Question

CASE #1 

Mrs. Green is your client. She is 78 years old and has progressive des hip joints that makes it very difficult to three weeks, helping with the v 78 years old and has progressive degeneration of her makes it very difficult for her to get out You have been visiting her for eks, helping with the vacuuming washing and providing some social contact. 

Although Mrs. Green seems to want you to continue coming to see her, you notice that she is very anxious about your leaving on time you feel that she is probably worried about the costs of your visits and wants to make sure that she isn't charged for extra time. 

You're aware that Mrs. Green has a daughter and, although she doesn't say much about her, you get the feeling that the daughter does visit. You have never met her, though. 

At the end of your last visit, Mrs. Green's washer backs up, spilling water all over the basement. Mrs. Green becomes very anxious, saying to you that, "It's alright: the water won't hurt the floor. You'd better go, you'll be late." 

You can't just leave the water on the floor, and insist on cleaning it up. Somewhat reluctantly, Mrs. Green decides to let you do this and returns upstairs. 

Just as you're finishing, you hear the door. A younger woman speaks to Mrs. Green. You notice that her tone is harsh as she says, "You're out of milk and bread? What did you do with all of the food I brought last week? Feeding those birds again-you don't have enough sense to make sure that you keep food for yourself. Now I have to pet stuff because you've wasted what you had. Sometimes you act as though you don't have a brain in your head." 

Concerned you put away the last of the cleaning supplies when you hear the younger woman say Whose coat is this? When Mrs. Green replies that it is yours the woman continues Whats the matter? You arent satisfied with all that I do? You have to invite some stranger into your house? Where are you getting all the money for this? 

You go to the top of the stairs. The younger woman says to you Thanks for your help but my mother wont be needing you anymore. Ill make sure that youre well paid for today. Mrs. Green looks miserable but helpless. She looks down at the floor.

 1. Describe all the feelings that you or other PSWS might have in this situation. Explain how they might be helpful or unhelpful in resolving the problem. 2 marks

 2. List three behaviours of Mrs. Greens that indicate she may be abused. 3 marks 

 3. In this situation describe how power is being exerted over another person. 2 marks

 4. What action is appropriate for the PSW to take in this situation? Why? 3 marks

CASE #2 

You have been assigned to assist Sarah, a new mother, care for her infant son. The mother requires help as she has recently had a sprained ankle and wrist fractures. Although she can get around, she cannot look after the infant and her 2 -year-old daughter. Home care was ordered by Sarah's doctor, despite the family's protests that they could manage on their own. You have been visiting for two weeks.

Sarah is a quiet, painfully styy person. However, little by little, she has warmed up to you. She smiles more often now, and seems very grateful for your visits.

Today, as you hand Sarah her son after his bath, you notice a large bruise on Sarah's upper arm. It is purplish and about \(10 \mathrm{~cm}\). (4 inches) in diameter. Sarah notices that you have seen the bruise and says, "Oh, that- 1 hit the freezer door last night." You must look doubtful, as Sarah begins to cry. She tells you that her husband grabbed her arm and twisted it last night. She begs you not to tell anyone, saying that she would be embarrassed if anyone knew. "He's a good man," she says of her husband, "I'd have nothing if it weren't for him."

 1. Describe all the feelings that you (or other PSWS) might have in this situation. Explain how they might be helpful or unhelpful in resolving the problem. (1 mark)

 2. Identify three signs that indicate Sarah is abused. (3 marks)

 3. Describe two ways in which Sarah is demonstrating denial. (2 marks)

 4. What other emotion is Sarah displaying? (1 mark) 

 5. What action is appropriate for the PSW to take in this situation? Why?

CASE #3 

You have been assigned to care for the Ross family. The family just had triple girls. The girls were premature, but they are now home after two months in no There are two older children in the family, Ray, age two, and Lori, age five. maternal and paternal grandparents are all living, they reside 1600 km away cannot visit to help. family just had triplets: three Be two, and Lori, age five. Although The family seems to be loving and close-knit. The parents seem very happy with new additions- although they admit that the birth of three was very much a surprise You have been with the family for two months and over that time have noticed a change in Ray. He seems less able to run as steadily as he did before. As well, he seems to be using more "baby-talk," not speaking words as clearly as he once did. He also seems to be more fearful. Today is your day off. You find yourself in the Ross' neighbourhood and decide to say hello. As you go up to the door, you see Mrs. Ross violently shaking her son. She is visibly upset and is speaking to him in a very angry voice.

 1. Describe all the feelings that you (or other PSWS) might have in this situation. Explain how they might be helpful or unhelpful in resolving the problem. 

 2. Identify the possible reasons for the angry outburst in Mrs. Ross. 

 3. Identify two behaviours in Ray that indicate that he may be abused.

 4. What action is appropriate for the PSW to take in this situation? Why? 

Answer 1

1.As a PSWS worker and has a caregiver there develops a personal concern towards a patient for their wellbeing and healthy life professionally.This situation will make one feel sorry for the patient for her daughter's behavior for ill treating her mother and abruptly stopping the services in an attitude built manner. This can also make one PSW to ensure patient safety and go ahead by reporting to the concerned authorities for this patient.

2.Some of the behaviour that indicates for being abused are

• Her daughter angry outburst for wasting food
• Refusing and ceasing to continue the service of a PSW
• Helplessness due to ate factor, health conditions

3.The power of dominancy is exerted here .In simple it shows the abusive power of the daughter on the mother.The daughter controls her mother financially in her oldage by arranging for foods and some basic care but this is not done with full love and care or nor with responsibility but just want to do something for a person who is sick inhumanely.

4.The appropriate action which can be taken by the PSW I'd to report to their supervisor who can take necessary actions and initiatives to ensure the safety measure of the oldage patient.

Answer 2

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