Clinical Writing Sample
Initial Overview
Raleigh Michelle Mallory is a 32 year-old, pregnant, twice-divorced, Native American female from Neah Bay, Washington. Ms. Mallory moved to Port Angeles, Washington when she was seven years-old, with her mother who was facing employment challenges on the Neah Bay Reservation. She vividly expressed during this recollection her past/present struggles with the dichotomous nature of tribal expectations and cultural integration associated with living outside of the reservation as a Native American on the Pacific Peninsula. In terms of family structure, Ms. Mallory is the second-child of a single-parent family. Her mother worked at a local grocery store for twenty-years before retiring, leaving her to oversee her sister to whom she …show more content…
Mallory entered services at 29-weeks through self-referral after suffering three miscarriages between 12-13weeks gestation within the last five-years with a self-articulated goal to reduce stress, fear and to promote healthy bonding with her unborn infant. She has no prior history with drug abuse, mental-health illness or articulated past health/social concerns. However, she self-reported anxiety and fear over losing her existing pregnancy and that she received no mental health follow-up regarding past losses, extending to her medical care. Furthermore, Ms. Mallory has not received specialized care, diagnostic testing or a medical diagnoses for her recurrent pregnancy loss. It is unclear as whether she has received proper prenatal care during her former pregnancies due to her unwillingness to elaborate on the subject. However, she reports having great rapport with her current physician and that she attends appointments with her regularly. She is currently dependent on Apple Family Health and has been referred to Swedish Hospital in Seattle, Washington for specific follow-up, but has not followed through with their recommendations due to a self-reporting dislike of cities and travel in
Initial Overview
Raleigh Michelle Mallory is a 32 year-old, pregnant, twice-divorced, Native American female from Neah Bay, Washington. Ms. Mallory moved to Port Angeles, Washington when she was seven years-old, with her mother who was facing employment challenges on the Neah Bay Reservation. She vividly expressed during this recollection her past/present struggles with the dichotomous nature of tribal expectations and cultural integration associated with living outside of the reservation as a Native American on the Pacific Peninsula. In terms of family structure, Ms. Mallory is the second-child of a single-parent family. Her mother worked at a local grocery store for twenty-years before retiring, leaving her to oversee her sister to whom she …show more content…
Mallory entered services at 29-weeks through self-referral after suffering three miscarriages between 12-13weeks gestation within the last five-years with a self-articulated goal to reduce stress, fear and to promote healthy bonding with her unborn infant. She has no prior history with drug abuse, mental-health illness or articulated past health/social concerns. However, she self-reported anxiety and fear over losing her existing pregnancy and that she received no mental health follow-up regarding past losses, extending to her medical care. Furthermore, Ms. Mallory has not received specialized care, diagnostic testing or a medical diagnoses for her recurrent pregnancy loss. It is unclear as whether she has received proper prenatal care during her former pregnancies due to her unwillingness to elaborate on the subject. However, she reports having great rapport with her current physician and that she attends appointments with her regularly. She is currently dependent on Apple Family Health and has been referred to Swedish Hospital in Seattle, Washington for specific follow-up, but has not followed through with their recommendations due to a self-reporting dislike of cities and travel in