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UCI Medical Center

  • Med/Surg Overview

  • Case Presentation

Patricia Tortone, MSWi

Case Presentation:

Patient M -Admitted 1/17/17

Social History:

  • Emigrated from Mexico 15 years prior; No familial relationships due to conflict with his sexual orientation

  • Staying with a friends home in Anaheim (sleeps on couch)

  • Unemployed (previously employed as a landscaper)

Pt. Concerns

Social Work Referrals

Pt demographics:

  • 42 y.o. undoctored male; Spanish-speaking only

  • 5 month Hx of abdominal pain & rectal bleeding

  • Pt has cirrhosis of the liver & HX of alcoholism (18 beers/day X 18 years). Sober since August 2016 when he was notified of his cirrhosis.

  • HIV positive (next day it was confirmed as AIDS diagnosis)

  • Cytomegalovirus (CMV) retinitis & colitis; Ulcers in colon
  • Ability to work
  • Disclosing to friends
  • Judgement and discrimination
  • Cost of treatment (Highly Active Antiretroviral Therapy [HAART])
  • Transportation to appointments

Interventions

Med/Surg Overview

Drug/ETOH abuse

Homelessness

DV

APS

Placement referrals

Coping

New diagnosis

AHCD

  • Empathetic and reflective listening
  • Non-judgmental posture and communication
  • Undivided attention
  • Culturally competent
  • Strengths-based Perspective
  • Spiritual counsel (referral)
  • Resource Referral:
  • Individual Counseling Services
  • 211
  • Alcoholics Anonymous (closed meetings for HIV/AIDS & LGBTQI)
  • For AIDS: APAIT (Asian Pacific AIDS Intervention Team); Delhi Center

  • Telemetry floors - under observation due to a critical health concern or condition.

  • Medical floor - been admitted with a diagnosis that is treatable without the need for surgical intervention and are often not in critical condition.

  • Patients on both floors will typically only stay in the hospital for a few days and have little to no needs.

  • EDHU

CSWi Concerns

Countertransference

Harm Reduction Interventions (PrEP & PEP)

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