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Dealing with multiple illnesses in a family

Social Worker: case. You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home.

Son Sam, the alcoholic
Daughter Lila, with diabetes
Grandson Josh, starting to have drug problems
Granddaughter Lucy, bipolar with more entrenched drug problems
Daughter-in-law, Sarah's stress related to her family's medical issues (nephew with leukemia, brother with HIV, and her father's perspective that they are all "crazy!")

Questions
What is micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella's medical condition and prognosis.
What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered?
How is the neighborhood and extended family (mezzo) reacting to the situation?
If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them. Critique the ability of these community resources to adequately meet the needs of this diverse family's circumstances.

Solution Preview

Dealing with Bipolar disorder, HIV, Marijuana and Alcoholic
Social Worker: case. You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home.
Son Sam, the alcoholic
Daughter Lila, with diabetes
Grandson Josh, starting to have drug problems
Granddaughter Lucy, bipolar with more entrenched drug problems
Daughter-in-law, Sarah's stress related to her family's medical issues (nephew with leukemia, brother with HIV, and her father's perspective that they are all "crazy!")
Questions
What is micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella's medical condition and prognosis.

The micro influencing affecting both the patient and diverse family members in this scenarios is that the social worker must sit down and talk to the family members one on one to solve problems. The social work must engage with individuals or families to solve the problems. Examples include helping individuals to find ...

Solution Summary

The micro influencing affecting both the patient and diverse family members in this scenarios is that the social worker must sit down and talk to the family members one on one to solve problems. The social work must engage with individuals or families to solve the problems. Examples include helping individuals to find housing, healthcare, and social services.

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