Students will produce a case conceptualization report, based on the case provided. The report should be between 8 – 10 pages (excluding cover and references), double-spaced, use strict APA style, and include a minimum of ten peer-reviewed references. The references should be recent (within the last 10 years). Remember to cite original sources.
The case conceptualization should include the following:
A discussion of issues relevant to the case (presenting concern(s), diagnosis, physical limitations, cultural/acculturation considerations, etc.).
A discussion of the career assessments you would use. Be sure to support your rationale for your selection.
A discussion of what actions you would take when working with the client. Be specific on your treatment goals, etc.
**The rubric is in the FILES section**
Belynda is a 32-year old single African American woman who lives alone in a loft apartment in the Atlanta area. She lives about two hours away from her family, consisting of two brothers and her mother, who enjoy the quiet life in a rural town in Georgia. Her father is deceased. Belynda graduated from high school, and completed a certification program as a Child Care Worker. From 2001 to 2013, she was employed as Nurse Assistant at City Hospital. Prior to that (i.e., 1996-2001), she worked as a Child Care Assistant. From 1994 to 1996, she served as a volunteer student helper with a Head Start program. Although she has a driver’s license, she prefers to use the MARTA system. She is an active member of Freewill Pentecostal church serving as Church Clerk and a member of the choir.
Description of the presenting problem:
On September 13, 2013, Belynda sustained a low back injury while working as a Nurse Assistant. She was earning $16.91/hour at the time of her work injury. O*Net classifies a Nurse Assistant at the medium exertion level, occasionally requiring a person to lift/carry 20 to 50 pounds, and 10 to 25 pounds frequently. Belynda was actually required on occasion, when no one else was there to assist her, to lift patients 75-100 pounds or more. Belynda received physical therapy services augmented with a home exercise program designed to minimize pain and maximize activity tolerance. Belynda was then referred for a functional capacity evaluation that indicated that she does not qualify for all the critical exertion demands of full-time work as a Nurse Assistant. She was released to work part-time (4 hours/day) with light duty restrictions, however she was terminated since her employer was unable to offer permanent, gainful alternate or modified work within Belynda’s physical capacity. Dr. Martinez, her treating physician, recommended that she should be able to return to work at the sedentary level, requiring 15-minute break/rest periods every two hours. Work restrictions include lifting up to ten pounds, occasional stooping, squatting, crouching; limited climbing; mild exposure to extreme temperature or humidity changes and dust/fumes, and moderate exposed to unprotected heights/uneven surfaces.
A follow-up independent medical evaluation report by Dr. Tibbs indicated that Belynda is at maximum medical improvement and she requires no further formal medical intervention. Her insurance adjuster then referred her for career services to assist her in finding comparable employment with little or no training requirements. Belynda participated in vocational exploration activities to identify potential jobs that were consistent with her residual functional capacity. Assessment tests included the O*Net Ability Profiler, the O*Net Work Values and Interest tests, and the Wide Range Achievement Test Version-3 (WRAT). The O*Net Ability Profiler showed average of above average skills in all areas tested, with the exception of verbal and spatial ability and finger dexterity. The WRAT showed post-high school level reading, high school level spelling, and math skills at 7th grade level
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