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Case Study

In: Social Issues

Submitted By klindsey
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Case Study
BSHS/325
December 8, 2014
Maria Perrotta

Case Study Human services provide help to many in need. Human service professionals need to be able to be provided with general information, the case information, about an individual, and understand the needs of the client. This case study involves Michael and his relationships, his roles, and the effects of his unhealthy habits.
Michael’s Basic Information and Relationships Michael is a single 45 year old male with no children and he is a practicing attorney. He volunteers for a youth mentoring program for male youths. He is currently dating Tina, whom he is considering marrying. Tina has three adult children. He seems to be unable to confront Tina about whether or not she loves him and would accept an offer of engagement. Michael is 200 pounds overweight, eats high-fat and high calorie foods, and is currently on high blood pressure medication. His recent visit to his physician has encouraged slight and immediate changes to his diet. Michael has no desire to go to the gym or to exercise. Exercising would allow him to feel better and may help with the psychological problems of not talking with Tina or Taylor, his sister. He lives with his sister, who is HIV positive. They are very close. Taylor does not work, although she is physically capable of working. She does help Michael with cooking and cleaning. Michael and Taylor no longer discuss each other’s health issues because of the problems it causes in their relationship, even though he is very concerned about how she may be spreading HIV willingly due to her having unprotected sex with her partners. Taylor accompanies Michael when he volunteers. Michael has a great support system and connections at the church he attends, and he is a free spirit who does not worry.
Michael’s Roles Michael’s roles are changing. He went from being a single man with no children to dating a woman with three grown children. He is considering becoming a husband and step-father if he decides to ask Tina to become engaged. He has the role of provider to Taylor because she is unwilling to provide for herself. He, also, has taken on a dual-dependent role with his sister. They seem to need each other, yet, are unwilling to discuss health concerns they are each facing.
Effects of Unhealthy Habits The first unhealthy habit is the high-fat, high-calorie diet Michael consumes in addition to his obesity. He already is on medications for hypertension, but, there are many other health risks due to obesity. These include type 2 diabetes, cardiovascular disease, nonalcoholic fatty liver disease, and cancers of the breasts, colon, endometrium (women only), and kidneys (Holt, 2014). He has begun to make dietary changes, but, he needs to continue moving forward with weight loss in order to lower his risk to illness and disease. Michael’s second unhealthy habit is his lack of wanting to go to the gym or participate in any exercise. Exercise has many benefits. It: * * Improves body functioning * Decreases fatigue * Improves flexibility * Improves muscular strength * Assist in weight management * Decreases cardiovascular risk * Lowers risk of type 2 diabetes * Contributes to good overall health * Decreases the effects of aging (Landolfi, 2013).

Michael should exercise to gain all the benefits of exercise. He would also feel better and maybe not have the insecurities that he has, which is the third unhealthy habit. Michael has as an unhealthy habit in his insecurity about Tina’s love for him and accepting criticism from Taylor. Michael should probably see a counselor to be able to discuss why he has these habits. He’s afraid to ask Tina to marry him and won’t because he doesn’t know how she feels. He should be open enough to discuss with her whether or not they love each other. He’s afraid to face the realities of what he’s dealing with. This includes not only Tina but the criticism from his sister or maybe a lack of it because of her fear of facing her health issue. Michael needs to be able to confront the problems in his life. A fourth unhealthy habit for Michael is providing and taking financial care of his sister. Families, not just the individual are affected by HIV (Rotheram-Borus et al, 2005). He needs to consider the financial implications on his future of he continues to support Taylor while she is still able to work. According to Rotheram-Borus, et al (2005) “HIV is the fastest way for a family to move from relative wealth to relative poverty” (p.981). Almost 50% of HIV positive people are within the young, working ages of 15 and 45, taking a huge toll on the economy when they are unable to work. These families tend to use their savings and take out loans to help defray the costs of treating their illness. This leaves them in financial straits and in huge debt (Rotheram-Borus, et al, 2005).
Conclusion
Michael will need to work with human service professionals in order to face and manage his unhealthy habits. He can work on his relationships and determine what roles he wants to fill. Human service professionals can guide and direct and give him the choices for what he wants to do and the goals he would like to set. Michael can be happy, healthy and in strong relationships that benefit both him and the other person.

References
Holt, G.R. (2014, 06). The effects of obesity. Southern Medical Journal, 107(6), 341.
Landolfi, E. (2013, 02). Exercise addiction. Sports Medicine, 43(2), 111-119.
Rotheram-Borus, M.J., Flannery, D., & Rice, E., Lester, P. (2005, November). Families living with HIV. AIDS Care, 17(8), 978-987.…...

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