Miss W is in the last year of her schooling, opting to go out to work through an internship programme rather than continue her education in the school environment. Miss W is a single child of divorced parents. She spends her time between both parents on an agreed weekly schedule. Overall, she has an acceptance of the situation however, does not appear to have a close relationship to either her father or her mother.
Case overview
Mrs J is a married lady in her 50’s who works on a daily basis within her family business. She understands the importance of taking care of herself though diet and creating “me time” in which she focuses on her wellbeing, very often outside in nature. Diagnosed as coeliac several years ago, consequently avoids all wheat and gluten products.
Mr G. is a 59 year old self employed man who enjoys winter sports, but does not actively exercise on a daily or weekly basis. As a widower he cooks for himself in the evenings after a full day at work. He came for a consultation for two main reasons: low libido and feelings of sluggishness. His third priority within the consultation was for hay fever that he has suffered from since his mid teens and which usually comes on in March, but for the last two years has started in January.
Mrs D is a 43 year old female of Afro-Caribbean descent. She works part time and is a mature student. On 25th December 2016 her sister died of breast cancer. She was on her way to see her in Barbados, but never got to say “goodbye” arriving after her death. Understandably, this loss caused Mrs D considerable grief. When she came to see me she had been suffering pain radiating in her lower back on the left side for some time, which also sometimes caused her severe nausea. After an ultrasound, cervical smear and CA125 test (tumour markers), her doctor diagnosed the pain as a functional ovarian cyst (suspected benign) which was 5cm in size and was putting pressure on the lower back due to lack of space for growth.
Mr M started suffering with Gout in his mid 30’s. It was something his Dad had experienced, and simply thought that it was a genetic issue and there was little that could be done. Initially the attacks were roughly six months apart, which sometimes resulted in the need to take very occasional days off work due to the discomfort and pain. Gout is when the body is unable to break down uric acid that can lead to the formation of crystals especially in the joints, causing extreme inflammation and pain, especially in the big toe.
This case study is about a very active, self employed 50 year lady who demands a great deal of herself and of others both mentally and physically due to the nature of the business. She runs a business that has several divisions, employing approximately 20 full time team members across all divisions and reporting into a board of directors. In addition to the full time staff she also has an apprenticeship scheme with at any point in time supports 10-12 students.