this intervention is the best choice for this specific case. (20 points)
• Assessment—Provide key background information about your patient, including strengths, challenges, and other key points that were identified in your assessment. Discuss the priorities for treatment. (15 points)
• Intervention o Summarize and describe what the intervention entails (i.e., frequency and duration of contact, type of activities, key principles). Describe key steps or techniques of the intervention. Identify any resources that your patient could benefit from. Apply the patient case to the intervention techniques so that you demonstrate knowledge of the techniques.(20 points) o Describe how you would monitor for the effectiveness of the intervention for this case example. (10 points) o Synthesize the empirical evidence for using the intervention and why this is an effective intervention for this condition/illness. What theories guide the intervention? To what extent does the evidence support the intervention as effective for the treatment goal in general and for this patient specifically? What aspects of difference and diversity were represented in the empirical studies that developed the evidence base for the intervention? (10 points) o Discuss the feasibility, applicability, and any ethical conflicts related to using this intervention in this case and in your own social work practice. (10 points)
• Conclusion—Discuss implications of the intervention. How culturally responsive is the intervention? How does the intervention address social justice issues? Would you consider using this intervention and recommend it to other social workers? Identify areas of future study related to this intervention or condition. Summarize your learning by identifying strengths and weaknesses of existing approaches, and areas for future study (for you personally and for our profession). (2. Cite at least six references in APA format .
ASSIGNMENT 1, PART B: INTERVENTION PAPER
For Part B of this assignment, use the illness or condition that you selected for Part A of this assignment. Select an evidence-based intervention and apply it to a hypothetical patient. Describe at least one appropriate clinical social work intervention for this issue or disease that would assist the patient and/or family in coping or improving their emotional state with this illness. Use at least six references, and most references should come from peer reviewed articles. The paper should comply with APA guidelines for citations and references. The paper should be a maximum of eight pages in length.
Steps to Complete This Assignment
- Write a six- to eight-page paper, including the following sections:
• Introduction and Background—Summarize the hypothetical patient case and the presenting problem, and identify why you selected this intervention over other possible interventions (name those interventions that you did not select). Describe your setting. In your rationale, include details on the prevalence of the consequences of the problem addressed by the intervention and why this intervention is the best choice for this specific case. (20 points)
• Assessment—Provide key background information about your patient, including strengths, challenges, and other key points that were identified in your assessment. Discuss the priorities for treatment. (15 points)
• Intervention o Summarize and describe what the intervention entails (i.e., frequency and duration of contact, type of activities, key principles). Describe key steps or techniques of the intervention. Identify any resources that your patient could benefit from. Apply the patient case to the intervention techniques so that you demonstrate knowledge of the techniques.(20 points) o Describe how you would monitor for the effectiveness of the intervention for this case example. (10 points) o Synthesize the empirical evidence for using the intervention and why this is an effective intervention for this condition/illness. What theories guide the intervention? To what extent does the evidence support the intervention as effective for the treatment goal in general and for this patient specifically? What aspects of difference and diversity were represented in the empirical studies that developed the evidence base for the intervention? (10 points) o Discuss the feasibility, applicability, and any ethical conflicts related to using this intervention in this case and in your own social work practice. (10 points)
• Conclusion—Discuss implications of the intervention. How culturally responsive is the intervention? How does the intervention address social justice issues? Would you consider using this intervention and recommend it to other social workers? Identify areas of future study related to this intervention or condition. Summarize your learning by identifying strengths and weaknesses of existing approaches, and areas for future study (for you personally and for our profession). (2. Cite at least six references in APA format 3. Submit the paper in 2DU.
Seizure Disorder and Its Social Implications
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Introduction and Background
Epilepsy
This is a neurological disease secondary to an abnormal or disproportionate synchronous brain activity. Generally, the condition is transient, and it is described as a recurrent and unprovoked seizure. Establishing its nature on whether it is provoked or unprovoked is fundamental in the diagnosis of the disease (Huff & Murr, 2020).
Some of its etiologic risk factors include genetic vulnerability or a chronic pathologic disease. Since this is an unprovoked type of seizure disorder, it happens in the absence of an aggravating factor. This may also be ruled in when the symptoms showed seven days after an acute insult to the brain (Huff & Murr, 2020).
In North America, the age-adjusted incidence of epilepsy is from 16 out of 100, 000 to 51 out of 100, 000 person-years. Two-thirds of the incidence may be attributed to partial epilepsies. Furthermore, the incidence is found to be a peak in extremes of ages and rises steadily after 50 years-old. Usually, cerebrovascular disease contributes to the increased prevalence in older adults. Additionally, the individual’s socioeconomic status is indirectly proportional to the disease susceptibility (Huff & Murr, 2020).
The World Health Organization revealed that epilepsy is the second most common neurologic disease worldwide. Patients with epilepsy (PWE) undergo sudden and unexpected seizure, rendering them vulnerable to environmental hazards. Since they cannot protect themselves, they are susceptible to suffocation, injuries secondary to fainting or motor vehicular accidents, or suffocation (Zhou et al., 2018). Anxiety disorders (American Psychiatry Association, 1994) and depression (Kanner, 2003) are common comorbid conditions with epilepsy (Macrodimitris, 2011).
Hypothetical Case
This is a case of B.T., a 26-year-old male patient, who is suffering from a partial seizure once to twice a month for the last six months. Before seizures, experiences of tingling and numbness on his arms, headaches, and noticeable jerky movements on his arms. During an episode, signs and symptoms included whole body shaking, confusion, and loss of consciousness. The episode lasts around 30 seconds. Currently, he is on Lamotrigine and Valproate. He does not suffer any other medical problems. B.T.’s diagnosis is epilepsy with generalized tonic-clonic seizures.
B.T. is currently working as a barista in a café inside the village where he lives. His shift is from 10 AM to 5 PM, Monday to Thursday. He shares a small apartment with his best friend. His flat is on the first floor. He usually drives to work using his bicycle for 10 minutes. Sometimes, he walks to work for 20 minutes. During his free time, he goes out with his friends to play badminton, swim, walk at the park, or have fun in night clubs. During Sunday mornings, he teaches voice lessons for his sideline.
His current state hindered his work since it happens suddenly once or twice a month. Last month, he had an epileptic seizure episode while serving a hot drink to the customer. He and the customer ended up burned due to the incident. There was also a time when he suffered from an episode while walking in the street. These occurrences became rare since he started taking his medications regularly. However termination from work is advised by administrators if episodes continually affect his performance, thus B.T. fears any activities that might aggravate his symptoms leading to loss of work.
Despite having fewer episodes, the B.T. tends to become irritable and suffers from anxiety every time he goes out and signs of anxiety and depression were observed by him and his companions, as evidenced by lower motivation, sense of agency, self-esteem, and self-confidence as seen by verbalizations of blaming the disease for having reduced ability to do things independently, and thus having a decreased sense of capability to go out, socially interact with friends and increased dependence on grocery shopping and preparing meals. This became the reason why he goes out less frequently, especially during weekends. His recreational activities were also reduced and he focused on going to work and directly at home after work. He gave up his voice lessons in exchange for counseling sessions.
Best Intervention: Cognitive Behavioral Therapy (CBT)
In the case of the patient, fearing loss of work as a major source of his distress, social work for this patient involves addressing social and personal issues which in turn can reduce probabilities of having increased chances of epileptic seizure episodes. Studies compiled by Macrodimitris et al (2013) attested to the value of CBT as having superior relapse prevention rates for both depressive and anxiety symptoms in comparison to standalone medication use. CBT was also noted to be effective in reducing the severity or frequency of seizures for PWE.
Other Possible Interventions
Case Management
This brings together various services from different agencies for the sake of the client. Social workers act as case managers for PWE. This promotes dependence which may reduce the patient’s sense of individuality. However, when the patient has a significant disability, this may be beneficial since other agencies are ready to help the patient function daily (Gibson, 2016).
Individual Counselling
This involves talking to the patient and explaining the probable changes in his life and the things that he can do. This is similar to preventive counseling. However, this only involves the patient. It is less beneficial since the people who surround the patient also need to understand his current situation (Gibson, 2016).
Assessment
Key Background Information
Strengths: B.T. continued to work despite his disease. He also regularly takes his medications and attends counseling sessions every weekend.
Weaknesses: Due to his fears, he reduced his recreational activities and solely focused on work. Lower moti...
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