Client Background
Jean is an 87-year-old widow with a complex history of a debilitating stroke that resulted
in left-side paralysis and a diagnosis of PTSD due to a break-in at her home and being sexually
assaulted. Due to the stroke, the client now has impacted capabilities regarding movement,
eating, and other activities of daily living (ADLs). The level of care that this client needed
regarding her stroke has left her financially compromised and is underinsured medically. Post-
discharge care for this client is currently undetermined as her children have not stated if they
would be staying with the client in her home post-discharge and despite her home being secured
by family, the client no longer feels safe at home due to the break-in and assault and her new
lack of mobility. Despite her condition, the client remains a devout Catholic and finds comfort in
her faith. She is organized and humorous, citing this being the result of her career of being an
elementary school educator. The client has a history of participating in the local community and
has a reliable social circle.
Client Assessment
The client is a vulnerable member of society due to her age, mobility status, financial
state, and her history of PTSD. The client needs to have her needs addressed through the use of
evidence-based practices (EBPs). Focusing on the patient’s diagnosis of PTSD, examples of
EBPs that we can implement regarding the client’s care is open communication with the client,
understanding the lasting effects of sexual trauma, and utilizing her support networks,
personality type, and beliefs to optimize her outcome.
Jean is an 87-year-old widow with a complex history of a debilitating stroke that resulted
in left-side paralysis and a diagnosis of PTSD due to a break-in at her home and being sexually
assaulted. Due to the stroke, the client now has impacted capabilities regarding movement,
eating, and other activities of daily living (ADLs). The level of care that this client needed
regarding her stroke has left her financially compromised and is underinsured medically. Post-
discharge care for this client is currently undetermined as her children have not stated if they
would be staying with the client in her home post-discharge and despite her home being secured
by family, the client no longer feels safe at home due to the break-in and assault and her new
lack of mobility. Despite her condition, the client remains a devout Catholic and finds comfort in
her faith. She is organized and humorous, citing this being the result of her career of being an
elementary school educator. The client has a history of participating in the local community and
has a reliable social circle.
Client Assessment
The client is a vulnerable member of society due to her age, mobility status, financial
state, and her history of PTSD. The client needs to have her needs addressed through the use of
evidence-based practices (EBPs). Focusing on the patient’s diagnosis of PTSD, examples of
EBPs that we can implement regarding the client’s care is open communication with the client,
understanding the lasting effects of sexual trauma, and utilizing her support networks,
personality type, and beliefs to optimize her outcome.
