Sample Case Study Paper on Andrew

Andrew is a 64-year-old man who is divorced and lives alone in his own
home, a mudbrick house he built himself on 20 acres of land
approximately 25 kilometres from the local regional centre. He retired
early from his former job as a primary school teacher following a serious
motorbike accident that resulted in an acquired brain injury (ABI), two
years ago. As a consequence of this injury Andrew was able to access his
superannuation funds early, which is his sole source of income. Once a
week Andrew’s friend and neighbour Jim takes him to the local
shopping centre to purchase his groceries, collect his mail and do any
other necessary tasks that need to be done. Andrew no longer rides or
drives following his ABI.

Since his accident, Andrew has trouble with his memory, so he makes
sure that he keeps a list of what he needs to get when he goes shopping,
although this list doesn’t change from week to week. Jim occasionally
convinces Andrew to pick up something different when it is on special,
but as groceries bought reflect a balanced diet, he has not been
concerned about Andrew’s shopping choices. Jim has noticed that
Andrew was including more beer and whiskey in his weekly purchases
than he had previously. He doesn’t feel comfortable to talk about this
with Andrew.

Andrew looks forward to his day out with Jim each week, as they always
stop at the pub for a counter meal for lunch and a few drinks. Jim has
recently started to joke about Andrew’s visible weight loss despite the
large meals and drinks he observes Andrew consuming while they are
out. He keeps telling Andrew he must have worms to be able to eat the
way he does and be getting skinnier. Andrew says it is just that eating is
better when you have company and best when you don’t have to cook
for yourself. He also confides to Jim that cooking for one is annoying
and he sometimes isn’t in the mood to do it, so he just has a few drinks

Most days Andrew spends working on his block, cutting up fallen trees
in preparation for his winter heating or clearing out weeds to minimise

potential fuel for summer bushfires. He has been contemplating
reviving his vegetable garden beds, but he often finds himself throwing
shop-bought vegetables he hasn’t used each week into the compost
pile. He also composts much of the fruit he harvests from trees he
established when his children were young. Composting usable produce
makes Andrew sad, as he feels he is failing to live up to the values that
have always shaped his life. He gives away as much as he can of the fruit
he grows to neighbours and his occasional visitors.

Other than maintaining his land and home, Andrew’s main activity is
playing the multiple instruments he has collected over the years. He
spends hours each day, mainly in the evenings, practising in an effort to
regain and maintain his musical skills. Once a month his friends Damo,
Nick and Pete, who he used to play with in a band, come over for an all-
day jam session. Andrew enjoys this interaction with his old friends,
especially as he is far more comfortable engaging in making music than
trying to hold a conversation. Andrew is aware that many people he has
met following his accident get a little impatient when talking with him,
as he often struggles to collect his thoughts and sometimes has
difficulty expressing himself.

When planning your assignment, it is useful to deconstruct the assessment question
and marking rubric to see what the examiner is looking for you to include in your
response. In this assessment task you are required to write an essay which has several
components that need to be addressed. These components are easier to identify when
you separate out the assessment instructions.

1. Analyse the client scenario provided. Examine relevant social determinants of
health and their influence on the client.
This instruction informs you that by identifying and explaining the social determinants that
are influencing the health of the people in the case study, you are analysing the situation.
Note that if you are discussing a theoretical concept, such as the social determinants of
health, you will first need to explain or define this concept.
*Explain what is meant by the social determinants of health.
*Identify potential social determinants influencing the health of the
characters in the case study.

*Discuss why these social determinants are influencing the health of the
characters in the case study.

2. Consider potential enablers or barriers to health equity.

This instruction requires you to explain the concept of health equity, before you can discuss
what might aid or inhibit the achievement of this for the characters in this case study.
*Explain what is meant by health equity.
*Explain what is meant by barriers and enablers.
*Identify potential barriers and enablers relating to achieving health equity for
the characters in the case study and explain why these exist.

3. Apply appropriate health promotion strategies to develop a plan of action using one
of the five strategies presented in the Ottawa Charter to mitigate the influence of one
of the social determinants identified.
This instruction identifies several concepts that need to be explained in your answer. First,
explain what the Ottawa Charter is. Second, identify and explain the five strategies outlined
in the Ottawa Charter. You then need to select one of the social determinants that you have
previously identified as influencing the health of a character in the case study. Discuss how
you could use one of the strategies identified to minimise or overcome the negative influence
of the social determinant or the barriers related to this social determinant that prevents
health equity.
*Provide an explanation of the Ottawa Charter.
*Identify and explain the five strategies or areas for action outlined in the
Ottawa Charter.
*Explain how to address a specific social determinant using one strategy from
the Ottawa Charter.

Please note that this criterion is worth twice as many marks as any other section, so
spend twice as much effort on this component.

MINIMUM number of references to be cited – 8

Some basics on writing essays

The standard academic essay comprises three components – the introduction, the
body of the essay and the conclusion.
The purpose of an introduction is to inform the reader of what they can expect to read
about in the essay. Usually you do not include citations in an introduction.
The body of the essay is where you express your ideas in relation to the assessment
task. These ideas need to be clustered together in small parcels of related information,
i.e. paragraphs. It is good practice to commence a paragraph with a topic sentence,
which provides the reader with an idea of what the paragraph is going to be about.
The order in which you present your paragraphs should assist the reader to logically
follow your thinking or argument. Remember to support your thoughts with evidence,
i.e. cite the source of information which has caused you to think the way you do. Use
the marking rubric to guide the flow of information you present. This makes it easier
for the examiner to follow. Anything that makes it easier to read your work will stop
them from getting grumpy!
Finish your essay with a conclusion. This simply summarises the key points of your
essay, and should not include any new information.