Case Study Analysis of Keisha
Case Study Analysis of Keisha
Case Study Analysis of Keisha
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CASE STUDY ANALYSIS 2
Introduction
Holistic care services are patient centered practices that are incorporated in the treatment
plan with the consideration of patient’s preferences and beliefs. It is a type of competent care
services where the healthcare professionals emphasize on understanding the beliefs and needs of
patients. Such types of services are challenging because, the provision of holistic care services
require increased willingness and satisfaction levels of patient. In order to provide such care
services it is important to adopt efficient communication skills that highly emphasize on the
The purpose of this paper is to discuss the care needs of Keisha in a holistic manner. The
paper will also discuss the policies that are associated with the provision of holistic care services.
This paper will serve as a guide for healthcare professionals who are seeking ways to improve
their leadership qualities in the delivery of patient centered care. In addition to this, the paper
will highlight the significance of communication in the provision of holistic care services.
Finally, the paper will discuss the interventions on the basis of Keisha’s healthcare status.
The provided case study has mentioned that Keisha is suffering from Down’s syndrome
and Type 1 Diabetes. Keisha’s boyfriend named, Kemal (also a patient of Down’s syndrome)
used to buy her expensive chocolates which has increased the body mass index of Keisha. Keisha
is concerned about her weight gain and therefore she has stopped eating. As a result, Keisha has
suffered from severe hypoglycemia (because she is also taking insulin). She is admitted to ward
CASE STUDY ANALYSIS 3
because she fainted due to hypoglycemia. Her mother is concerned about her relationship with
The Bio-psychosocial model emphasize that the health care of patient is not only
associated with the biological factors (physiology and pathology) of disease but, it is also
associated with the psychological and social factors. By implementing this model on the case
study of Keisha it is analyzed, that the Keisha’s biological factor (pathologies related to Down’s
syndrome and diabetes) is greatly influenced by her social and psychological factors (Wade &
Halligan, 2017).
Keisha is a patient of Down’s syndrome and diabetes. She is taking insulin that indicates
the severity of diabetes. Keisha’s biological needs demand proper monitoring of blood glucose
levels. It is also important to regulate her diet and levels of physical activities. Similarly, due to
Down’s syndrome she possess low intellectual levels. She is a vulnerable person genetically
Keisha’s psychological factors include high self- esteem, low mental health status, low
coping skills, disturbed social skills and depressed relationship with mother. Keisha is a
confident girl of 20 years. She thinks that she is able to make right decisions for her. However,
she is not well aware about her genetic vulnerabilities. Psychologically she is unable to cope with
the burden of her disabilities. For example, it is difficult for her to understand that chocolates are
poisonous for her and she needs to communicate Kemal about her diabetes issue. It is due to the
CASE STUDY ANALYSIS 4
fact that she thinks it is socially acceptable to receive presents like chocolates and she is ignoring
her physical health status. Psychologically, she is making efforts to blend with the societal
norms. Her efforts indicate that she is depressed about her physical health status. Her angry
behavior towards her mother has highlighted that she does not follow the instructions that are
made on the basis of her health status, rather she wants to do all those activities that a person
without diabetes and down’s syndrome would do (Li, Reese, Ma & Love, 2021).
Socially Keisha wants to connect with peers for example, her boyfriend Kemal. She
thinks that her mother is overprotective and she wants to make decisions by herself. The social
factor related to Keisha shows that she is feeling guilty about her mental health. In reaction to
this guilt, she wants to socially connect with Kemal and her relationship with Kemal cause her to
feel healthy. She is emotionally connected with Kemal and considers this connection as a source
Keisha needs emotional and psychological support along with the provision of holistic
care services. It is important to discuss the health status of Keisha with her mother and Kemal.
The first care need that is required for Keisha is management of her diet plan. Recommending
her to a dietician would help her in managing her diet. Moreover, the dietician would also
educate her about the regulation of blood glucose levels. In addition to this, the psychological
factors linked with Keisha indicates that she needs a counselor. Counselor will educate her about
her psychological issues. For example, counselor will educate her that being a physically
vulnerable person does not indicate that she is excluded from the society. Counselor will help her
CASE STUDY ANALYSIS 5
to understand that she is suffering from disorders but, emotionally and socially she is fit for
society. Counselor will also help her in making right decisions and will increase her coping
skills. The social factors related to Keisha needs education and interaction with Kemal, her
mother and Keisha as well. It is important to interact with Kemal and tell him about the severity
It is also important to discuss the psychological issues of Keisha with her mother in order
to make her understand that Keisha is feeling embarrassed and ashamed about her health status.
On the other hand, it is also important to educate her mother about independency and freedom.
Her mother needs to know that certain level of freedom and independence will make her
daughter’s decision making skills improved. In addition to this, it is also important to talk with
Keisha about the use of contraceptives and regulation of blood glucose levels. Keisha needs to
understand that chocolates are not beneficial for hear health. She also needs to understand that
contraceptives will protect her from unplanned pregnancies and sexually transmitted diseases.
This in turn will satisfy the worries of her mother related to Keisha’s pregnancy and sexually
transmitted diseases. Keisha needs to know the kind of food which is good for health and also
needs support to improve her coping skills so that she can interact with Kemal confidently and
can rejects the gifts that are inappropriate for her health (Skelton, Knafl, Riper, Fleming &
Swallow, 2021).
Policies related to the National Down Syndrome Society (NDSS) are analyzed.
According to these policies it is important for healthcare professionals to improve the health
status and life quality of Keisha. It is also important to increase knowledge of Keisha related to
free education in least restrictive setting. NDSS policies emphasize that patients with Down’s
CASE STUDY ANALYSIS 6
outcomes. NDSS advocates are making efforts to design such programs that can increase the
independency levels of Keisha. Therefore, it is important to educate Keisha that she is no less
than a person (without disability) in relevance to her intellectual levels. She needs to get enrolled
in educational programs.
Keisha also needs to get aware that policies related to economic self-sufficiency are
developed to make the people with Down’s syndrome understand that they are the significant
part of society and the state owners are available to support them financially and emotionally.
Keisha also needs to increase her awareness about the employment policies of NDSS. The policy
is designed to provide employment opportunities to people with Down’s syndrome. All these
policies can make Keisha aware that she is not the only one who is suffering from Down’s
syndrome. The information regarding these policies would protect her from isolation,
abandonment, depression, anxiety and feeling of guilt and embarrassment (NDSS, 2021).
The NDSS policies are designed to support the people with Down’s syndrome. These
policies are not only emphasizing on the financial aspects but are also focusing on the emotional
and psychological aspects of individuals with Down’s syndrome. The policies regarding
employment, economic self-sufficiency and community integration has showed that the
advocates are making efforts to integrate people with Down’s syndrome in the economy and are
working hard to provide them opportunities that can facilitate their participation and productivity
affordability towards quality care services. The policy regarding education is made to reflect the
idea that education is the right of every person and it is not associated with the disabilities of
person. Moreover, education can strengthen and improve the self-esteem of people with Down’s
CASE STUDY ANALYSIS 7
syndrome and can make them realize that they can productively participate within the society
(NDSS, 2021).
CASE STUDY ANALYSIS 8
References
Li, M., Reese, R. J., Ma, X., & Love, K. (2021). The role of adult attachment in international
41.
Matthews, T. J., Allain, D. C., Matthews, A. L., Mitchell, A., Santoro, S. L., & Cohen, L. (2018).
An assessment of health, social, communication, and daily living skills of adults with
National Down syndrome Society (NDSS). (2021). Policy Priorities for the Down syndrome
Legislative-Priorities-April-2021.pdf
Skelton, B., Knafl, K., Van Riper, M., Fleming, L., & Swallow, V. (2021). Care Coordination
VanZant, J. S., & McCormick, A. A. (2021). Health care transition for individuals with Down
Wade, D. T., & Halligan, P. W. (2017). The bio-psychosocial model of illness: a model whose