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Case Study Vignette : alcohol dependency
Case Study Vignette
A 42-year-old homeless man, Wan DeRer, with a long history of severe alcohol dependency is being treated at a drug abuse treatment program. His family history reveals that he and his siblings were severely neglected and punished physically and emotionally as children. Both parents passed away long ago. When family issues are raised during individual counseling sessions, he shrugs them off and avoids commenting on the issues raised.
At one time, the client was a highly paid welder and is very proud of his craft. He still gets occasional jobs through his union hall because of his skills and often gets quickly promoted and given more responsibility. After a couple of months on the job, he goes off on another bender of drinking.
He has been coming to the treatment program for several months and sometimes remains sober for several weeks. Despite the program’s best efforts, he continues to relapse. It is not unusual for him to come to group under the influence. On most occasions, he simply smells of alcohol and engages in limited dialogue. At other times, he is severely drunk and comes to treatment activities tearful, repentant, and pleading for help. The clinical staff sets limits and allows him to attend group only when he is sober and able to take part in the process.
Last month, the client was twice found passed out in the alley next to the treatment center. Police and the Emergency Medical Team took him to the county hospital on these occasions. For several months, the clinical staff tried, unsuccessfully, to get the client into an inpatient residential program, or inpatient hospital detoxification program. He either refuses to go because “he has to maintain his standing at the Union hall to pay for his tools in storage” or he does not show up for the appointments made for him at the programs.
He has been a frustrating client to work with. First, he agrees to go into a detoxification, residential or hospital program and then he ducks out at the last minute with a lame excuse for why it would not work for him.
The only positive is his connection to the program. Despite numerous, relapses he continues to come back asking for help.
Reflections in Preparation for Case Studies
The above Case Study presents a disruptive, chronic relapsing client who challenges the compassion of program staff. Before responding to the assessment questions below, review the How to Approach a Case Study and Case Study Instructions and Template documents for detailed instructions pertaining to the assignment.
Identify the following information in your review of the above case study.
- What evidence, if any, is there that the client in this case study has alcohol dependency?
- Did this client’s family and social history contribute to the development of his alcohol use disorder?
- Consider the impact that the chronic relapsing behavior is having on both staff and other clients in the program. Would there be valid cause to discharge the client from treatment?
- What considerations favor retaining the client in treatment and under what conditions should treatment continue?
- Prioritize the clinical interventions that need to occur with this client.
Collaboration and Leadership Reflection Video
Instructions:
Collaboration and Leadership Reflection Video
For this assessment you will create a 5-10 minute video reflection on an experience in which you
collaborated interprofessionally, as well as a brief discussion of an interprofessional collaboration
scenario and how it could have been better approached.
Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional
collaboration, practitioners and patients share information and consider each other’s
perspectives to better understand and address the many factors that contribute to health and
well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and
patients can have better health outcomes. Nurses, who are often at the frontlines of interacting
with various groups and records, are full partners in this approach to health care.
Reflection is a key part of building interprofessional competence, as it allows you to look critically
at experiences and actions through specific lenses. From the standpoint of interprofessional
collaboration, reflection can help you consider potential reasons for and causes of people’s
actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the
roles team members adopted in a given situation as well as how the team could have worked
more effectively.
As you begin to prepare this assessment you are encouraged to complete the What is Reflective
Practice? activity. The activity consists of five questions that will allow you the opportunity to
practice self-reflection. The information gained from completing this formative will help with your
success on the Collaboration and Leadership Reflection Video assessment. Completing
formatives is also a way to demonstrate course engagement
Note: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral
presentation/video. The Example Kaltura Reflection video is not a reflection on the Vila Health activity. Your reflection assessment will focus on both your professional experience and the Vila
Health activity as described in the scenario.
References
Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’
reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–
402.
Sullivan, M., Kiovsky, R., Mason, D., Hill, C., & Duke, C. (2015). Interprofessional collaboration
and education. American Journal of Nursing, 115(3), 47–54.
Demonstration of Proficiency
Competency 1: Explain strategies for managing human and financial resources to promote
organizational health.
Identify how poor collaboration can result in inefficient management of human and financial
resources supported by evidence from the literature.
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient
and systems outcomes.
Reflect on an interdisciplinary collaboration experience noting ways in which it was successful
and unsuccessful in achieving desired outcomes.
Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals
and work more effectively together.
Competency 4: Explain how change management theories and leadership strategies can enable
interdisciplinary teams to achieve specific organizational goals.
Identify best-practice leadership strategies from the literature, which would improve an
interdisciplinary team’s ability to achieve its goals.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to
impact patient, interdisciplinary team, and systems outcomes.
Communicate in a professional manner that is easily audible and uses proper grammar. Format
reference list in current APA style.
Professional Context
This assessment will help you to become a reflective practitioner. By considering your own
successes and shortcomings in interprofessional collaboration, you will increase awareness of
your problem-solving abilities. You will create a video of your reflections, including a discussion of
best practices of interprofessional collaboration and leadership strategies, cited in the literature.
Scenario
As part of an initiative to build effective collaboration at your Vila Health site, where you are a
nurse, you have been asked to reflect on a project or experience in which you collaborated
interprofessionally and examine what happened during the collaboration, identifying positive
aspects and areas for improvement.
You have also been asked to review a series of events that took place at another Vila Health
location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration
among their team. Your task is to create a 5–10 minute video reflection with suggestions for the
Vila Health team that can be shared with leadership as well as Vila Health colleagues at your
site. Note: If you require the use of assistive technology or alternative communication methods to
participate in this activity, please contact to request accommodations. If, for some reason, you
are unable to record a video, please contact your faculty member as soon as possible to explore
options for completing the assessment.
Instructions
Using Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration
experience from your personal practice, proposing suggestions on how to improve the
collaboration presented in the Vila Health: Collaboration for Change activity.
Be sure that your assessment addresses the following criteria. Please study the scoring guide
carefully so you will know what is needed for a distinguished score:
Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful
and unsuccessful in achieving desired outcomes.
Identify how poor collaboration can result in inefficient management of human and financial
resources, citing supporting evidence from the literature.
Identify best-practice leadership strategies from the literature that would improve an
interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.
Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals
and work together, citing the work of at least one author.
Communicate in a professional manner, is easily audible, and uses proper grammar. Format
reference list in current APA style.
You will need to relate an experience that you have had collaborating on a project. This could be
at your current or former place of practice, or another relevant project that will enable you to
address the requirements. In addition to describing your experience, you should explain aspects
of the collaboration that helped the team make progress toward relevant goals or outcomes, as
well as aspects of the collaboration that could have been improved.
A simplified gap-analysis approach may be useful:
What happened?
What went well?
What did not go well?
What should have happened?
After your personal reflection, examine the scenario in the Vila Health activity and discuss the
ways in which the interdisciplinary team did not collaborate effectively and the negative
implications for the human and financial resources of the interdisciplinary team and the
organization as a whole.
Building on this investigation, identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals. Be sure to identify the strategy
and its source or author and provide a brief rationale for your choice of strategy.
Additionally, identify at least one interdisciplinary collaboration best practice or strategy to help
the team achieve its goals and work more effectively together. Again, identify the strategy, its
source, and reasons why you think it will be effective.
You are encouraged to integrate lessons learned from your self-reflection to support and enrich
your discussion of the Vila Health activity.
You are required to submit an APA-formatted reference list for any sources that you cited
specifically in your video or used to inform your presentation. The Example Kaltura Reflection will
show you how to cite scholarly sources in the context of an oral presentation.
Refer to the Campus tutorial Using Kaltura [PDF] as needed to record and upload your reflection.
Additional Requirements
References: Cite at least 3 professional or scholarly sources of evidence to support the
assertions you make in your video. Include additional properly cited references as necessary to
support your statements.
APA Reference Page: Submit a correctly formatted APA reference page that shows all the
sources you used to create and deliver your video.
Sources of Influence on Public Organizations
Identify a public service organization you are familiar with other than Arizona State Unversity.
Analyze the organization’s institutional environment. You will need to think through the different
actors and institutions that might influence the organization. While you might need to do a little
research, this does not need to be a research paper–it is more of a brainstorming exercise.
For example, Arizona State University, a public service service organization, is influenced by the
a. media; b. local citizens; c. students; legislative bodies (d. State of Arizona; e. Federal Government; f. City of Tempe; g. City of Phoenix), other government agencies (h. U.S.
Department of Education; i. National Science Foundation; j, Arizona Board of Regents); etc.
Describe six external actors and institutions that might influence the public service organization
you identified as well as how they can influence the organization.
In your response, be sure to include:
A brief description of the organization you are analyzing.
Six external actors or institutions that can affect or influence the public service organization you
identified.
Statements of how these actors or institutions might affect or influence the public service
organization you identified.
Format your essay in accordance with APA style guidelines. Provide at least three references in
APA citation style. Writing should be clear, well-organized, and contain minimal grammatical
errors.