Arthur Silverstein Room, a 68-year-old homeless Vietnam veteran (Case Study) 100%Solved Correctly 2024!!

Arthur Silverstein Room, a 68-year-old homeless Vietnam veteran (Case Study) 100%Solved Correctly 2024!! Arthur Silverstein Room Arthur Silverstein, Arthur Silverstein, a 68-year-old homeless Vietnam veteran recently hospitalized for PTSD resulting from the abuse suffered during imprisonment by Viet Cong. Arthur lives in a homeless shelter. He has experienced intermittent homelessness and alcohol addiction since his wife died 18 years ago. Arthur experiences flashbacks and nightmares. He is hyper-vigilant and becomes anxious in crowded spaces or in large groups of people. Medications: NKDA. Paroxetine (Paxil) 30 mg daily for management of depression, hypervigilance and PTSD symptoms and zolpidem (Ambien) for sleep as needed. Social history: Arthur lives in a homeless shelter. Arthur openly struggles with the day room and the men’s living quarters due to the number of people and limited personal space. Because of Arthur’s alcohol addiction he has been denied access to the shelter if he was intoxicated forcing him to sleep outdoors, regardless of the weather. Arthur has three children that he has not seen since shortly after his wife died due to his mental health and alcohol abuse. You responded correctly to 8 out of 10 evaluations: Category Your response Explanation Culture/Beliefs/Spirituality NORMAL There is no evidence of cultural or spiritual issues. Self-Management Increased acuity Arthur has increased need for self-management of his mental health, alcohol addiction, and care from environmental exposure. Social Determinants of Health Increased acuity Social determinants of health include not having permanent housing, living with mental illness, being a veteran, and living with and addiction. Surveillance NORMAL There is no public surveillance of these issues, although homelessness is monitored for prevalence, region, and other social determinants. Community Assessment Increased acuity Community assessment needs are increased for Arthur. Community assessment can identify service gaps and integrated services for those who are veterans, living unsheltered, or with addiction. Services include housing.