CASE ANALYSIS Client ProfileName: Milagrosa Miran Marital Status: SeparatedAge: 34 Occupation: Curamed employeeBirthdate: October 4, 1980 Date of Imprisonment: 6/2/12Address:Quezon Hill Baguio CityBirthplace: Binmaley, Pangasinan Milagrosa Miran was imprisoned last June 2,2012 because of being accused as a drug syndicate all over the city of Baguio and the near provinces. She was arrested at a fast food chain together with his brother who is also now in the same Jail. According to her statement, she was accused of being a drug syndicate because her boss turned her in to jail because of a misunderstanding between them.

Family Medical History

Family members of Milagrosa was reported of some disease such as the following:

Hypertension: Hypertension (HTN) or high blood pressure, sometimes called arterial hypertension, is a chronic medical condition in which the blood pressurein the arteries is elevated Blood pressure is summarised by two measurements, systolic and diastolic, which depend on whether the heart muscle is contracting (systole) or relaxed between beats (diastole) and equate to a maximum and minimum pressure, respectively. Normal blood pressure at rest is within the range of 100-140mmHg systolic (top reading) and 60-90mmHg diastolic (bottom reading). High blood pressure is said to be present if it is persistently at or above 140/90 mmHg.

Asthma:

Asthma (from the Greek ,ἅσθμα  ásthma, "panting") is a common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction and bronchospasm. Common symptoms include wheezing, coughing, chest tightness, and shortness of breath.

Asthma is thought to be caused by a combination of genetic and environmental factors. Its diagnosis is usually based on the pattern of symptoms, response to therapy over time and spirometry. It is clinically classified according to the frequency of symptoms, forced expiratory volume in one second (FEV1), and peak expiratory flow rate. Asthma may also be classified as atopic (extrinsic) or non-atopic (intrinsic) where atopy refers to a predisposition toward developing type 1 hypersensitivity reactions.

Treatment of acute symptoms is usually with an inhaled short-acting beta-2 agonist (such as salbutamol) and oral corticosteroids. In very severe cases, intravenous corticosteroids, magnesium sulfate, and hospitalization may be required. Symptoms can be prevented by avoiding triggers, such as allergens and irritants, and by the use of inhaled corticosteroids. Long-acting beta agonists (LABA) or leukotriene antagonists may be used

in addition to inhaled corticosteroids if asthma symptoms remain uncontrolled.] The prevalence of asthma has increased significantly since the 1970s. In 2011, 235–300 million people globally have been diagnosed with asthma, and it caused 250,000 deaths.

Cardiovascular disease (also called heart disease)

Is a class of diseases that involve the heart, the blood vessels (arteries, capillaries, and veins) or both.

Cardiovascular disease refers to any disease that affects the cardiovascular system, principally cardiac disease, vascular diseases of the brain andkidney, and peripheral arterial disease. The causes of cardiovascular disease are diverse but atherosclerosis and/or hypertension are the most common. Additionally, with aging come a number of physiological and morphological changes that alter cardiovascular function and lead to subsequently increased risk of cardiovascular disease, even in healthy asymptomatic individuals.

Cardiovascular disease is the leading cause of deaths worldwide, though since the 1970s, cardiovascular mortality rates have declined in many high-income countries. At the same time, cardiovascular deaths and disease have increased at a fast rate in low- and middle-income countries. Although cardiovascular disease usually affects older adults, the antecedents of cardiovascular disease, notably atherosclerosis, begin in early life, making primary prevention efforts necessary from childhood. There is therefore increased emphasis on preventing atherosclerosis by modifying risk factors, such as healthy eating, exercise, and avoidance of smoking tobacco.

Client Present Medical State:The client stated that in the past years of her stay in the jail, she had been experiencing some illness that she acquired from other prisons. One of which is typhoid fever, she suspected that it was because of the water that they are using in the area so she tried to seek some help on some of the personnel of the jail and she was given attention. She was treated by medical interventions; she stated that the intervention was effective enough to remove the symptoms that she felt while she was having the illness.

Now on her present condition, she just stated that she is “farsighted”. So what is farsightedness?

Farsightedness, or hyperopia, as it is medically termed, is a vision condition in which distant objects are usually seen clearly, but close ones do not come into proper focus. Farsightedness occurs if your eyeball is too short or the cornea has too little curvature, so light entering your eye is not focused correctly.

Common signs of farsightedness include difficulty in concentrating and maintaining a clear focus on near objects, eye strain, fatigue and/or headaches after close work, aching or burning eyes, irritability or nervousness after sustained concentration.

Common vision screenings, often done in schools, are generally ineffective in detecting farsightedness. A comprehensive optometric examination will include testing for farsightedness.

In mild cases of farsightedness, your eyes may be able to compensate without corrective lenses. In other cases, your optometrist can prescribe eyeglasses or contact lenses to optically correct farsightedness by altering the way the light enters your eyes.

Observation:According to what I have observed, the client is demonstrating some defense mechanism for her to protect herself from being interviewed or asked of some important, I have seen that she is used to trying to change the topic when asked of a particular question. Furthermore, she was trying to make herself clear that there was nothing wrong with the thing that she done that is why she stated that the police doesn’t have the right of arresting her and bringing her in jail. She also has Reaction-Formation with some other jail members. She told me that she was doing such because she just wanted to blend in with the other family in the area.

What I did was to explain some matters regarding the possible effects of the things that she is doing so I tried to persuade her of not doing the things that she is used to like being “Plastic “because it might give her problem someday in her life. I also encouraged her to talk to his family for them to have a regular visit to serve as a support group while she is still in jail. And most of all, encouraging him to pray to God, which is the best way to release her feeling of longing and sadness. So far, my patient was in a good condition, she was not demonstrating something that is weird except that she has learned to use these defense meachanisms for her to survive the jail life.