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Case Study – Living with Chronic Disease - Depression
Essay Instructions:
Case Study – Living with Chronic Disease - THE FOCUS IS ON DEPRESSION - She shared much details which is in the attachment. If this can be done a few days before the 10 days I would appreciate it, so I can proof it. If you have any questions please let me know.
In this assignment, you will write a case study on a person with a chronic health concern. Your
paper should include each component of this course:
● Wellness, Wellbeing Concepts, and Evidence-Based Research
● Integrative Health Diversity, Equity, Inclusion, and Belonging, Social Determinants of
Health, and Cultural Humility
● Understanding chronic condition(s)
● Lifestyle Medicine: Nutrition, hydration, sleep, stress, mindfulness, mental & emotional
well-being, and physical activity
Interviewee Selection Guidelines:
● Choose someone that is available for up 90 minutes of interviewing time if needed
● If conducting virtually, be sure they have access to and skills in technology
● Choose someone with minimally the primary chronic condition you signed up for in
Week 2
● Find someone who is a minority and/or experiences health inequities: race, gender, age,
sexual orientation, etc.
● You may work with a family member or friend if they meet the above requirements.
● The person must be receiving some kind of health care intervention currently.
● Be sure to gain consent for them to be interviewed for an academic project- knowing
their identity will remain confidential.
● Record the session. At the beginning of the recording, be sure to gain recorded
permission from the interviewee to be recorded so the consent is captured.
Recommended Timeline:
The final paper is due at the end of week seven of this course. It is recommended that
you have a chronic condition you are interested in and want to learn more about. You will post
this on the Canvas site. We don’t want repeats, so first, to sign up for a condition get to use that
one. Then, you should have a person with that chronic condition identified and agreed to be
interviewed by the end of week 3. This will give you time to plan your outreach, determine how
the interview will be conducted, and identify the person. It’s recommended that the interview
occurs during week four or five after foundational learning of the course has been completed,
but give yourself 2 weeks to write the paper.
Interview process:
Coordinate with your volunteer the time and date for the interview. We recommend
holding the interview virtually so that it can be most easily recorded. Free Zoom accounts will
only allow for a 40-minute. meeting. Teams is not time-limited. Interviews are likely to take
60-90 min. so if you do Zoom you may have to do 2 sequential calls. Recordings will be for your
process but will not be submitted to the faculty. You will use them to assist you in writing your
final paper in weeks 6-7.
Writing Standards:
Paper must be formatted using APA standards, 7th edition. Owl Purdue resources for
student paper (no author’s note required)
Paper should be 2000-2500 words in length (8-10 pages) using Times New Roman or Calibri 12
font or Arial 11 font, not including the Title page or the References. In-text citations should be
used, and a separate Reference page. Do include an Abstract for this paper. Even though NOT
required in student paper APA format, please use a running head so that pages can be tracked if
sent to a printer. Make sure to paginate.
Helpful resources:
Guidelines for writing a case study, NIH and Institute for Healthcare Improvement, examples
Title page
Abstract
Section 1: Introduction to client – Bio-psycho-social-spiritual snapshot
First, share a few details about your client. This section should give your readers a sense
of who they are as an individual, what matters to them, and what they want their health for and
the focus of this paper. Be sure to remain HIPAA compliant- do not use any personal identifiers
such as actual name, providers, etc. Please use an alias and general descriptions that also give
us a snapshot of their life as a whole. Be sure to integrate concepts from well-being concepts,
DEI, and social determinants of health for understanding.
Section 2: Chronic Disease
Next, zoom out to facts about this chronic disease. Take a deep dive into the condition.
Using both information gained in the interview and scholarly references to explain the condition
further. Many people may have multiple chronic conditions. Choose one or two that interest
you the most or are the biggest challenge for the client. Consider the following questions:
● What is it?
● Who does it typically impact?
● How is it diagnosed?
● What are the mental and physical symptoms and implications?
● What is it like to live with this condition daily and long-term?
● What lifestyle considerations are most relevant to onset?
● How did this condition first manifest? What was it like to receive the diagnosis?
● How has this disease impacted this client’s life? Consider the past, present, and future.
● What co-morbidities or other diagnoses are present (related or otherwise)?
● What is the impact of this person’s life on the condition (SDOH)? Consider current
(SDOH), past (ACEs, impact of trauma)
● How does this person wish to be viewed as living with this condition in public?
Living with this chronic disease: Management and outcome
● What has this person’s experience with healthcare teams been surrounding this
condition?
● Is their healthcare team limited to only conventional medical care, or have they engaged
services from complementary providers and approaches? and if so, why?
● What are positive experiences? What have been negative or challenging experiences?
● When do they feel most comfortable, seen, heard, understood, and/or motivated in
healthcare settings?
● Describe this person’s healthcare team – what is the health circle around the patient?
This may include helping friends and family, primary care, specialists, spiritual guidance,
CIH providers, etc.
● To what degree does this person experience a sense of self-efficacy? List the ways this
person actively engages in health creation and resilience building.
● How are they treating the condition?
● What lifestyle approaches are they currently using to support the condition?
● What is the client’s outlook for the future? What are they curious about exploring and
changing? How might health coaching support this outlook?
Section 3: Recommendations and Health and Wellness Coach
Applications
Using what you have learned in the course and the interview, describe, using references,
how you would approach working with this client. What knowledge would you bring in? What
skills? Based on lifestyle approaches, medical adherence, and supporting what the person is
already doing, what would you recommend to support the person in the next steps in living
with their chronic condition? What do they need from an approach that might be missing? Be
careful to be cognizant of your scope of practice as a Health Coach, allowing this knowledge to
inform your coaching but not to change the core of your work with a client.
Section 4: Discussion
Summarize this case for the reader, pulling out the key learnings from this individual’s
healing path. Identify any questions raised in this case study.
Section 5: Conclusion
Section 6: References
Ensure that you have at least 5 credible references from peer-reviewed publications different
than those we provided in this class, along with 2 supportive coaching resources (either a link or
NBHWC resource). You may include references we gave you in this class, and they should be
cited, but they do not count toward the 5 required unique sources.
Do include usage of each of the following websites:
● https://www(dot)cdc(dot)gov/
● https://health(dot)gov/healthypeople
● https://lifestylemedicine(dot)org/overview/
● https://www(dot)nccih(dot)nih(dot)gov/
Essay Sample Content Preview:
Case Study – Living with Chronic Disease - Depression
Student’s Name
Institutional Affiliation
Course Name
Instructor Name
Due Date
Case Study – Living with Chronic Disease – Depression
Abstract
The lived experience of Ms. J, a 40-year-old African American veteran with PTSD, severe depressive disorder, and military sexual trauma, is examined in this case study. It examines how systemic injustices, institutional betrayal, and ongoing trauma influence her healing journey using a biopsychosocial-spiritual paradigm. The study incorporates ideas from lifestyle medicine, DEI principles, and trauma-informed coaching based on a 90-minute interview. Peer-reviewed research, the CDC, and Healthy People 2030 all provide evidence in favor of individualized, culturally sensitive treatment. In support of care approaches that prioritize the voices and resiliency of trauma survivors, the recommendations emphasize the importance of religion, trust-building, and client empowerment.
Section 1: Introduction to Client – Bio-Psycho-Social-Spiritual Snapshot
Alias: Ms. J
Ms. J is a 40-year-old African American female veteran of the United States Navy. She volunteered for inclusion in this case study out of solidarity with fellow veterans: "It was only right to help one of my shipmates." Health, for Ms. J, is "wealth," a fragile resource she protects due to cumulative trauma and institutional betrayal of long duration.
She resides in Jacksonville, Florida, with her mother and boyfriend but remains socially and emotionally isolated. She desires independence, spiritual grounding, and security in relationships and values them most. Her Christian faith provides her with strength and comfort and gives her a sense of purpose during extended emotional and physical distress.
Entering into this interview required deliberate cultural humility, especially in consideration of the client's apparent discomfort with mental health systems and her history of trauma in military sexual trauma. Linguistic, tonal, and temporal care was exercised to avoid re-traumatization. The client-directed talk provided space for silence and an effective process. Trust develops on the grounds of working ethically within her narrative and lived experience.
Ms. J is impacted by a few of the several social determinants of health (SDOH), including less access to trauma-informed treatment, race- and sex-disparate biases, social isolation, economic uncertainty, and lesser access to VA's mental health services. Her story unfolds system impediments shared with most African American veterans as well as those surviving traumatic crimes. Research by Van Wilder et al. (2021) shows that racially minoritized and socioeconomically disadvantaged populations are more disempowered and also have organizational withdrawal from healthcare. Similarly, Rheault et al. (2019) noted that health-culture literacy mismatches tend to cause alienation among veterans and Indigenous peoples and interfere with the building of trust and treatment effectiveness.
Ms. J does not see herself through the language of the diversity, equity, and inclusion (DEI) lexicon, but her life experience is inextricably bound up with structural injustices. Her resistance to healthcare services is not based on lack of interest but the re-traumatizing effect of such encounters. This is supported by research conducted by Vakil et al. (2023), who pointed out that oppressed groups tend to find care environments that fail to respect their cultural identity, language, and control.
Ms. J's situation illustrates client-centered care and the respectful incorporation of identity, spirituality, and traumatic history into the plan of care. Her worldview challenges familiar DEI narratives and reminds us that inclusion needs to be felt, not simply claimed. Her coaching relationship, which needs to be culturally humble and trauma-informed, must first address her pace, voice, and concept of wellness.
Section 2: Understanding Chronic Conditions – Major Depression and PTSD
Major Depressive Disorder (MDD) is a recurrent and often persistent psychiatric illness that is characterized by a low mood, lack of interest or pleasure in activities, sleep impairment, feelings of worthlessness or undue guilt, tiredness, decreased concentration, and suicidal thoughts, for at least two weeks and with important functional impairment (American College of Lifestyle Medicine, n.d.). Ms. J also presents with classic symptoms of insomnia, numbing, low self-esteem, and repetitive suicidal thoughts, all in accordance with DSM-5 criteria.
Her MDD is co-occurring with Post-Traumatic Stress Disorder (PTSD), a stress-activated disorder distinguished by intrusive memories, hyperarousal, avoidance, and numbing of related emotions following exposure to potentially life-threatening trauma (NIMH, 2023). Ms. J's background history includes military sexual trauma (MST) and psychological combat loss. They interfere and exacerbate each other to create a complicating, worsening compound clinical picture that interferes with differential diagnosis.
Centers for Disease Control and Prevention (n.d.) is categorical that veterans are at far higher risk of both MDD and PTSD, particularly if subjected to extreme or prolonged trauma. Ms. J's chronic pain, particularly in her knees, back, and head, further complicates her psychological condition. Rheault et al. (2021) assert that chronic pain and depression share overlapping neurobiological pathways; hence, the two experiences are even more entrenched when left untreated.
Despite receiving full compensa...
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