Question

Kylie is a 38 year old female seeking stress management through massage. Kylie has a high stress, fast paced career working in advertising. Kylie is regularly entertaining clients and eats out for lunch and dinner most days of the week. She tries to eat healthily, but regularly has a glass of wine at lunch and more wine and cocktails in the evening. Kylie explains this as ‘the way it is’ in the industry she works in. Kylie is a ‘gym junkie’ attending gym 6 days a week and working out for between 1.5 - 2 hours each time. Kylie has hyperthyroidism and is currently not on any medication. Kylie also has varicose veins.

Question:

Client Background

Provide a brief summary of the clients presenting condition including the pathophysiology and signs and symptoms of the condition/s presented.

2. Observations & Assessments

Outline the types of observations and assessment methods you would perform with this client (this can include the results of medical tests the client presents with).

3. Questioning

List at least 5 questions that you could ask this client to get a deeper understanding of the clients health status

4. Analysis

Based on the information provided in the case study, analyse the clients health information. (I.e. draw conclusions and highlight any other health risks that you may need to be mindful of with this client)

5. Considerations

List below anything you need to be mindful of when treating this client, i.e any potential risks, areas to avoid, treatment types to avoid.

6. Treatment Plan

Outline below your treatment plan for this client

Answer 1

Client background:

As stated client kylie belongs to fast paced lifestyle due to career in advertising sector, the major health issues which may she face in her daily routine is stress due to cortisol in the bloodstreams, different mental health issues, mood and behavior disorders such as anger. Because of this she may have physical, emotional, mental problems. Anyway, the result is people who have fast paced lifestyle like kylie need to switch over to healthier lifestyle.

Observations:

Stress, varicose veins, Hyperthyroidism, Obesity due to junk foods and excess wine consumption.

Assessments:

1. Check blood pressure and weight as primary assessment.

2. Calculate BMR

3. Pathology tests can be done w.r.t. hyperthyroidism such as T3 T4 TSH.

4. Assessment w.r.t leg ulcers if any.

Questioning:

How much wine she consumes on daily basis? How much time she spend on work with sitting at one place for longer time? and question should be asked related to her food habits to understand the cause of obesity and weight gain.

Consideration:

1. Stress management with massage which is she already going through should be continued once in week.

2. Should seek for proper medical counseling for hyperthyroidism and varicose veins I would suggest to go for Antithyroid medications such as PTU and Tapazole.

3. For varicose veins would suggest trying some NSAIDS.

Treatment Plan:

1. To have some quality time with family apart from professional life or small vacations.

2. Spend more time for self with kids it will help to deal with emotions and stress.

3. Also would suggest to have run or walk around the parks instead of gym and reduce gym timing to 1-1.5 hrs five times a week along with proper trainers workout plan which help to manage the weight.

4. Avoid excess of drinking wine it will automatically reduce stress as excess wine is one of the cause for stress. half glass of wine along with meal is enough twice or thrice if can't be avoided.