Walden University Team Meeting Discussion

Submit a 1- to 2-page paper in which you describe your team meeting. In your write-up, make sure to address the following:

Describe the quality of your working relationship with your colleague.
- Critically reflect on strengths of collaborative relationship and areas for improvement.
Describe your case in 100–150 words.
Identify the red flags in your case study to be further evaluated.

ORDER NOW FOR CUSTOMIZED SOLUTION PAPERS

Outline your and your partner’s plan for further research and consultation, identifying specific tasks that you are each doing in this regard.
- Identify days/times you have agreed to meet together, including the date planned to complete the CFI interview required for the Week 5 Assignment. The working relationship, dates and times can be made up. I attached the case. MY class is social work

CASE of VALENTINA

DEMOGRAPHIC DATA:

Valentina is a 24-year-old single Hispanic woman. She has lived in a group home for the mentally ill for the past 2 years. She was born in Puerto Rico and moved to Michigan with her mother when she was 4 years old.

PRESENTING PROBLEM:

Valentina presented in the ER having been brought in by her mother and a friend. Valentina indicated that she was having one of her “anxiety attacks—it’s like a seizure, I feel so dizzy, I go into another world, I can hear people talking but I can’t talk back.” When this happens, Valentina reports she starts sweating, starts choking wants to throw up.

MEDICAL HISTORY:

An examination by a neurologist revealed mild cognitive impairment, difficulty with balance and a slight gait ataxia. A CT scan showed a mild enlargement of the lateral cerebral ventricles. No specific neurologic disorder was diagnosed (information derived from the ER chart).

SUBSTANCE ABUSE HISTORY:

Valentina denies consumption of alcohol or illicit drugs. She denies ever using chemicals that were not prescribed to her.

FAMILY HISTORY:

Her mother lives in a bordering town, her father left the family when she was 3 years old. Valentina has no siblings. Valentina stated she was adopted when she was 2 years old, although her mother claimed that is her biological child. Mother said that Valentina was not mentally retarded.

PSYCHIATRIC HISTORY:

Valentina has been hospitalized 8 times at a State Hospital during the past 5 years. She had been picked up several times by the police for “talking in public” and each time she was sent to the State Hospital. Valentina was unsure of her diagnosis. She indicated that she takes Zyprexa but was unable to indicate her dosage. Valentina actually denied being under any current psychiatric care. She claims to be mentally retarded. She indicated that “I have always been in special education classes.”

She was able to indicate some history that was inconsistent with history taken from her mother. She first became ill when she was 16. Valentina has become progressively isolated from friends and family since 16, and during the past 5 years has been unable to work or tend adequately to her personal needs.

MENTAL STATUS:

Valentina presented as a casually dressed, unwashed woman with an extremely disagreeable body odor. She lay on her bed in restraints during the interview protecting her from harming herself or others. She had a fluctuating mood and an anxious expression on her face. Motor activity appeared agitated. Mood was anxious alternating with hostility and depression. Speech was pressured at times and inappropriately loud. Her affect was inappropriate and at times blunted. Thought processes were at times incoherent and at times displayed a marked loosening of associations. She also displayed bizarre delusions and verbal hallucinations.

“I see my mother, who committed suicide, it’s like having her alive again. I see little balloons out there, like two beach balls. At the group home, I felt possessed. I felt that a demon was trying to come into my body. I felt that tricks were being played on me in my room. God said I was a slut, that I married the devil. I thought I was pregnant; I am going to have the devil’s baby.”

Valentina was disoriented in three spheres (time, place, and person). Concentration was markedly impaired. Digit span was unobtainable. She was unable to calculate serial 7’s. Recent and remote memory was not discernible. Valentina was unable to abstract similarities and proverbs. Ordinary social and personal judgment was inappropriate. Her three wishes were that “my balloons stay floating, that the devil leaves me, that Jesus hates my mother.”

Her wishes for 5 years from now were unobtainable. Valentina was incoherent during most of the interview.

SUICIDAL ASSESSMENT: Unable to ascertain.

HOMICIDAL ASSESSMENT: Unable to ascertain.

Walden University Team Meeting Discussion