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Dealing with multiple illnesses in a family

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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.

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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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Part I

1. Assess the interaction and influences of genetics, heredity, and environmental factors on the prenatal development of individuals with your selected condition.
2. Describe how biological, sensory, perceptual, motor and physical development of the mind and body are affected in individuals with your selected condition.
3. Evaluate the impact of nutrition, eating behavior and overall health on physical development and life expectancy in individuals with your selected condition.

1.Autism in children: According to Ms. Duncan, Charles is the product of a pregnancy which was full-term and which was without any major complications except that labor had to be induced. The delivery was normal and Charles's birth weight was 8 pounds - 11 ounces. The baby remained hospitalized for 3 days following his birth and was considered as being a healthy baby. Charles's developmental landmark was sitting up unsupported, approximately 8 months; crawling, approximately 8 months; walking, 18 months; saying his first simple words approximately 2 or 3 years; speaking in short sentences, approximately 4 or 5 years; and the client was toilet trained at 14 months of age. At 5 1/2 years of age, the client was diagnosed as autistic.

The client exhibited rocking, head banging, repetitive sniffing and hand gestures as a child. At approximately 18 years of age, Ms. Duncan states that the client became aggressive and started taking psychotropic medications. He also started biting and slapping himself and going AWOL. She states that at this time, she sought a voluntary placement for the client. Charles did attend special academic classes throughout his academic career. Charles currently participates in day programming, 5 days per week, at ECF Par West in Culver city, CA. His diagnostic impression is mild mental retardation and autism.

Summary:

Charles is 34 years old. Charles weighs 201 pounds. He was admitted to Mt. Sinai (An Adult Residential Facility in Los Angeles, CA) on October 12, 1995. Charles has been diagnosed with the following medical and/or psychiatric disabilities: Autism, Manic Depression, and Moderate Mental Retardation. Charles has a friendly, sociable manner and he makes good eye contact. He is ambulatory with good balance. He is neat and dresses nicely. Charles is independent with most activities of daily living. He listens politely and contributes information in simple conversations. Charles is verbal; he has fair communication skills and adequate receptive skill. Charles sometimes feels intimidated by higher functioning peers. Charles has a brother who visits him on holidays.

Part II

Families who have lost loved ones to a terminal illness.

a. Describe the critical issues associated with understanding, coping with and facing death. Explain the unique considerations of the issues related to individuals in your selected situation.
b. Analyze the role of socio-historical and cultural influences in determining the attitude, perspective, decisions and personal context regarding death and loss. Describe how these attitudes and perspectives are affected when individuals are confronted with your selected situation.
c. Describe the phases of grieving and factors that influence the individual variations of response to grief, bereavement and mourning as they relate to your selected situation.

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