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What is the importance of listening skills in counseling
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In Tosha and Jo’s case, I would advise the couple to contact the VA hospital to see if they can assist them with medical treatment. I would also suggest filing any medical claims they have so they can begin receiving income for their disabilities, if any, sustained in the military. Referring the individuals to the Ryan White HIV/Aids program at the local Health Department, would be beneficial as well. The Ryan White program is geared toward individuals who do not have health care coverage and cannot afford it. These individuals will be provided with case management services, support groups and housing. The Alzheimer’s Association, Augusta Chapter would be able to help Jo cope with mental changes caused by her early onset of Alzheimer’s, as well informing her and getting her any other necessary resources. The skills used to assist Tosha and Jo, includes active listening, empathy, coordination, and patience, create and maintain a professional helping relationship. The roles I would use in this particular case would be to refer …show more content…
Once Mary’s condition begin to make progress, she will then go through long term acute care. Long term acute care is when the process of winging Mary off the mechanical ventilator will start. She will also begin one hour therapy impatient rehabilitation. This therapy session is needed to help Mary adjust to being off the ventilator. The Social Worker will contact Mary’s daughter to discuss the options and resources she has in order to continue receiving the proper care once she is home. Mary’s house is not suitable for her right now so the Social Worker will need to call a family team meeting. In this meeting they may want to discuss Mary being placed in a nursing home or receiving care from a home health aide. Being that Mary’s daughter lives in Atlanta, the home health aide can also ensure Mary gets to her follow up
Social Work is the study of people and how they interact with the systems in their environment and other people. Social Workers use theories, sets of ideas or concepts, of human behavior and apply them within their professional social work ethics to the problems facing clients in order to help them gain balance in the systems in their lives. Theories help to organize knowledge enabling social workers to help make sense of problems. There are many different theories. They have been grouped into broad categories called theoretical lenses (Rogers, A. 2013).
Weighing the situation outcomes, it would be best of Reba put her father in a nursing home. It goes against her beliefs, but it saves a lot of time and commitment she is not capable of taking on. She would not have to remodel her home, quit her job, or go against her husband’s wishes. It would allow her father to receive the proper he deserves. She could visit as often as she wanted and would not have to stress about her capability to take care of him. After all, it is also what the physician recommended.
setting and as the patient returns to their home and community. The goal by all involved is to move the patient towards
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
Dementia is the loss of a person’s mental skills from their daily routines. The symptoms of dementia could easily be over looked, they include forgetting things, daily routines are hard to complete, misplacing things, depression, aggravation and aggression, emotion are high, even feeling like someone is a threat to their life (Web MD,2012). Caring for someone with dementia can be difficult if with resources like healthcare, living facilities, nursing homes and medicine is involved, but sometimes healthcare and facilities do not provide the proper care. This disease is very common in the elderly community past the age of sixty-five. Finding out that a loved
There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop...
al., 2010, p. 103-104). In medicine, beneficence is the foundation of every encounter a clinician has with their patient, they are there to help alleviate symptoms and diseases in order to do good for them. In the case of Ms. R, respecting her decision to live alone will violate this premise of beneficence and go against all the medical advice she has been given. However, like with all decisions in medicine, a patient is presented with options and if the patient is mentally capable of making their own healthcare decisions, their decision should be respected no matter what it is. Nonetheless, just because Ms. R made a decision to live alone and accepts her potential risks, doesn’t mean that her daughter along with the medical team should let her put herself in harm 's way. There are other means of beneficence and nonmaleficence in this case that can be achieved while still respecting Ms. R’s autonomy. Firstly, Ms. R’s daughter can move in with her and be by her side everyday, or if she cannot move in, she can come visit her mom on the days the home health aid is not scheduled, that way someone will be always there to monitor her. Additionally, due to Ms. R’s increased risk of falling along with her other medical risks, the social working can help arrange for Ms. R to receive a
Doenges, M. E. & Moorhouse, M. F. Nursing Care Plans 3rd ed. 1993 F.A. Davis Company, Philadelphia
Each day we are faced with making decisions regarding the plan of care and discharge of a patient based on the number of days an insurance company allows to treat the patient. Most times the days allowed are less than what is required to assist the patient back to their prior level of function and ability to safely return home. This causes an internal struggle for the provider and can lead to easily accepting what the insurance company allows even though it is not always best for the patient. Typically, we follow the rule of always doing what is right, which could mean that we keep the patient on the unit longer than the insurance will provide payment.
Matching staff skill to patient and family needs highlights the difference between delegation and assignment” (Weydt, 2010, Delegation and Related Concepts, para. 1). This principle came handy, when I was assigned to care for a patient who had multiple injuries from a car accident. The care was complicated with the presence of a Foley catheter, total parenteral nutrition (TPN), chest tube, wound vacuum, and ventilator machine to support the patient’s airway. Under normal patient care assignment, the nursing assistant would perform the bedside care, e.g., bed bath, turning and repositioning of patients who were on bed rest, assisting with feeding, to mention a few. However, for this particular patient, the medical conditions were complicated by the multiple machines and equipment that nursing assistants were not trained to manage. Hence, I was fully engaged in most of the patient care activities. My presence and involvement were required from the provision of bed bath to turning the patient every two hours. I made sure that even with the simplest activity, the safety of the patient was not compromised. The only task that I allowed the nursing assistant to perform on her own, was the emptying of the urine drainage bag for the output
As I sit here writing this research paper on the fourth anniversary of my grandfather’s death to Alzheimer’s, I cannot help but to feel especially connected not only to the physical destructiveness of the disease, but also to the emotional tolls associated with having it affect a family member. When I was in my freshman year of high school, my grandpa (mother’s father) began his steady decline from his diagnosis of this ailment. A man who I knew my whole life to be strong and independent started to become physically fragile and even more mentally so; after some time, he began to show signs of drastic memory loss, constant confusion and a hazardous inability to perform tasks once done with minimal effort. The onset of these debilitations had an immeasurable impact on my family. My grandmother (his wife) possessed the largest burden of the constant care for my grandfather as he slid into a state of powerlessness and incapability for basic self-maintenance. However, since my grandma never learned how to drive, taking full care of my grandpa become a near impossible task. After nearly a year and a half of my family witnessing my grandfather losing himself to Alzheimer’s, my family decided to place him in a hospice care facility that could provide him with the proper care before his inevitable passing to the disease a few months later.
Alzheimer’s Disease is a major problem in the United States at this time. One problem is the stress that gets put on family members of the patient. According to the “Alzheimer’s Disease” article, back in 2006 the average cost of care for a patient who just recently got diagnosed is $18,500 per year. Care for elders who are in the later stages of the disease average at about $36,000 per year. This puts a big burden on the families who have to come up with the money to support their loved one(s). Another problem associated with Alzheimer’s Disease is the emotional distress it puts on families. All the emotional and physical stress comes from many different reasons. According to the National Institution of Health “The demands of day-to-day care, changing family roles, and difficult decisions about placement in a care facility can be hard to handle.” Having to take care of someone who can not even recognize you, let alone themselves, is a very stressful situation. Although this disease is an extremely big problem in the US today it is still preventable.
Therefore, she may find it harder than most of the population to transition into the role of the patient and rely on others to make clinical judgements to promote and protect her recovery. Moreover, she was in a lot of physical pain, with her right leg in a full cast, causing her to be at bed rest. This I believe, as well as the patient being more aware of the inner workings of the hospital compared to other patients without a medical background, may of contributed to her ill ease and need to feel in control of her nursing care, over that of her care plan set by the
After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...
Helping consists of four parts, those being; (1) an individual seeking help, (2) an individual that is willing to help those seeking help, (3) the helping individual is competent and skilled enough to train, and (4) an environment that is conducive for help to be given and received.