Presenting problems: significant weight gain, low self-esteem and motivation, sedentary lifestyle, anger and low mood, ignoring the risk to his health. Predisposing factors: experience of sexual abuse, learning disability. long-term unemployment, still living with his parents, Precipitating factors: lack of either knowledge or awareness of the effect of type 2 diabetes, potentially lack of feelings of control and so lack of action on Robert’s part. Perpetuating factors: lack of appropriate activities and structured occupation, seeing his sister move on in her life, mood, past history of sexual abuse, potential lack of feelings of control and so lack of action on Robert’s part, possible denial. Protective factors: continues to go out with support workers, parents are making an effort. How you address these difficulties? Learners should consider whether Robert understands the health issues related to his weight gain and possible risk of diabetes. He may require use of “easy-read” materials on the subject of weight gain, diabetes and healthy lifestyles, and input from a specialist dietician may be required. They may also consider whether support workers understand the health risks to Robert of continually using support hours to enable him to access cafes and suggest this represents a training need for the workers. In addition, learners may suggest introducing health promotion for Robert and consider: the vicious circle of weight gain and low levels of physical activity leading to low self- esteem and poor motivation, and vice versa signs and symptoms of mental health issues, such as depression, and introducing mood monitoring diagnostic overshadowing and the psychological effects of long-term unemployment.
Presenting problems: significant weight gain, low self-esteem and motivation, sedentary lifestyle, anger and low mood, ignoring the risk to his health. Predisposing factors: experience of sexual abuse, learning disability. Precipitating factors: long-term unemployment, still living with his parents, lack of either knowledge or awareness of the effect of type 2 diabetes, potentially lack of feelings of control and so lack of action on Robert’s part. Perpetuating factors: lack of appropriate activities and structured occupation, seeing his sister move on in her life, mood, past history of sexual abuse, potential lack of feelings of control and so lack of action on Robert’s part, possible denial. Protective factors: continues to go out with support workers, parents are making an effort. How you address these difficulties? Learners should consider whether Robert understands the health issues related to his weight gain and possible risk of diabetes. He may require use of “easy-read” materials on the subject of weight gain, diabetes and healthy lifestyles, and input from a specialist dietician may be required. They may also consider whether support workers understand the health risks to Robert of continually using support hours to enable him to access cafes and suggest this represents a training need for the workers. In addition, learners may suggest introducing health promotion for Robert and consider: the vicious circle of weight gain and low levels of physical activity leading to low self- esteem and poor motivation, and vice versa signs and symptoms of mental health issues, such as depression, and introducing mood monitoring diagnostic overshadowing and the psychological effects of long-term unemployment.
thinking_about_me_-_model_answers.docx