List 3 non-medical problems Katy Adams is experiencing and corresponding ways you could assist her. She had recently begun a new job as licensed registered nurse, having spent many a night and weekend putting herself through school, and her divorce from John was finally complete.

On her 28th birthday Katy Adams felt that her life was finally just beginning. She had recently begun a new job as licensed registered nurse, having spent many a night and weekend putting herself through school, and her divorce from John was finally complete. Katy had married John when she was 19 years old, a relationship that was wrong from the beginning. She was pregnant with her first child when they were married and her twins were born just two years later. The responsibility was more than John, who was a drug user and a gambler, could bear and he drove the family deeply into debt. Katy and the children were often the object of his explosive anger. They separated after 4 years of marriage and miraculously the courts had exonerated Katy from much of John’s debt and awarded her full custody of the children. John was only permitted monthly supervised visits of the children, an opportunity he often failed to follow through on. He was also ordered to pay child support but has failed to follow through on this obligation.

Katy felt a great sense of pride in bringing her life together, which she had done largely on her own. Her mom, who lives with Katy’s sister in Hempstead, NY, had given her a small savings account to help with school and her two best friends had helped watch the children while Katy went to class. Now in her first real job Katy has a decent salary, just enough to keep food on the table, pay for day care, and rent a small upstairs apartment in an elderly couple’s home in Bayport, but not enough to pay for child care which is $500/week. At that the insistence of her girlfriends, she went to the Department of Social Services (DSS) to apply for child care services which was approved.

At first the symptoms were barely noticeable. Katy felt an occasional odd spell of dizziness which she dismissed as probably an inner ear infection. Then there were moments where she noticed an odd taste in her mouth which concerned her but did not seem like the kind of thing she ought to bother the doctor with. That same week she was sitting with her girlfriends when she suddenly “went blank” and could not remember where she was or what she was doing. Her girlfriends forced her to go with them to the ER at Brookhaven Hospital.

At the ER her awareness returned and she felt a little better. Now frightened, she waited patiently to be examined. The ER doctor took a brief history and sent Katy for a MRI scan. The scan revealed the unmistakable shadow of a tumor growing in Katy’s brain. The ER team called in a neuron-surgeon, Dr. Simons, who told Katy what the scan revealed and who told her that he would like to schedule surgery for the very next day. “But I’m a mother!” Katy said. To which the doctor replied, “I know.” So she countered with, “But I have two little kids!” And he said, “You have a brain tumor, but you’re going to have surgery and you’re going to be fine.” “I’m sorry,” Katy replied, “I just need time to think about this and make arrangements for my children!”

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