John wondered if he was retrenched as a result of his bad back, which had been effecting him more and more with each passing year. With this history in mind, the nurse then explored John’s current situation and found the back pain that John experienced often kept him awake at night. John says he doesn’t sleep, so wakes feeling tired and unmotivated. He states he doesn’t feel like socialising because he feels exhausted.
In gathering additional background information, John tells the nurse “he thinks his dad may have had some sort of mental illness”. John also reports that the antidepressant medication was doing nothing other than putting on weight, so John thought it might be better if he just stopped taking it. However, his wife and adult children, who are supportive, have told him not to and this is the only reason he continues to take it.
The nurse then asked John to think about his future. At first John was unable to see any hope - either for re-employment (because working outdoors was his only skill), or for being able to keep his own farm due to how he was feeling and his ongoing back issues. John did agree (after some discussion) that he was interested in finding out if there was anything that could be done for his back. When the nurse asked John how he sustained his injury (a deep cut on his upper thigh), John was evasive, became upset, and refused to answer any more questions.
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