For this assignment, you will revisit The Case of Marie, which you ?can complete using the link in the Resources. You will assess the needs ?of all relevant family members

The case of Marie

Marie is 68 years old and is part Scottish and American Indian. She lives in a town that provides a sense of security for her because she lives close to her two daughters. Before her moved she lived in the same little rural town for majority of her adult life.

She started out working for others and in her late 30’s decided to stop working for others and open her own business. That business was very successful but required long hours and hard work. She derived a sense of accomplishment from her business that could not be matched at any time in her life. She loved the interaction with others but could no longer keep up with the physical demands from the business. She retired 3 years ago. Marie is not wealthy but is capable of maintaining her home and lifestyle. She reports that now that she is retired she likes to read and feels most comfortable in her own home.

She currently reports feeling like she has no purpose. About 5 years ago her best friend and husband died of cancer. She and her husband had been married for 47 years at the time of his passing. She was profoundly shaken by this loss. Upon assessing her living arrangements at the time of his death, decisions were made in consultation with her two children to sell the business and move closer to her daughters. The move has been a positive and negative impact – positive due to the being around others who care for her yet negative due to the stress of being around younger children. She reports becoming depressed and anxious around the anniversary date of her husband’s death.

Marie has two children Lisa who has just turned 50 and Toni who is in her mid 40’s. Both Lisa and Toni have young children of their own. Lisa who is a single mother by choice with twins who are 4 years of age. Toni who is married and has one child who is 5. Both children live close by and visit often. When they do visit, Marie complains that the children make her stressed and tired. Lisa and Toni are concerned about their mother’s ability to tolerate the activity of the children. They want their mother to enjoy her grandchildren as much as possible.

Lisa is dependent on pain medication due to an injury that she encountered at work several years ago. She still functions fully as far as work and social life. She has challenges with the twins that she is raising and yells at them frequently to the point where one of the children is beginning to yell back at her and become defiant. She frequently asks for assistance from Marie with the children. The preschool has reported that this same child is having difficulty with social relationships, emotional connections but reports no negative behavioral issues.

Toni lives with her husband of 10 years and her daughter who is 5 years of age. Marie reports that Toni is supportive of her and provides emotional support when needed. Toni has been caring for her mother during the medical procedure that has been recently conducted.

Marie has just recently undergone an extensive knee replacement and is in physical therapy to regain her mobility. She has been taking prescription drugs for pain but refuses to take them as directed by the physician due to her experience with Lisa. She takes the pain medication only if she is in debilitating pain. Marie often reports having difficulty with her memory because she has to check on things more often such as closing the garage door when she leaves, or to check to see if she has locked the door before bed etc. She is extremely concerned about losing her cognitive abilities.

Toni has privately asked for your help in looking for an assisted living facility for Marie-she believes her mother is having increasing difficulty living on her own, and doesn't feel she can provide consistent aid. She also thinks her sister is taking advantage of her Marie's availability to watch her children. Lisa has privately urged you to convince her mother to start taking her pain medication, as well as asking you to help explain to Marie how beneficial it is for children to have a grandparent involved in their lives. Marie has recently told you that she thinks Lisa may have taken an unopened bottle of her pain medicine.

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Ethics And Diversity In Family Practice

Patrice Scope

SWK/5007

Capella University

7/24/22

Before attempting to solve the problem, it's critical to do a full assessment of the situation while dealing with Marie and her family. After looking at the National Association of Social Workers' fundamental methods for resolving ethical issues, it's clear that there are six steps one must take before acting. When a social worker is given a case, their first step is to determine whether or not an ethical issue exists. Analyzing the situation is essential if we are to understand the underlying reasons and how they impact the subject. The second step is to identify the variables and their underlying principles. The social worker then prioritized the ethical problems based on their relevance to the situation. The best course of action for Marie would then be selected, leading to the formation of an action plan. Afterwards, the plan would be implemented. Marie and her family would be involved in determining what is needed and achieving specific goals as part of this. After that, the group would reflect on what really happened. The team will decide whether or not to repeat the therapy if Marie is dissatisfied with the results.

In order to obtain all of this information, it will take more than a single day. During this stage of the assessment, it may take a social worker a few weeks to get to know the client and establish contact with the client's team. Because Lisa may be abusing Marie's time and medicine, we would need to obtain information about her needs and desires from her, talk to Lisa and Toni, and collaborate with them on a plan that supports Marie in order to make moral judgments in this circumstance. For example, I'd want to know more about the grandmother's interactions with her family and what she thinks is best for herself.

After finishing the intake and any other assessments, I'd meet with my supervisor to continue looking into this situation. As I gained more information, I would discuss any ethical issues with them. One example would be Lisa's theft of Marie's pain medication and her refusal to follow Marie's instructions to avoid having children around since children upset and tire Marie. We've been aware that Marie has been having difficulty remembering things recently. As a consequence, her assertion is ambiguous. We'd take her words seriously, but we'd want to double-check them with other people. Lisa could need to be reported to the authorities if it is discovered that she has been abusing Marie's prescription medications. The issue of elder abuse is one that goes mostly unreported and unstudied. Researchers Katherine Marshall and Deborah Hale from the academic journal Elder Abuse provide further information on this topic. Some of the ways elder abuse happens and how it is frequently ignored are discussed in this study. A mere one out of every twenty-three instances of elder abuse is reported to Adult Protective Services, according to the US Department of Justice, the authors Marshal and Deborah write. Marie's situation may need further procedures depending on the authenticity of the report

In Marie's instance, as in all others, a social worker must be informed of the identified client and the providers with whom they are working. One must make ethical choices in order to recognize and resolve it. There are just a few steps involved in making an ethical decision in this situation. When working with families, it is critical that we familiarize ourselves with and adhere to the NASW code of ethics in order to make an accurate assessment and make an informed decision about our approach. One of the fundamental concepts of the code of ethics is service. The primary goal of a social worker, according to socialworkers.org, is to provide assistance to individuals in need and to address social concerns in society. Social workers aid their clients in achieving their goals and getting to where they want to be, even if it isn't where they think they should be. It is crucial for families to have a say in where they want to travel. If our identified client Marie does not feel the need to be placed in a group home, we will instead work with her and her family to find a solution that works best for her and her family. Having a nurse come to the house a few times a week might be an option for Marie. Alternatively, she could live with a roommate who can aid her. Another virtue is the importance of human connections. It's critical to collaborate with the family, even if there's tension and there's a possibility Lisa's stealing, if only to keep the family together in the first place. Families tend to lose sight of the value of their extended networks. If arguments are handled incorrectly, they may develop to resentments that last a lifetime.

Social professionals are, after all, simply humans. Limiting and managing one's own biases takes years of practice. If a client is having a hard time seeing the good in oneself, it may be difficult not to urge them to see the bad. Consider all the advice, resume-building chances and programs that may help them become more self-motivated. My thoughts will start to race It is frequently necessary for me to take a step back and appreciate the importance of family voice and choice in order to better understand my client's needs. I keep my ideals in check by reminding myself that the client is the expert on themselves, and that notion must come from them or it will fail. Afterwards, I vow myself that I'll do everything in my power to make sure they get there and receive as much encouragement as possible, no matter what they decide.

References

(n.d.). Retrieved July 21, 2019, from https://www.naswma.org/page/100/Essential-Steps-for- Ethical-Problem-Solving.htm

Code of Ethics. (n.d.). Retrieved July 21, 2019, from

https://www.socialworkers.org/LinkClick.aspx?fileticket=KZmmbz15evc=&portalid=0

Marshall, K. A., & Hale, D. (n.d.). Elder Abuse. doi:10.1097

Toseland, R. W. (2018). An introduction to group work practice. Vancouver, B.C.: Langara College.

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