Referral for the Jones family

Anna (age 35) and Tom (age 36) Jones have an appointment with you for an evaluation of their son, Joshua, who is 5 years old. They bring all their children to the appointment, including Tommie (6 months), Joshua (5), Sally (7), Mari (11), and Janey (15). You quickly recognize that the entire family needs assistance, not just Joshua.

Joshua was recently diagnosed with acute myeloid leukemia, and he is not expected to live more than a few months. He has been withdrawn and irritable, is crying a lot, and has not been interested in playing or doing the things he used to enjoy before his diagnosis. Also since the diagnosis, his siblings have been fighting a lot at home with each other and their parents and refusing to do their chores. Mari and Janey, the two oldest, are refusing to go to school.

From Discussion 13.1: Case Study: Joshua Jones, choose Joshua, one of his parents, or one sibling to refer to another healthcare professional for grief counseling. Use the Bereavement Progress Referral Note (Word) (Links to an external site.) template to write a progress referral note supporting your referral with DSM-5 Persistent Complex Bereavement Disorder criteria and a summary of an evidence-based article. In addition, identify a national or community resource for your patient.

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