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Brian’s	
  story	
  
Enhancing body structures and functions
Introducing	
  Brian	
  
Brian is 76 years old and retired
at 65 from work as the owner of
a successful family owned
business.
He has a good pension that
enables him to live his life
without the financial worries
that many older people have.
Introducing	
  Brian	
  
In the past Brian dealt with the
stresses of working by smoking
and drinking heavily.
He has now quit smoking and
drinks moderately.
His wife died two years ago.
In that time he has put on
weight and has been diagnosed
as clinically obese.
Introducing	
  Brian	
  
Brian lives in a four-bedroomed
detached property.
He is fiercely independent in
terms of maintaining his personal
care, not wanting ‘outsiders to
come in’ and care for him.
As a former engineer, he is really
interested in new technology,
and considers himself computer
literate.
Brian’s	
  health	
  
Vision	
  and	
  hearing	
  
Brian’s eyesight is
failing rapidly. The likely
cause of this is age-
related macular
degeneration.
In addition his hearing
is not as good as it
used to be.
Source: Macular Disease Society (2009)
Heart	
  and	
  mind	
  
He has been diagnosed
with congestive cardiac
failure.
The impact of this and
his obesity has reduced
his stamina and makes
breathing more difficult.
More recently Brian has
developed short-term
memory problems.
Source: MacDonell (2009)
Effects	
  on	
  Brian's	
  life	
  
Many aspects of Brian’s life
have been affected by these
medical problems.
However, he particularly
notes problems in the
following areas:
Effects	
  on	
  Brian's	
  life	
  
Many aspects of Brian’s life
have been affected by these
medical problems.
However, he particularly
notes problems in the
following areas:
There have been several
occasions when Brian has
missed callers because he
has not heard the doorbell or
phone – especially when he
is upstairs or in the kitchen
at the back of the house, or
is listening to the radio.
Effects	
  on	
  Brian's	
  life	
  
Many aspects of Brian’s life
have been affected by these
medical problems.
However, he particularly
notes problems in the
following areas:
On several occasions
recently, he has forgotten
to take his heart
medication at the right
time.
He has become quite
worried about this; and
sometimes is uncertain
whether he has taken it or
not.
Effects	
  on	
  Brian's	
  life	
  
Many aspects of Brian’s life
have been affected by these
medical problems.
However, he particularly
notes problems in the
following areas:
Brian’s favourite
supermarket is within
walking distance.
However, he is finding more
difficult to maintain the
stamina for his weekly
shopping-trip; and he finds it
difficult to read labels,
prices, etc.
Effects	
  on	
  Brian's	
  life	
  
Many aspects of Brian’s life
have been affected by these
medical problems.
However, he particularly
notes problems in the
following areas:
He has also indicated to his
GP that he has felt
increasingly ‘down’ and
anxious as the second
anniversary of his wife
passing away approaches.
Although he misses his wife,
he doesn’t think this is grief,
but more to do with the fact
that he feels generally lonely.

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Brian: Case study

  • 1. Brian’s  story   Enhancing body structures and functions
  • 2. Introducing  Brian   Brian is 76 years old and retired at 65 from work as the owner of a successful family owned business. He has a good pension that enables him to live his life without the financial worries that many older people have.
  • 3. Introducing  Brian   In the past Brian dealt with the stresses of working by smoking and drinking heavily. He has now quit smoking and drinks moderately. His wife died two years ago. In that time he has put on weight and has been diagnosed as clinically obese.
  • 4. Introducing  Brian   Brian lives in a four-bedroomed detached property. He is fiercely independent in terms of maintaining his personal care, not wanting ‘outsiders to come in’ and care for him. As a former engineer, he is really interested in new technology, and considers himself computer literate.
  • 6. Vision  and  hearing   Brian’s eyesight is failing rapidly. The likely cause of this is age- related macular degeneration. In addition his hearing is not as good as it used to be. Source: Macular Disease Society (2009)
  • 7. Heart  and  mind   He has been diagnosed with congestive cardiac failure. The impact of this and his obesity has reduced his stamina and makes breathing more difficult. More recently Brian has developed short-term memory problems. Source: MacDonell (2009)
  • 8. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas:
  • 9. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas: There have been several occasions when Brian has missed callers because he has not heard the doorbell or phone – especially when he is upstairs or in the kitchen at the back of the house, or is listening to the radio.
  • 10. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas: On several occasions recently, he has forgotten to take his heart medication at the right time. He has become quite worried about this; and sometimes is uncertain whether he has taken it or not.
  • 11. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas: Brian’s favourite supermarket is within walking distance. However, he is finding more difficult to maintain the stamina for his weekly shopping-trip; and he finds it difficult to read labels, prices, etc.
  • 12. Effects  on  Brian's  life   Many aspects of Brian’s life have been affected by these medical problems. However, he particularly notes problems in the following areas: He has also indicated to his GP that he has felt increasingly ‘down’ and anxious as the second anniversary of his wife passing away approaches. Although he misses his wife, he doesn’t think this is grief, but more to do with the fact that he feels generally lonely.