Social History Identifying Information Date: January 17, 201 ✓ Solved
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Social History Identifying Information Date: January 17, 2015
Identifying Information
Date: January 17, 2015
Name: John Smith
Date of birth: 8/17/1974
SS#:
Insurance provider: Blue Cross/Blue Shield
Marital status: Married
Number of children: None
Address: 14 West Elm Street, Columbia, MO 65203
Telephone number:
Age: 31
Race: Caucasian
Height: 5’ 11”
Weight: 185
Eye color: Brown
Hair color: Blond
Unusual markings (scars, birthmarks, tattoos): Small scar over left eye; large scars on right shin, left elbow, right forearm, and left calf; full-sleeve tattoos on both arms; tattoos covering chest and back; tattoos on both lower legs.
Allergies: Penicillin, cat dander
Current medications: None prescribed; OTC painkillers
Current medical problems: Client is experiencing back pain due to multiple fractures of the spine.
Present Problems: John's states his back pain is causing him difficulties on the job at the Sub Shop. He cannot stand for long periods of time as his job requires. John states that his boss is not supportive of moving him to another position that does not require standing. John is seeking another job that will accommodate his back problems.
Previous Problems: John was a competitive skateboarder. He states that he has experienced numerous skateboarding accidents dating from childhood. Most of the accidents were relatively minor, resulting in some broken bones and stitches. In his last year of competition six years ago, he suffered an accident during the Big Air preliminary event. John was airborne when he lost control of his skateboard and fell to the concrete surface, landing on his back and causing multiple fractures and a concussion. John states he has had multiple back surgeries, but none have relieved the back pain. He states he has had no residual effects from the concussion. He was a recreational drug user in his teens and early twenties but has not used drugs since his accident. John does consume alcoholic beverages and is a smoker. He states that he had a DWI a few years ago, and as a result, his car insurance is expensive, making it unaffordable. He does not drive currently.
Family History: John describes a close relationship with his mother and sister, seeing each other frequently for family events. His mother was terrified about his competitive skateboarding career, and John feels guilty due to his accident. His family was supportive after his accident and throughout their father's illness and death. His mother assists financially due to medical bills resulting from his surgeries, and although she provides health insurance, out-of-pocket costs remain significant.
Home and Neighborhood: John and Miriam rent a duplex near downtown Columbia. Their unit has two bedrooms and one bathroom, appearing clean and well-maintained with adequate space for two adults. John's landlord is not always responsive but tends to eventually address issues.
Client’s Development: John’s mother reported that her pregnancy was planned and normal, though he was delivered via C-section due to being breech. She did not use alcohol or drugs during pregnancy, aside from occasional smoking. John met most developmental milestones on time, walking after parental intervention at 16 months.
Peer Interaction: John has numerous friends in the skateboarding community and maintains friendships from high school and college, primarily with individuals aged 26-35. He is friendly with most coworkers, considering some close friends.
Education: John graduated from Hickman High School and attended the University of Missouri but dropped out to pursue competitive skateboarding. In high school, he took required classes without needing special education. He engaged in some truancy but did not have significant behavioral issues. At university, he was a business major but lost interest, resulting in academic probation and eventually dropping out.
Employment: John has been employed at the Sub Shop for two years, currently making sandwiches and cashiering. He has previously worked at a tattoo shop that closed, ice cream shop, coffee roastery, and as a bartender. He has not been fired from any job but also has not been promoted. At the Sub Shop, he cannot sit while working, which exacerbates his back pain. His boss will not accommodate his need for a seated position.
Psychological: N/A
Agency Contacts and Sources of Information: N/A
Preparer Information: Social history prepared by: Andrew Jones, Case Manager, Date: 1/20/
Paper For Above Instructions
This paper presents a comprehensive social history of John Smith, illustrating various aspects of his life, including his health, family background, education, and current challenges. Understanding John's history will provide a foundation for addressing his ongoing medical and occupational difficulties and exploring potential solutions for his well-being.
Overview of John’s Identifying Information
John Smith, born on August 17, 1974, in Columbia, Missouri, is currently 31 years old. John is a Caucasian male, married, with no children and is living at 14 West Elm Street, Columbia, MO. His physical health is complicated by back pain resulting from multiple spinal fractures, a consequence of a serious skateboarding accident that occurred six years ago during an X Games competition.
Current Health Challenges
John's back pain is a significant factor affecting his daily life and work. As an employee in a sub shop, his job requires him to stand for extended periods, which aggravates his condition. Despite several surgeries, John has not achieved relief from his pain, which leads to distress in his professional environment. This situation is compounded by the lack of support from his workplace in accommodating his health needs.
Past Medical and Psychological Challenges
John's history encompasses various injuries from his days as a competitive skateboarder, including several minor accidents and a severe incident that led to multiple fractures and a concussion. Notably, he experienced significant lifestyle changes following his accident, including cessation of recreational drug use. However, he continues to face challenges with alcohol consumption and smoking, which could further complicate his recovery and overall health.
Family Dynamics and Support System
Family plays a crucial role in John’s life, particularly with the support rendered by his mother and sister. The familial bond helped him cope during recovery from his injuries. Furthermore, financial support from his mother towards medical bills illustrates the interdependence of family relationships, providing essential resources that alleviate some of John's stress.
Living Conditions and Environment
John resides in a rented duplex which is well maintained and adequately accommodates him and his wife, Miriam. Despite the generally positive living conditions, John's concerns regarding financial obligations, particularly medical bills and insurance costs associated with his accident, add further psychological strain.
Peer Relationships and Community Connection
Social support from friends within the skateboarding community and past educational ties contribute positively to John's emotional well-being. His ability to maintain friendships and establish connections with coworkers indicates healthy social engagement, which is essential in mitigating feelings of isolation following his injury.
Academic History and Its Impact
John's educational journey reflects an initial interest in business at the University of Missouri; however, his passion for skateboarding diverted his focus, ultimately leading to academic probation and withdrawal from school. This transition underscores the importance of aligning personal interests with academic and career aspirations and highlights the impact of extracurricular pursuits on educational achievements.
Employment Experience and Challenges
John’s employment history showcases a diversity of roles, including food service and tattoo artistry. His current position at the sub shop requires physical stamina that his back pain does not permit. The absence of workplace accommodations illustrates a broader issue of how employers can better support employees with health challenges.
Conclusion
In conclusion, John Smith’s social history illustrates a complex interplay of physical health challenges, familial support structures, and personal relationships that shape his current life circumstances. By understanding these dynamics, potential interventions can be designed to assist John in navigating his difficulties, securing appropriate employment, managing his health, and fostering stronger social connections.
References
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- Young, L., & Brown, S. (2020). Employment Challenges in Chronic Pain: Strategies for Employers. Occupational Health Psychology, 14(5), 19-34.
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