Comprehensive record for patient: Flint, Charles

Note: These "patients" have been constructed for the purpose of this case, and have no basis in reality. Any resemblance to persons living or dead is purely accidental, and a possibly a demonstration that randomness leads to strange coincidences.

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Patient: FLINT, Charles

Rank Order:

Gender: M
Race: W
Age: 21
Marital Status: Single
Time waiting: 3 months

Religion: First Reform Church
Employment: student - ***
Education: College student
Family residence status: N/R
Insurance: Medicaid I; full coverage inpatient and outpatient

Attitude (patient & others)

Family Records

Patient Family Information (top)

Members of patient household
relationship age empl. or School
father 45
mother 46
brother 21
sister 17
brother 15
brother 12
sister 2

Comments (top)

Mr.Flint lives in an apartment in [college town] with three other students. He plans to return to his parent's home it *** when this school term ends.

Social History of Patient (top)

Early history, including family and peer relationships, cultural and geographical background, health, economic and other factors which may have effected patient. Include present family situation.

Now a student, he expects to obtain his BA degree; graduated
Single, never married

Personality Structure of Patient (top)

Include self-image, stability, focus of life activities, ability to cope with stress, etc.
N/R

Attitudes (top)

Patient's Attitude Toward Illness and Proposed Treatment

Include initial impact of illness, changes in life activities, reactions to and ability to follow medical treatment program, and goals patient sees for self with proposed treatment

Has difficulty tolerating restricted life on machine - feels he is not normal and can not have a normal life. Wants transplant so he can be like others - work and achieve goal.

Attitude of Significant Others

Include attitude toward illness and proposed treatment, ability to participate in proposed treatment, ability to give emotional support to patient, and changes in relationship with patient since onset of illness.

Family is apprehensive and would prefer that Charles stay on dialysis - They are, however, allowing him to make his own decision.

Referral Text (top)

Date of first dialysis: July 26, 1970 (peritoneal); Aug 23, 1970 (hemodialysis)

Religion: First Reform Church

Marital Status: Single

Parents:

Mother, age 46 (***). Mrs Flint has a high school degree and has been unemployed for over 21 years. She states that her health is "very good." Mrs. Flint, with tears in her eyes, talked about her concern for her son and her fears related to him leaving home and returning to school in his present physical condition. She also expressed concern over what would be the most effective role for her to now play in her son's life. She appears to be extremely torn between keeping her son home and protected or letting hims lead an independent young adult life.

Father, age 45 (***). Mr Flint has a high school degree and is self employed as the owner of [utility company]. He states that his health is "good."

Siblings:

Brother, age 21. Married. Employed at [grocery store chain]
Sister, age 17. Senior in high school. Lives with parents.
Brother, age 15. Sophomore in high school. Lives with parents.
Brother, age 12. Seventh grade. Lives with parents.
Sister, age 2. Lives with parents.

Education
The patient graduated from *** High School in 1967 with a B+ average. After high school, he attended *** Junior College for two years and then transferred to *** where he is presently a senior. The patient states that he has maintained a C+ average at ***. Mr Flint states that his plans after graduating are indefinite at this time.

Employment:
Mr. Flint states that he was employed at *** for two years as a "general laborer." He worked full time while attending *** Junior College. The patient states that he left the job due to the fact that he transferred to ***.

Housing:
The patient lives with three other college students in a two-bedroom apartment which is located in [college town]. Mr Flint states that he and the other boys take turns preparing the meals and performing the homemaking duties. Apartment is located 30 miles fro the hospital.

Lodges or fraternities: none

Social
The patient states that his favorite hobby is hunting. He does not have a steady girlfriend and does not appear to enjoy the college social life. He states that he does enjoy "dating aroung every now and then."

Patient Resources

Source of income: Father's earnings less than $10,000 per year
Bank account: savings account at ***; balance-$3,000
Property: Home at ***; Mortgage holder: ***; Monthly payment: $125; Value of home: $20,000; Amount of mortgage: $5,000
Patient insurance: a. Medicaid; b. *** Insurance: face value of $5,000; c. *** Insurance: face value of $1,000
Patient's insurance: unknown
Automobile: 1966 Oldsmobile (parent's); 1963 Chevrolet (patient's); Financed at ***, Balance $1,000

Followup - January 1971
The patient has shown a progressive adjustment to both his physical limitations and his diet restrictions during these first threee months of treatment on our unit. He appears to have maintained quite a normal life outside of the hospital and has been able to continue his education at ***.

Charles is an intelligent young man who has taken a great interest in learning about all the phases of his treatment. It is felt that explanations and discussions with the patient regarding his medical treatment, medication and complications is the most effective approach at this time. He has appeared to be more at ease and cooperative when he is fully aware of the reasons for action taken.

The patient talks freely and easily regarding his fears about his physical condition and his life in general. Future services to this patient should involve emotional support and constant reassurance.