Case Example: Bob (male, 65)
This interactive case study will provide participants with an opportunity to practice their OARS skills as they respond to a series of challenging issues during visits/discussions with Bob (the client).
Brief description of the patient:
Bob is a 65 year old client with chronic-obstructive pulmonary disease (COPD). His primary care practitioner has recommended that he attend a Pulmonary Rehab Program. Bob is quite sedentary but is fairly adherent to his medication regime. He has had 2 exacerbations in the last year, one of which hospitalized him for 3 days.
Presenting issues:
- Bob sits in his apartment for days on end. His wife cannot get him to accompany her on outings such as shopping, visiting, and socializing.
- He is becoming weaker, has decreased muscle mass, is experiencing more shortness of breath (SOB), and has become more anxious, leading to more SOB (vicious cycle).
- Bob is becoming increasingly depressed as he is more dependent on his wife to do things for him.
Motivational Issues
- Bob realizes that his isolation is increasing his loneliness.
- He realizes that each hospitalization leaves him weaker (decreased lung function).
- the less active he is, the more SOB