Case Reflections help in noting down major and important notes on case studies thus being efficient for students. Ihuman case studies can be elaborate and have too much information that can easily be simplified. They assist students in getting all the details and information of the Ihuman case studies in a simple manner.
Below is an Ihuman case study reflection for Justin Johnson
Justin Johnson I-Human Case Reflection
What is the Chief Complain in this case study? What are important questions to ask the patient to formulate the HPI?
I completed the Justin Johnson case. The chief complain in this case is the patient’s ‘problems at school.’ The patient is accompanied by his mother. He believes that the dean is monitoring his movements whenever he goes, and want to steal his inventions. He also reports that he hears external voices. Two months ago, he was expelled from college after breaking into campus buildings and confronting the dean as he believes he want to steal his inventions He is characterized by paranoid delusions, irritability, staring spells, personality change, ADHD, self- neglect, and auditory hallucinations among others that point to a mental health problem.
Important questions to ask the patient to formulate the HPI relate to his general, psychological, and neurological health and wellness. Such include where he is, the time it is, what happened, whether he hears and sees things that others do not, whether he think he is in danger, and his recent level of activity. Others include symptoms that he would like to discuss, his interest in social activities, and depression among others.
What components of the examination are important to review in this case? What are pertinent positive and negative findings to help you formulate your diagnosis?
The components of the examination important to review in this case include vitals such as temperature, blood pressure, respiration, and pulse. It is also essential to also evaluate the patient’s mental status. The pertinent positive that helped formulate the diagnosis include the patient’s personality change, paranoid delusions, auditory hallucinations, self-neglect, staring spells, and disengagement from usual activities. Negative findings that helped formulate the diagnosis include the lack of disorganized thinking.
Which differential diagnosis is to be considered with this case study? What was your final diagnosis?
Differential diagnosis that can be considered include schizoaffective disorder, substance-induced psychotic disorder due to his use of marijuana, and obsessive-compulsive disorder due to his repetitive behaviors pointing to this diagnosis. Other possible diagnosis includes bipolar 1 disorder due to signsand symptoms such as irritability, sleep problems, and delusional thoughts, major depressive disorder, and schizophrenia. Schizophrenia was my final diagnosis. The patient presents many signs and symptoms pointing to this choice, including auditory hallucinations, paranoid delusions, changes in his social activity levels, irritability, withdrawal from friends and family, and changes in self-care among others. These changes are indicative of schizophrenia than any other differential diagnosis.
What was your treatment plan? Provide evidenced-base practice article or treatment guideline for your chosen plan.
The treatment plan would focus on managing schizophrenia as the condition cannot be cured. I would recommend psychosocial methods to not only prevent Justin’s psychotic relapse but also help him enhance his functioning levels. Such therapies entail cognitive behavioral therapy, social cognition training, social skills training, and cognitive remediation. This treatment approach is supported by Chien et al. (2013)in their article“Current approaches to treatments for schizophrenia spectrum disorders, part II: Psychosocial interventions and patient-focused perspectives in psychiatric care.” In this piece, they discuss cognitive therapy, including CBT and cognitive remediation therapy, social skills training, family intervention, and psychoeducation programs.
Any other feedbacks, including difficulty navigating the system and the case.
I took this task two times. Having completed i-Human tasks on this platform before, I was familiar with how it works, and thus, I did not have a hard time navigating it. However, during my first attempt, I did not answer most of the required questions. Thus, I had to re-take the assessment to attain pass marks.
References
Chien W, T., Leung S, F., Yeung F, K., Wong W, K. (2013). Currentapproaches to treatments for schizophrenia spectrum disorders, part II: Psychosocial interventions and patient-focused perspectives in psychiatric care. Neuropsychiatry Disease and Treatment, 9, 463-1481. https://doi.org/10.2147/NDT.S49263
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