Care Situation Paper

Instructions Review the Care Situations below and answer the questions for each part. Apply the definitions, principles, and process of client-directed care management that have been discussed in the course. This assignment is an academic paper. You must use APA format; title page, table of contents, introduction and conclusion, section headings and references. Word limit is 3000 words, double spaced 12 PT font size, Times New Roman Font. The word count does not include the title page, table of contents or references. Remember to support your ideas and examples with links to the case study, course theory and or external resources. This assignment is worth 15 per cent of the final grade. Please see the Assignments Overview area for the marking criteria. Sophia is a widow of Eastern European descent who lives with her son, Peter (age 37 years), in a single family home. They seem to have limited resources, and the house is in poor shape and is cluttered inside and out. This is mainly because of the items Peter collects; cans, bottles, various containers and newspapers. Peter is diagnosed with autistic spectrum disorder (ASD) and lives upstairs in the home. He is the caregiver for Sophia, who lives on the main floor. Sophia has many medical conditions, including cardiac disease, poor mobility and vision impairment. She takes a number of medications. Sophia has been taking medication irregularly and she recently has been adjusting the dosages based on her own judgment about her health. Sophia is cautious of people that she does not know well and is somewhat suspicious of their intentions. She has devoted her life to Peter and his needs. Peter tries to help his mother by filling the dosette box, but he gets the medication mixed up. Peter is supposed to be on atypical psychotropic and selective serotonin reuptake inhibitors (SRRI’s) medication for irritability, angry outbursts, anxiety and obsessional behaviors but he does not take them regularly. Due to her advanced cardiac conditions, Sophia often gets into trouble medically, and then Peter has to call 911. This happens frequently lately. In the past, the care manager, geriatrician, and emergency staff have tried to put in home support, an occupational therapist, and a physiotherapist, but Peter’s behavior and Sophia’s suspiciousness have prevented any continuity of support. Sophia has refused any continued service because the service providers want to remove some of the clutter and this upsets Peter. Answer the following questions: Describe the risks that are present for Sophia and Peter in this situation. Comment on the degree of risk present for these people. What types of legislation would guide your practice in this care situation? In your answer, describe the decisions that Sophia and Peter are making, and then explain why certain legislation would support your practice. (Either BC statutes or the corresponding statutes from your own province). Resources are located in Module 2. Part 2 — Care Situation Sophia has had a serious fall when she apparently tripped over clutter (bottles and rubbish that Peter had collected) on the front stairs when they were returning from a late night ER visit. Sophia sustained a concussion, a head laceration, severely bruised ribs, a badly sprained ankle and a fractured elbow; she is now admitted to hospital. Sophia seems to be “borderline capable of person” as assessed by geriatric psychiatry, but she currently requires total care and cannot transfer herself alone. Sophia wants to go home, however team members believe the risks are too great. Peter is irritable and angry; sometimes he tells providers that he cannot cope with his mother’s care and other times he states that his mother would never want to be placed in a ‘home’ because she does not like strangers. Questions are also raised regarding what would happen to Peter if Sophia were to be placed in a residential care facility (i.e., does he have to move out of house, how will he cope if he does not have Sophia to care for any more?) Answer the following questions Apply the five phases of the ethical decision-making framework to analyze the care situation and address the ethical dilemma. What is the most important decision(s) that must be made now? 1a). How has degree of risk affected decision-making? 1b). Who would be involved in the decision making? Would the legislation apply in a different way than in Part 1 question 2, if so explain? Do all facts point to a single course of action? Why or why not? Consider that advocacy is a core competency of client-directed care managers. How will you as a care manager advocate on behalf of your client to achieve the best outcomes possible?

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