option, she decides to pursue another avenue. She first tries to attempt to see if it would be possible for Mr. Kirby to return home to his son’s house instead. However, all assessments of this possible route are ended with an excuse on the son’s part. It is at this point that the social worker then presents the option of an assisted care facility to the son, which is met with possible hope mixed with guilt (Goodyer, 2010). It is important to note that the options the social worker presents to the son are realistic. She makes sure to not give false hope of an easy road to get home health assistance, which is an vital part in ensuring that an informed decision is made. However, the fact that she completely writes off Mr. Kirby’s family as an avenue for help or strength is not …show more content…
Kirby left the community hospital against all medical advice. He then checked himself into a six week program where he believed that he would he would recover. Unfortunately, Mr. Kirby ended the program short of where he needed to be. Due to his decision to not accept assistance with discharge planning, he lost any choice of where to go. His own home still lacked heat and his family was still unwilling to take him in. Despite his previous statement that he would “rather die that go in an old folks home”, Mr. Kirby ended up in the first home that had a vacancy (Goodyer, 2010). At this point in his life, it would be safe to assume that he became increasingly frustrated with his lack of options for care. Perhaps if Mr. Kirby’s care team, especially his social worker, had worked harder to include Mr. Kirby’s family in his care, things would have gone differently. Had his family been included in his IDT meeting and subsequent care planning instead of writing them off as unhelpful, Mr. Kirby would have had an additional resource that he could actually count on rather than assuming incorrectly what his son could realistically
As a social worker I respect the decisions of the Sanchez family, after all they have the right to make their own choices when it comes to services. As suggested by Deci and Ryan (2012), all humans have a desire to be competent and have a sense of control over their situation. In this family, Mr. Sanchez is making most of the decisions and as a social worker it is important that I accept this because he knows what is best for his family. The members of the Sanchez family have goals they would like to achieve and as a social worker it is my job to guide them in achieving their goals while allowing them to be in total control of their
... this type of knowledge the nurse understood that her patient has a lack of social support and probably depressed. She encouraged Miss. Z to have a positive attitude to her life and current illness. The patient’s knowledge allowed me to understand that the client is having a difficult period in her life. She definitely needs a social worker and a support group to get through this challenging period. In the future I would like to observe more closely how this patient will respond to social worker’s help.
As I was listening to Carol’s story, I realized that her story is one of many patients. Sure, she was lucky that her husband had advocated on her behalf when she was most vulnerable and she took over once she could but how many people could not? Juggling only two balls in the air becomes tricky once we name them “patient care” and “budget”. If we were to place Carol in an ideal hospital, would she have had the same expe...
Ethical principles is focused on the morals and values of the individual who has dementia (Cribb and Duncan, 2002) Decision made by family to have a person who has dementia to live in a residential home from their personal home can be seen as inconsiderate to the individual values. It is for the best for the decision to be made before the individual was ill, the family members will feel less guilty. In the event that circumstances of the family members are not capable of caring it is understandable (Curthbert and Quallington, 2008). On the other hand this could be the best decision as cares in residential homes have skills development to provide professional care (Nice, 2010). Naidoo and Willis (2009) stated that the consequential theory is there to measure the end result of action in this case considering the health and wellbeing of people with dementia. The pr...
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
The vignette indicates that he wants to move back in with his dad. If this is one of his goals it can create some interesting ethical conflicts. Social workers support the client’s right to decide for themselves and pursue a course of action. They also have a commitment to the client. This commitment to the client means that the social worker should be promoting the well-being of the client (National Association of Social Workers, 1999). If Kyle moves back in with his dad this may become a very negative thing in his life. His older brother has been struggling in school because he has to help support his dad. If Kyle moves in he may experience similar struggles in school. As Kyle’s social worker I would help him to see his options and both the positive and negative consequences for his options. If he chooses an option that is detrimental to his well-being we can have a conversation about that. Also, in this initial meeting I will be able to get some answers to the unanswered questions. These answers will shape how the course of therapy and the plan for Kyle.
The foster care system, then as now was desperate for qualified homes. Kathy and her husband had become certified foster parents, she was a certified teacher, and they had empty beds in their home. Their phone soon bega...
When dealing with an ethical dilemma, social workers usually reference back to Reamers 7-step process to help with ethical decision-making. In the given case study, we meet Lori a bright fourteen-year-old who is smart, involved in school activities, and sports. She has had a non-normative impacted life since she was young, such as her mother dying of breast cancer and father dying as well. She has no immediate family and was lucky enough to be placed in a foster home with a family who loves her and wants the best for her.
Formulation of Problem/Needs: The client 's presenting problems are caused by her mother’s emotional verbal abuse. In spite of all, her emotional problems Ana maintains a positive outlook towards her future. Ana demonstrates self-determination as she clearly expresses her current issues. She struggles with overeating because she feels unloved and worthless. Ana is seeking services to overcome the resentment she feels towards her mother. She is requesting help to manage her coping skills and reduce her feelings of depression. According to Ana these feelings started at a young age. Ana’s current challenges are learning to cope with her mother’s verbal abuse. Anna will arrange monthly meetings with her social worker to talk about what methods she’s used to coping with her depression. Ana agrees that she needs to find positive away to communicate with her mother. Ana also stays that she wants to learn to be selfish and break free from the traditional stereotypical life of East LA. Ana would like to begin addressing the following
Also at times, it often seems that help is constrained by risk management and bureaucracy. For example, a social worker stops by to check on her elderly client. When she arrived, she noticed he was not waiting for her. She knocked on the door, and no one answered. She checked the door handle and noticed it was unlocked. She cracked open the door and called out his name, but there was no answer. However, she smelt a horrible smell. She walked in and found her client dead. Kris said, technically, the worker is not allowed to go into their client’s home without permission. However, common sense should be used and sometimes it has to override
al., 2010, p. 103-104). In medicine, beneficence is the foundation of every encounter a clinician has with their patient, they are there to help alleviate symptoms and diseases in order to do good for them. In the case of Ms. R, respecting her decision to live alone will violate this premise of beneficence and go against all the medical advice she has been given. However, like with all decisions in medicine, a patient is presented with options and if the patient is mentally capable of making their own healthcare decisions, their decision should be respected no matter what it is. Nonetheless, just because Ms. R made a decision to live alone and accepts her potential risks, doesn’t mean that her daughter along with the medical team should let her put herself in harm 's way. There are other means of beneficence and nonmaleficence in this case that can be achieved while still respecting Ms. R’s autonomy. Firstly, Ms. R’s daughter can move in with her and be by her side everyday, or if she cannot move in, she can come visit her mom on the days the home health aid is not scheduled, that way someone will be always there to monitor her. Additionally, due to Ms. R’s increased risk of falling along with her other medical risks, the social working can help arrange for Ms. R to receive a
The year this took place was in the 1980s. The social services system was not adequate enough or had the resources to help her. Back than woman could not go to social services and ask for help, with finances, food, or support, because the head of the household had the financial obligation to maintain the home( which tends to be a male).
Sowers, K. M. and Dulmus, C. N. 2008. Comprehensive handbook of social work and social welfare. Hoboken, N.J.: John Wiley & Sons
Unfortunately, her mother lived in poverty as this is the way her future was molded. The client was raised in a single parent household in which her mother worked two jobs to support the children. The client graduated high school and completed one year of vocational school to become a hair stylist. Her oppression once again rises to the surface with her pregnancy and dropping out of school. This was her one hope to regain her status in society. The client currently lives with her 60-year-old boyfriend who is oppressing her to live and abide by his rules since the apartment is in his name. The client feels obligated to follows his way of life and may fear the self-confidence to take the necessary steps to