# data[].attributes.body
André is hospitalized in a CHSLD. Aged 104, André is still in good shape. He still rides his bike in his room. His wife, whom he loves very much, died 5 years ago. André says he is bored and can't wait to join his wife.

Even though he is in good shape, he says he is bored. André seeks medical assistance in dying. But he is not eligible for medical assistance in dying.

1. How can we help him?

I feel useless to the community and I no longer see the advantage of living long. I'm not going to kill myself and jump out of the window. But I want to leave.

2. How can we reassure him?

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Jade is a 15 years old teenager. She ask for help at the CLSC related to the difficulties in managing her anxiety. Jade has anxiety attack's on a daily basis. She sometimes leaves her classroom when she feels overwhelmed and sometimes misses school. Anxiety attaks are more and more frequent, especially during exams. Jade has a supportive circle of friends with whom she feels good. On the other hand, she feels like she's not normal and afraid that her friends will abandon her. Jade also has difficulty sleeping and often feels tired.

Client's questions:

1- What can I do to reduce my anxiety?

2- Are there ways to sleep better?

3- Could medication for anxiety help me?

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Patrick is coming to his follow up of mental health services at CLSC. It's his second meeting and he feels confident to talk about his emotions. He is affected by the bad communication with his wife and also feel angry about everythings was happening this week. When he feels a lot of anxiety, he is suffering of back and shoulders pains. He is exhausted about feeling like a bad husband.

1.What can you do to help Patrick to process in a better communication in his relationship ?

2.Is it some exercices, selfwork stuff you can propose to Patrick to try to take his voice about what he needs and wants ?

3.Is there some reading references or proposals like organizations, psychotherapy or other could help him to recovery ?

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You are meeting Maria's parents, Claudio and Isabelle, at Ste-Justine's hospital for a follow-up meeting about their daughter, Maria. Their daughter was diagnosed with leukemia a month ago. Despite their good adaptation, the upcoming medical procedure involving a puncture is causing them a lot of stress because it will determine the type of treatment they will need to follow for the next two years.

Claudio and Isabelle's Questions

1. We are very worried and nervous about the whole procedure. What is this puncture for? And how will they do it?

2. What can we do to reduce our anxiety?

3. How long do we have to wait for the next appointment?

4. How often will we need to go to the hospital for her treatment? What kind of treatments might she get?

5. Can you suggest any strategies that would improve our situation?

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A mother of young children comes to the hospital because she injected cocaine into her arm and developed an infection. Mélanie is disorganized and tells us that these children are alone at home this evening.

Q1 Do you report it to the DPJ?

Q2 How can we help this lady?

Q3 How do you manage to not let yourself be emotionally overwhelmed by this situation?

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Martin, 24, presents himself at the Joliette hospital to begin alcohol withdrawal. M consumes 17 standard beers per day, 7 days a week. M states that he is depressed and has financial problems. In addition, his partner recently announced that she wanted to end their romantic relationship.

Q1 What is the preferred intervention in this situation?

Q2 What mental health support resources can help Martin?

Q3 What are the financial support resources that can help Martin?

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Kévin F. - Week 5                                                           

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Kévin F. - Week 5                                                           

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An adult man, in a homeless context, wants to stop consuming cannabis. He wants support to get housing and register for social assistance.

Q1 In this context, what should we prioritize as an intervention?

Q2 How did this man find himself homeless?

Q3 Has Mr. ever undergone therapy related to his drug use?

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Victor, a homeless man, has been in a car accident. The ambulance took him to the Jewish General Hospital. After treatment, the hospital referred Victor to a ciusss center Ouest territorial organization, and invited them to help Victor improve his living conditions. Unfortunately, the person who received the information was on vacation and saw the file too late. Victor never came to this organization. She wants to help him, but Victor's number doesn't work.

So how can she help him?

What can this organization do to improve its access point?

Can you think of strategies to better reach the homeless?

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Mike, 43 years old man live alone in his small house. He is coming into CLSC mental health services to approach his bordeline personality disorder. His relationships (in love, at work and friendship) are always complicated by the way his feels and understand things and situations. He wants to talk with you about how learning about being well and not interpretative in his relations.

1. Can you help me to find a way to express myself as an adult can do ?

2. Why i always am afraid to talk with people about my emotions and other subjects ?

3. Do you think that can be good for me to do some group therapy ?

# data[].attributes.body
Jeff has 17 years old and he comes at is appointment at CLSC. Jeff has a scruffy appearance. He has dirty hair and clothes. Jeff says he's not getting enough sleep. For several days now, he has been playing all night long and he says he no longer has the motivation to change his habits and improve his health.

Questions / Comments

I'm glad to see you today, Jeff, but you don't look happy. What's up?

What has changed since our last meeting?

Why don't you want to find a job anymore?

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A 38-year-old pregnant woman comes to ask help to decide whether she should keep her baby. Her partner, with whom she had lived for 10 years, left her and he left Ms. to decide for the baby. The couple had been trying to have a child for 3 years and Ms. learned she was pregnant a week after the breakup.

-        How could you support this woman in her decision?

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A 49-year-old woman was referred to us with the diagnosis of chronic depression. Her symptoms began after the death of her mother and worsened with the Covid 19 pandemic during which, Ms. isolated herself: she no longer leaves the house, she has trouble sleeping, a depressed mood, she no longer works, she lives on her mother's life insurance.

How can we help Mrs?

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evaldina ¬ WEEK 7

Jason, 70 years old, is holpitalized because he forgot to put out the fire on the stove, and hu burned herself.

jason son, Mario, get meeting with you for spoke with you about her father demencia and safety home.

he think is not possible for her father to return at home.

this accident is first but he scared with this idea because her father, mr jason live alone since 5 years.

qsT1: ask the patient what he think about this situation, and what he want?

qst2:you can propose too the patient stay safety at home with clsc servicy

qst3:can you suggest mario to stay with her father until

the time who mr jason has place in norsing home, if he want go there.

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Mr. Romanov is 77 years old and has physical limitations. He has poor eyesight, but refuses to wear his newly prescribed glasses when he goes out. He also has back pain and weak muscles and can no longer walk as much as he used to. This makes him feel sad and depressed.

Mr. Romanov's Comments / Questions: I'm worried about my daughter. She has one child and is pregnant with another baby. I usually do the grocery shopping for both of us, but it's more difficult for me now. Sometimes, I feel sad and depressed.

Do you have any suggestions?

I also feel frustrated because my daughter is pregnant and smokes cannabis. It's not good for her baby, so we argue. What should I do?

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You are in a meeting with Sveta and her father, Mr. Romanov. Sveta, who is pregnant with her second child, is a smoker and a Cannabis user. She is frustrated and angry because she can't smoke as much as she wants, but sometimes she secretly does it. She also drinks a lot, and her father is concerned. Sveta is now divorced and has one daughter from her previous marriage. she argues a lot with her dad.

Sveta's Questions / Comments

1. I know I shouldn't smoke, but I can't stop it. How will it affect my baby?

2. My father went out and fell last week. I don't know how to take care of him - he wants to do his own thing. The cannabis calms me down. We constantly argue. I don't want to do that, but I can't help it. Do you have any suggestions?

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Annie, 7 years old, has been followed at Ste Justine’s hospital since her birth by various professionals.

His parents often go to the hospital for every rdv and they collaborate with all the teams. However they are overwhelmed and very tired Even if they have a lot of help.

They ask their social worker to help them

S.W: do you feel more tired after treatment than before?

Can you tell me more about your situation?

What do you think if we look together the options?

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Monique is 68 years old and she is the caregiver of her parents. Her parents live together in a house, but both suffer of dementia. They have a difficulty recalling information that has recently been learned. They also present a difficulty doing familiar tasks and a disorientation in time. She explains that she is the only one in the family to live at Sept-Iles and give them support. The fact that her parents don’t recognize their disabilities is the main obstacle of secured home support. She cries and reveals to be depressed.

She wants to know :

Q1 How can you help her/them?

Q2 Do you already deal with a similar situation?

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Week 6 : evaldina

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Marc, 9 months old, is hospitalized due to leukemia.

His parents are in shock. The mother had a panic attack and the father appears fragile.

The doctor call the social worker to evaluate the situation.

What can the social worker do?

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Sveta is pregnant and has depression. She is also addicted to alcohol (or drugs) and has suicidal thoughts. She sometimes gets panic attacks and has body aches and pains. You also want to offer her additional support services. She also has questions about these services.

1) Client’s symptoms

I have difficulty breathing.

I sometimes feel dizzy and nauseous.

I have trouble sleeping – I have a lot of pain.

Client’s questions

I always feel anxious. How will this affect my baby? What can I do to reduce my anxiety?

What can I start with? How often do I need to do this?

Where do I need to go? How long....?

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Week 6  evaldina:  Alex is 86 years old and is currently hospitalized and needs oxygen to breathe because he can t do it alone. he is losing his autonomy and has sleep apnea. he wants to return home to wait for his place in a norsing home. Alex over estimate his abilities. Her daughter accompanies him, she doesn't have the same opinion as him.Q1: how to make him understand that returning home is not safe for him?

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Week 6  evaldina:  Alex is 86 years old and is currently hospitalized and needs oxygen to breathe because he can t do it alone. he is losing his autonomy and has sleep apnea. he wants to return home to wait for his place in a norsing home. Alex over estimate his abilities. Her daughter accompanies him, she doesn't have the same opinion as him.Q1: how to make him understand that returning home is not safe for him?

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Mr. Romanov is addicted to alcohol (or drugs) and has dementia. You are asking Sveta about her dad, Mr. Romanov’s dementia – you want to come up with some strategies to help her. Mr. Romanov recently burned himself with the oven and has aggressive behaviour. Sveta is very upset and anxious.

Client - Sveta

1. What do I do when he argues with me? He lost his keys and became angry and aggressive. We found the keys under his pillow.

2. How can I get him to exercise? What kind of activities are good for him?

3. He likes cooking food, but last week he burned himself with the oven? What else can I do to prevent future accidents?

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Mr. and Mrs. Garcia and Carlos, their son, are your clients. You are in a meeting to discuss the changes in their son’s behaviour.

Carlos suffers from autism spectrum disorder. Carlos drinks, smokes, and self-harms and suffers from borderline personality disorder. He had a huge argument with his parents, and doesn’t want to live with them. They have completed an application request for emergency accommodation.

Parents' questions

1. When will someone call us?

2. What can we do to calm him down?

3. What happens if he gets worse?

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Failure of requested services A voice message was left on the office phone of a Spiritual Care Worker in a CHSLD. The message asks for an emergency support service for a patient, Ms. RATÉE, who is in end-of-life care. The service was requested by the family who also needed support and messages of encouragement. Unfortunately, for the past few days, the password to access voice messages on the phone has not worked. When the Spiritual Care worker accesses the messages, he also finds another message announcing that the patient, Ms. RATÉE, died a week ago.

1. Now I feel guilty. Said the worker. How can you help him?

2. And the family didn't have any support either. He wonders how to right the wrong?

3. Have you ever failed to provide an important and urgent service in your profession? If so, how did you react afterwards?

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Mado is a 70 years old woman who suffer of anxiety disorder. Since two months, she is unable to do her activities like going to the restaurant with her friends ans her husband. She is feeling physical symptoms like nauseas, breathing difficulties and headake. She like to talk walks outside but now, she isolates herself and sleep a lot.

1. Can you tell me more about pharmaceutical treatment ? Maybe i has to talk with my docteur, i feel upset about that.

2. I'm not able going outside alone. Is it that something you can do with me ?

3. Do you know some strategies or kind of stuff can help me with my symptoms? I am becoming crazy when i begin having breathing difficulties.

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I go at school to visit David. He as 11 years old and he have difficulty with his emotions because his parents are separate. Last time I see David, he goes on his dad and he was very happy about that. David says at his mom he loves her dad and his important for him.

Today, David explains to me what happen when he was on his dad. David explains that he had a conflict between his father and his girlfriend. David says he doesn’t have emotion because he was afraid.

Questions client:

·        What were you afraid of in this situation?

·        What can you do differently now if this happen again?

·        What did you think at the time to get scared?

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Scenario 1: You are assessing Rema’s application to see if she qualifies for accommodation services. Rema is addicted to opioids and feels rejected and abandoned. You are discussing your decision with your colleague(s) and need to explain what Rema should do next. Your manager is not sure about your decision.

Scenario 2: Yu-Xuan is 8 years old and has autism spectrum disorder. You are here to see his parents, Mr. and Mrs. Wu to discuss his situation /progress. You need to explain what you are doing and give reasons. They don’t agree with everything that you are saying.

Client's Questions & Comments – Scenario 2

He gets angry when he doesn’t like the taste of his food.

He keeps flapping his hands and doesn’t respond to his name sometimes.

What do we need to do at home?

Why hasn’t he made much progress?

When can we see some improvements in his behaviour?

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At January 2024, i was in vacation for a month. But, before my departure, i prepare a document to explain to my colleagues my files and give them the instructions to continue the work. So, first of all, they need to discuss with our boss to select the important files that they will do without me.
After they have done that, they must continue my job and share the essentials informations with the implicated services.

Finally, in my rest, it is important to remember the community organisations that i won’t available and i can’t check my email.

Questions of my colleagues :
- What can we do in your vacation?
- ⁠how can we maintain the contact with community organisations ?

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André is hospitalized in a CHSLD. Aged 104, André is still in good shape. He cycles in his room, he even has medical authorization to sometimes have a glass of red wine during the meal. His wife, whom he loves very much, died 5 years ago. André says he is bored and can't wait to join his wife.

1. Can you help me in my process of obtaining medical assistance in dying?

2. I feel useless to the community and I no longer see the advantage of living long.

3. I'm not going to kill myself and jump out of the window. But I wish to die and join my wife. How can you help me with this?

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Mike, a 53 years old man had a motorcycle accident in the summer of 2021. He doesn't work since two years. He is feeling so stress about being with people, anticipate many bad scenarios about his life. He is very upset about everything, has angry moods and feels loneliness. He went to the CLSC to be helping with mood disorder.

Mike's question for the psychosocial professional :

Can you help me with my sad and angry thoughts ? I'm so tired to feel like a bad man.

Do you have some tools you can give me to improve my daily routine and being more happy ?

Do you know organizations who are helping mans with mood disorder and loneliness suffering ?

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You are meeting with Mrs. Abdul and her daughter Sonia at the hospital to assess Mrs. Abdul's needs upon returning home. Mrs. Abdul, who is 78 years old and has just had an operation after a fall, seems reluctant to obtain services from the CLSC when she returns home. Prior to her hospitalization, she was self-sufficient and was able to carry out her daily activities by herself, but now her daughter Sonia, is concerned about her mother and worries that her mother could fall again.

Sonia (Mrs. Abdul's daughter)

1. Sonia is worried about her mother returning home. What kind of services are available for my mother? Will she be safe to live by herself at home?

2. Can she stay at the hospital for a longer period? Is there anywhere else that she can stay? What are her options?

3. Can the CLSC assistants assist her with her medications when she returns home? Can someone come to help her shower?

Mrs. Abdul

1. I don't have any difficulties. I was living by myself before and I can continue doing that now.

2. I'm not that old. I can do my own things. I can prepare my own food. I don't need any help.

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Amalia, a mother of a 3-year-old, seeks your guidance on establishing a sleeping routine for her son, Carlos. Carlos is resistant to bedtime and frequently wakes up during the night, and stays awake for hours.

1. Do you have strategies that I can use to change my child's sleeping habits.

2. What can I do to make him more cooperative?

3. What causes this behaviour? Because he has been like this for a while. But more recently, his bedtime has been inconsistent, which has made it worse than before.

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Ms. Bellevue is bedridden in a CHSLD. Aged 92, she has sensory and auditory hallucinations. She doesn't stop talking. She thinks there are babies coming out of her belly. Every moment, she calls her mother to ask her to help her. At every moment, she wants to tear off the medical device (tube) that she uses for breathing. She also tries to tear off her clothes. Despite her very advanced age, she has incredible physical strength. She is very agitated, so a Beneficiary Attendant must remain by her side at all times. Ms. Bellevue does not collaborate. During your intervention, you speak with the PAB who is also suffering from this situation.

1. How could we proceed to break this impasse? She asks you.

2. What can we do to calm the patient? She adds.

3. I also feel unhappy in this matter. She concludes

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As part of the suicide prevention week, the public health team is organizing an awareness campaign from 4 to 10 February. So, we offered to the community organizations the goodies with key messages that they can use during this period to sensitize the population on the available ressources for support the vulnerable people. When the community organizations received our goodies, they contacted me to know more to this campaign and advised me to use another option (meet and greet) to reach a lot of people. My thinking is, their option is a good idea but it's not possible to us to organize a "meet and greet" because we don't have a sufficient ressources and not more time.

Questions of community organizations :

Why do you prefer awareness-raising activities ?

What do you think of the idea of a "meet and greet" for this activity ?

What will we do if we don't get a lot of people during the week ?

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Rema is worried about her mother, Mrs. Abdul who is an elderly patient with dementia. Rema needs some help and wants to know what services are available to her. Mrs. Abdul also doesn't clean herself after a bowel movement. Rema needs your help.

(Scenario A) You are visiting your client for the first time. You want to evaluate their situation and ask them some questions about their lifestyle. You also need to give them some instructions and warn them about the consequences if they don’t follow your instructions.

(Scenario B) Rema is trying to quit drinking and smoking and needs to be treated for a mental illness. She sometimes has suicidal thoughts.

Rema:

1. I want to quit but I can't. How can you help me?

2. How can you help my mother? How can I convince her to clean herself after she goes for a poo?

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Maria has 7 years old. The mother of Maria is at hospital for 3 months because she need treatment. The mother of Maria stays at hospital and it’s impossible for Maria to see them because it’s a several treatments of cancer.

I visit Maria at school and at home to help her with is emotions. The challenge of the situation is Maria don’t accept the health situation of his mom and she lives comportments difficulties at school.

Questions of Maria:

1.       Why it’s impossible to see my mom?

2.       Will my mother come back home?

3.       Wath can I do for changes this situation?

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Ayla’s father, Mr. Badem, has dementia, and Ayla is very worried about him. Mr. Badem has become aggressive and gets angry very quickly. He wakes up and walks around the house at night.

He lives with Ayla and her family, but Serkan, Ayla’s husband, thinks he should stay at a nursing home facility to receive better care and has forced Ayla to put in a service request. Ayla is still not sure about that, and this has affected their relationship. She is anxious and tired and going through depression.

Ayla's questions / concerns:

1. What can we do to calm my father down when he gets aggressive?

2. What can we do to prevent it from happening?

3. He forgets where he puts his things, and he gets angry? He put his watch under the mattress, and he thought we had stolen it. What can we do to help him?

4. I think it's better for him to stay at home, but my husband thinks it's best for him to stay at a nursing home. I'm tired. I don't know what to do.

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You are meeting Ayla, Miray and her husband to discuss their situation.

Ask questions.

Give your Opinion.

Change the intervention plan and give reasons.

Part 1 - Miray is a 15-year-old girl who suffers from Autism Spectrum Disorder and has behavioural problems that need to be addressed. Miray's mother, Ayla, catches Miray burning her own skin with a lighter and sees some cuts on Miray’s skin.

Part 2 - Ayla is also trying to quit her addiction to opioids. Ayla’s husband, Serkan, is worried that she might be drinking too much alcohol.

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Annie

Mario is a man with a diagnostic of light intellectual disability. At his work station where he disinfect at the hospital, some liquid gets into his eye.  His eye is hurt and burn himself.

The educator gives a humid brown paper to help his eye.

Mario asks to her: it is dangerous for my eye?

Is it normal my eye is soo red?

Are there others possibilities to help me?

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Ola is a newcomer to Montréal. He is a young man who left his country to study in Montréal. His first day at Montréal was disaster : the room he was renting was unvailable and the only person who could helped him didn’t answer the phone. He spent the first night to Justin Trudeau airport. The next day, he came to Praida for supporting. After investigating, the Praida Team install him to Parc Extension, near his school, for a month.  Now he come back to Praida service after 2 weeks and said that he doesn’t happy, he is depressed and he want change the situation. So, Praida share the situation with public health team and involve our contribution.

As planner who collaborate with community organizers of parc Extension, i receive this case and i have the responsability to contribuate to find a solution. So, i met Ola with social worker and community organizers. I congrated Ola and i explain to him that we have some ressources which can help him and he doesn't only people in this situation. I reassure him that it is a good idea to come back to Praida service for sharing him situation and encourage him to tell us more.

Ola's questions :
1- How Praida can help me more ?

2- What can i do to get better ?

3- is it necesary to involve community /students organization for facilitation my integration into Parc extension and school?

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Victoria is a 32 year old young woman who has 4 childrens. she is married and says sher is unhappy at home because her husband is violent with her. Usually when he drinking a few glasses of alcohol. when her husband drunk he becomes verbally and physically violent. Usually she always intervenes when he tries to attack the children and she get them in a room. she took advantage, when her husband leave at work for to leave with her children.

1:What tool can you give him? she no longer knows what to do to protect her children and herself.

2: Can you tell her the services or appartement she can go?

3: She is afraid to her husband will find her, bit and kill them , what can you do?

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Laura is a 16 years old teenager. She is in secondary 4 and attends her neighborhood highschool. The teenager has been in a relationship with Justin for 6 months. Laura noticed a change in her boyfriend's behavior over the past few weeks. It is true that he has always been jealous and possessive but the situation has gotten worse. He asks Laura to send him photos of where she is and say who is with her. He gets angry if she doesn't respond to his text quickly and criticizes the way she dresses. Laura isolates herself more and more, she sees her friends less, her grades have declined and she has panic attacks more often.

Client's questions:

1- What should I do to improve my relationship?

2- Am I experiencing violence in my relationship?

3- Do you have any ways to reduce my anxiety and restore my social life?

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NICOLAS NIYONIZIGIYE. week 3

Presentation of the situation

Mr. Malaimé is hospitalized in long-term care in a CHSLD. He has survived Covid-19. He had caught it at the same time as Victoire, his wife, who died suddenly. During her lifetime, Madame Victoire came every day, alone, to the hospital to visit her husband. On several occasions, I had to meet her, and appreciate her attachment to her husband. And since her death, no one in the family comes to se Mr. MALAIMÉ in the CHSLD.

What am I going to do for the client?

I decided to support him in this time of grief that he is experiencing alone and without the support of his children. Indeed, Monsieur Malaimé remains alone in the shock of the loss of his beloved wife. And family relations would not have been very warm. Tainted family relationships or crushing memories? Only God knows. He won't even be able to attend his wife's funeral. " What do you want? My illness could not allow me to go out for my wife's funeral,” he confided to me with a tone of despair. Consequently, Ms. Victoire will no longer return to the Hospital to see a love left without a hug. Mr. MALAIMÉ will no longer see his wife in person except only in photos. And when I asked him how he sees and envisages life without her, he replies in a harsh tone: “She’s gone and that’s it. Your questions…your questions…”. Then he turned his head and looked to the side. From now on, Mr. MALAIMÉ remains locked in his room, pensive, sitting, depressed in front of the television. For a few more days, MALAIMÉ has continued to ask his children for Medical Assistance in Dying. One off his children then told me: “I don’t love my father. If I agree to come to see him or if I call him, it is out of duty and not out of love.” Considering, the doctor may not give a positive outcome to the request of Mr. MALAIMÉ and his family. I wonder what would be the fate of the dad who no longer receives visits after the death of his wife

What are 3 questions this client asks you about their situation?

1. Can you help me in my process of requesting medical assistance in dying? (Father)

2. Can you help our father in his process of requesting medical assistance in dying? (Children)

3. We are worried that our family's story is coming to an end. Can you help us in the process of reconciliation with our father before his death?

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You are in telephone intervention with Stacy. She saw a doctor during a visit to the hospital emergency room be cause she doesn't sleep very well, she is nervous and she cries every day. The doctor prescribes her a sleeping and a antidepressant pills and refers her to psychiatry.

Stacy is a 51 years old woman. She is single since 6 month after ending a 25 years relationship. The breakup was difficult. Her ex threatened to kill her and he vandalized her house. He called her at all hours of day and night. She had to file a complaint against him.

Now, she is anxious, she is scared to go out alone and she don't able to go to work. The emergency physician observes psychotic symptoms.

You call her the next week and you explain the subject of your follow up.

Client's questions:

1. Why I don't feel better? I take my medication every day but I am always anxious and sad.

2. What the psychiatrist can do more for my symptoms? Will he have to hospitalized me?

3. When can I return to work? I don't have much money...

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Sara is a 22-year old adult. It's the first time she asks for help about her struggles. She lives in Québec since nine months only. Sher has a few friends but it's difficult for her to be confident and right with them.

In the last month, she was worried about sadness and loneliness thoughts. She didn't eat beacause sher was afraid to be fat, she had headaches and difficulties to sleep.

She was going to work because it's the only place she was feeling well. She like ton dance ballet also. Sometimes at night, she has suicidal ideas, she doesn't know what she's suppose to do to get better.

Client's questions :

1. How can you help me to feel better ? I'm tired to overthinking.

2. Can you help me to know my new city ? What kind of service there is here ?

3. Are you giving me some tools to eat more and feel better with my body image ? I'm exhausted to feel upset about what people think of me.

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You are in a meeting with Marc, who is 55, and his son, Alex, who has a full time job. Alex lives separately and is here today just to be in this meeting because he is worried about his father.

Marc a regular client, is depressed . He binge drinks 3-5 times per week and smokes marijuana every day. Marc’s friend recently committed suicide, and now Marc realises he needs to make a change to his life. In this meeting, you are discussing Marc’s ideas for changes he could make to improve his mental health and well-being. Encourage Marc by adding supporting comments. Alex also has some ideas and opinions.

Client's Questions

1. How can I stop drinking? It's difficult for me. I am used to it.

2. What can I do to help me improve my mood? I don't want to feel depressed.

3. What other services are available to me? How often will you be coming to visit me? It helps me when I can speak to someone about my problems.

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Sara situation :

Sara is young girl to 22 year old. And she like, go to the work,because is only place where She feeling well.She says she feeling better when dancing .

Saha has some Struggle but she not talk and confident with his friends.she had few friends but I think is not easy for her.

First,She didn’t eat last month because she was afraid to be fat . she don't eat and she make body sick.Her body not feeling goods because she has symptom to malnutrition example she had headaches.

Secontly, She was suicidal ideas and she don’t know what she can do for getting better.

1:

First, I want to see you I’m proud of you,because you want change your situation. you are strong woman because you take courage and you talk to me. listen to me, is not easy to do that. With this courage,You pass one step. Secondly, if you want feeling better in your head and your body. for me it's important to take appointments with the nutritionist and psychologists. the team of hospital go to help you to take care of you. Finally, when you leave to hospital it’s important to continue that efforts. I think a therapy is good for you. So, i can ask to a clsc in your city to support you and follow you. you didn't stay alone.

2 : Yes, of course, good idea.I’m didn’t know every place and service in montreal city but the clsc to your city Can I help you. Because this establishment no every service in you new city.

3:The first tools Who I can p you is you need take appointment with the nutritionists for each more and you need go in the .You want feeling better ? so listen that sentence and repeats all every day from the mirror. "I’m beautiful, I am blessed, I’m amazing I want better for myself. I have a beautiful smile an when I smile I shine in every place. I merite to be happy. "

And it seems to me ,You need stay kindness in yourself.

my last tool for you is don't take about what people think. stay positive in your mind because positive attitude called positive people, vision and attitude