Long Case Studies as a Participation as Fieldwork (Practitioner in SWOP)
Long Case-1
Case Name: Resma Akter
Sponsored ID No: 433
1. Rationale of taking the case:
As my daily
routine field work activity, I went to SWOP and paid a to SWOP hostel. I went
to the office room, when the project manager read out morning report, I knew
about Resma. I talked to her about her physical condition. She told me that she
has been suffering from Burned contracture with both hands. To know about her
diseases and to help her in treatment I took her as a long case.
Clients personal information
|
Diseases and hospital related information
|
Name of the Client:
Resma Akter
Age: 15 years
Sex: Female
Education: Class-X
Religion: Islam
Types of Patient: Sponsored
Sponsored ID: 433
ADP: Satkhira
|
Name of the Hospital:
Name of the Physician:
S.M. Harun- Maruf Hasan
Medical Officer,
Past (Old) Assistant Surgeon and
Physician
Name of the diseases:
Burned Contracture with both
hands
Arrival Date of SWOP: 3/3/08
Taking of the Case: 8/2/09
Date of Discharge of SWOP: 2/5/09
|
3. Demographic Information of the clients
family:
The number of Resma’s
Family member-5
No.
|
Name
|
Age
|
Education
|
Occupation
|
Relation
|
1.
|
Abdus Satter
|
56
(death)
|
V
|
Farmer
|
Father
|
2.
|
Selina Begum
|
45
(death)
|
Illiterate
|
Housewife
|
Mother
|
3.
|
Mst. Rokeya
Khatun
|
25
(death)
|
Tailor
|
Sister
|
|
4.
|
Roksana
|
23
(death)
|
Student
|
Degree
|
Sister
|
4. Case History:
Resma’s mother
told me that when Resma’s was 4 years. Then one day to catch fire in her dress
from lamp. She was going to put off fire by hand burned contracture with both
hands. She took treatment 6 month under Satkhira Sador
Hospital
5. Psycho-Social Condition:
i. Physical Condition:
Weight: 45 Kg
Height: 5' Foot
Body Structure:
She looks medium and skin colors black.
Blood Group: A+
Types of
Diseases: Burned contracture with both hands.
ii. Family Condition:
Resma lives in a
nuclear family with her mother and two sisters because her father was left (death).
At present her elder sister plays a role
of Guardian of her in their family. Her occupation is tailoring (Her monthly
income is). As a result her family condition is not well..
iii. Economic Condition:
Resma’s elder
sister is only the earning member of her family. She is a tailor and her
monthly income is 1500 Tk. It is not educated for her family. Sometime they lend
money from neighbors. So economic condition of her family is poor.
iv. Social Condition:
Actually, the
social condition of Resma’s family is Satkhira Sador is not so good. Because
they have no good relatives to communicate with their. The neighbors who live
in a storied building around their home, there have no neighborhood
relationship with them. But there is a good relation with two or more small
business families. Sometimes they come by helping hand and give good advice
about her diseases and treatment.
v. Mental Condition:
Sound mind is
the pre-requisition of good health. Resma’s disease is complex and serious. Her
both hand is burned contracture. So she cannot write by hand. She also feels
shame to come in front of the people. So she always suffers from anxiety.
vi. Recreational Condition:
Main
recreational media of Resma are Radio and Television. She watches of their neighbor.
She also reads novels and comics. She has a Radio and it is only one thing of recreation.
6. Diagnosis:
The problems
those are clearly identified during socio-economic study of the client name Resma
Akter are the following-
1) Physical Problems:
- Lack of proper treatment in right time.
- Ignorance to her treatment of her family.
- For long term diseases, she feels pain in hands and sometimes she put her hand into the cold water.
- Lack of proper development of her physical condition. One a world it can be called partial handicraft.
2) Mental Problems:
- To disturb her study for her hands contracture.
- She can’t easily write with her hand.
- She can’t want to communicate her classmates or other friends for her hands.
- Her mother also feels depression.
3) Family Problems:
Resma’s family
condition is not well. She always thinks that her family can’t bear her
treatment cost for lack of proper money.
7. Information about treatment:
Satkhira ADP
Manager sent her to SWOP for plastic surgery unit for better management or
operation on 4.5.08. After some investigations and diagnosis. She was admitted
for operation in Dhaka medical College
Hospital
8. Role of Social worker to solve the
problem:
I talk with
doctors and duty child officer for his treatment. I understand the problem of
the clients properly. I talked her and her mother to follow the doctor’s
instructions and taking medicine regularly and to take adequate rest.
9. Follow-up:
1st Follow-up: There is a
less possibility to cure her diseases. Resma came as 1st follow-up
treatment at 8.2.09. I talk to her about her diseases and try to rapport
build-up with her.
2nd follow-up: She came to
SWOP hostel at 24.02.09. In this time I follow-up Resma. I advise her taking
medicine in proper time.
3rd follow-up: I follow-up
Resmas at last 2.5.09. She tells me that she can move her finger and I also
give her advice to continue practice. She feels better now. I also give her
suggestion to continue her study and to take/ participation on vocational
training. I wish she will be OK within that her.
10. Evaluation:
As a trainee
medical social worker I try to apply all the principles and methods of social
case work as well as follow agency principles from admitting hospital to
recovery his health statistically which I achieve but it can that I gain
success in dealing her case.
Long Case-2
Case Name: Emdadul Hoq Milon
Sponsored ID No: 2503
1. Rationale of talking the case:
Everyday I
attend to the morning prayer. Just morning prayer end, Manager of (SWOP) Nibash
Dada said that a patient came to Fultola ADP, Mymensingh. Who has been
suffering from CHR (Osteomyelitice). He said to go me that patient, So I go to
the patient. I introduce my patient Emdadul and his father and talk about his
diseases. Then his father said about his diseases. Then his father said about
his diseases. At that time Emdadul is seem to looks very serious ill. He could
not walk normally. He has been suffering for a long period. Now he feels
physical and mental problem. Considering all
this matter, I decided to deal with the case Emdadul Hoq.
2. Client’s Identifications:
Clients personal information
|
Diseases and hospital related information
|
Name of the Client:
emdadul Hoq Milon
Age: 18 years
Sex: Male
Education Status: S.S.C
(Candidate)
Religions: Islam
Types of Patient: Sponsored
ADP: Fultala, Mymensingh
|
Name of the Hospital:
Name of the Diseases:
CHR (Osteomyelitice)
Arrival Date of SWOP: 25/5/09
Taking the case: 29/5/09
Discharge of SWOP: 12/2/09
|
3.Demographic Information of the Clients
Family:
The number of
Milons family members are 5.
No.
|
Name
|
Age
|
Occupation
|
Relation
|
1.
|
Md. Sirajul
Islam
|
56
years
|
Businessman
|
Father
|
2.
|
Mst. Zobeda
Khatun
|
42
years
|
Housewife
|
Mother
|
3.
|
Sofikul Islam
|
27
years
|
Emigrant
|
Brother
|
4.
|
Jesmin Akter
(Sumi)
|
22
years
|
Married
|
Sister
|
4. Case History:
Emdadul Hoq
Milon is a follow-up patient of SWOP. At present he take treatment under Al-Markazul Hospital Mymensingh
Hospital
5. Psycho-Social Condition:
i. Physical Condition:
Weight: 48 Kg.
Height: 5' foot
2" Inch
Body Structure:
he looks medium and his skin color is white.
Blood Group: O+
Types of
diseases: CHR (Osteomyelitice)
ii. Family Condition:
Milon lives in a
nuclear family with his father, mother, sister and brother. The structure of
his house is Tinshed (Tin). His father is a businessman (Rice) and his elder
brother is an Emigrant. So his family member is small. There is a balance
between their family income and cost. So their family condition is not so bad.
iii. Economic Condition:
Milon’s father
is a businessman. His monthly income is 3000 Tk. His brother is an emigrant.
Sometimes he send money for their family. So their economic condition is very
good.
iv. Social Condition:
At all, the
social condition of Milons family is very good. There is a good relationship
between their family and their neighbors. Their social help or assistant is
very cordial. They gave mental support of his family, at time of his accident.
v. Mental Condition:
Milon has been
suffering from a complex diseases. To take operation his leg for four times. So
he feels anxious. He cannot walk normally. He cannot attend participate S.S.C
examination this year for operation his left leg.
vi. Recreational Condition:
Milon passes
most of the time watching television and hearing Radio. He also reads novels in
his leisure period. He likes to read detective books. They have a small TV. He
can’t participate play cricket, but he always enjoys sports of his classmate.
6. Diagnosis:
The problem that
are clearly identified during socio-economic study of the client name Milon are
following–
1) Physical Problems:
- Ignorance of his treatment in proper time.
- For long term fracture of his leg, he cannot walk or move normally.
- Sometimes he feels pain in his leg.
- His physical condition is not developing, one a word it can be said partial handicraft.
- He has no appetite for food.
2) Mental Problems:
- For operation his leg, he cannot participate S.S.C examination this year, So he feels worried.
- For illness he cannot play with his friends.
- Frustration and mental stress.
- But now he seems to look happy, because the condition of his leg is becoming progress.
3) Family Problems:
Milon’s father
spent much money for his treatment. So day by day his family condition is going
to bad and now they lead a miserable life.
7.Treatment Plan or Role of a Social
Worker to solve the problem:
As a novice
social worker I cannot do anything but counseling. The main causes of his
diseases is the ignorance of his treatment of his parents. If his parents take
him Dhaka in time, he may be cured within
short time. As a social worker I try to solve his problem in two ways–
(a) Supportive Treatment:
i)
I talk with child care officer and his doctor.
ii)
Help him to admitting hospital in time of operation.
iii)
I also visit him in the hospital and take information
about their fooding.
iv)
I also advise him to take medicine in proper time and
move to other place consciously.
(b) Modifying Treatment:
i)
I try to build up professional relationship with him
and help him. As a reliable person he tells me every thing which is much
helpful to give him comfort.
ii)
He has inferiority complex as he cannot walk normally.
I give him encourage not to feel shame.
iii)
I also understand the importance of follow-up and take
medicine regularly.
8. Follow-up:
1st follow-up: At first, I
met with Milon on 29.01.09 at SWOP hostel. One that day I try to rapport build-up
and want to know about himself and his family background and also his diseases.
On that day I took him as a long case.
2nd follow-up: I met 2nd
time with him on 24.02.09 in the Al-Markazul
Hospital Al-Markazul Hospital
3rd follow-up: At least, I
met him on 25.02.09 I advise him to take medicine in proper time and follow
doctor’s prescription.
9. Evaluation:
As a trainee
medical social worker I try to apply all the principles and methods of social
case work from admitting hospital to recovery his health statistically. When I
met Milon at last h told me that he feels better now and also he had thanked me
before he left the agency. I wish him for happy and cheerful life.
