Social History:

Social History:

Mr W is a 52-year-old Caucasian male, unemployed and separated from his wife. He has two children who live interstate. He currently lives in a two-bedroom housing commission flat on the second floor. He has been trying to lose weight and increase his exercise for the past 6 months without success. He drinks two bottles of beer every night and a glass of wine with dinner. He also smokes 8 cigarettes a day.

Relevant Medical History:

Diabetes mellitus type 1, kidney failure on haemodialysis X 3 times a week

Chronic back pain which he sustained 10 years ago on a building site

Depression

Substance dependence

Coronary artery disease (CAD), was diagnosed 3 months ago

Obesity

Presenting Problem:

Mr W has revealed that he has given up hope and has stopped taking his antidepressant medications. Mr W had indicated he is not in a good relationship with his two sons and that he has not seen either of them for the past 3 years. Mr W has also indicated that he is lonely since he does not go out due to his mobility issues. His GP has recently referred him to a vascular surgeon for a review of a black discolouration on his right big toe.

Assessment 1: Case study. Case study was taken from Chang and Johnson (2022).