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SWInitialAssessment.docx

SW Initial Assessment

The social history of the client is as follows: client is an 84-year-old Navy veteran. He has six children. Five of his children live in the New Jersey area. His sixth child lives in Arizona. The client has been a resident of the NJ Veteran’s Memorial Home for six years. This August he became ill and was put on hospice services. The client has an issue with regret. His wife divorced him soon after he left the Navy because he had a history of being with other women. Despite their issues the two remain friends to this day. During the interview, the client was pleasant and conversational. He shared personal feelings and wanted to make sure that this writer knew that she was one of the few who he really opened up to. The client also expressed feelings for his ex-wife and stated that he would like to marry her again. After spending four years in the Navy, the client worked for a trucking company and stayed with that company until retirement. Out of all of his six children, only one comes to visit him. They are very close. The client has three grandchildren who live in Arizona and he has never met them. His ex-wife has visited him three times but he stated that they talk on the phone often. The client is depressed and a plan of care has been put into place for him.

Psychosocial

GK describes himself as "Irish-American" and said he was "raised as a Roman Catholic.". He is confined to an electric wheelchair. He attends church services every Monday at the VA facility. On the date of this interview, this writer noticed that he was attired in Khaki pants and a long-sleeved shirt. The client appeared to be very alert and oriented. This was why this writer believes that the conversation had was very informative.

Then main issue of concern with the client is his depression. This writer believes that most of it stems from the lack of relationships with the majority of his children and his ex-wife. He speaks of regret and wishes he could turn back time.

The client’s biggest strength is his warmth and kindness. The risk that he confronts is his determination. He is determined to prove his loyalty to his children and ex-wife. This writer feels that he may be in for disappointment which will only strengthen his depression.

The ultimate goal that is being set for GK is to encourage him to continue to open up. Talk therapy seems benefit him. He also needs to learn how to let go of the past. While it’s okay for him to feel remorse, at this stage in his life regrets will only lead to sadness. The goal will be to establish trust with the patient, facilitate family dialogue and communication and allow the opportunity for verbalization of feelings