Unit code CHCADV001 Assessment event 2 Scenario 2 Tafe NSW
Scenario: Mrs BallesterosPart 2
After your initial telephone conversation from event 1 with Mrs. Manu, you meet with Mrs. Ballesteros at her house. Her neighbour, Mrs. Manu, who made the call on Mrs. Ballesteros’ behalf, is also there to support Mrs. Ballesteros. Mrs. Manu takes you aside and says she has some concerns that Mrs. Ballesteros may not be managing to take care of her children adequately; she has noticed them looking thin and roaming the streets late at night. Every time they visit her house they seem to be hungry. She has also noticed that their clothes are thin, not very warm, well-worn and patched - Mrs Ballesteros is known within the community for beautiful hand stitching.
During the meeting Mrs. Ballesteros expresses that she wouldn’t mind dying but there is no one else to take care of her children. She seems to think that having cancer automatically means she will die. She says she has been feeling too sick to work and is struggling to cope.
Answer the following questions as they relate to the scenario.
Some useful resources and Indigo policies and procedures are linked below to provide you with industry guidelines to help justify or apply your answers.
Answer the following questions based on the scenario.
1. List the people you would engage to assist you in your assessment of the client’s ability to self-advocate and describe the reason for their involvement in your assessment process.
Mrs. Manu: As Mrs. Manu is the closest social relationship that is possessed by Mrs. Ballesteros, she can shed significant light on the assessment of Mrs. Ballesteros’ ability of self-advocating. The capacity to self-advocate is essential in this scenario, owing to her lack of mental reposition and uniformity in all the situations.
Children of Mrs. Ballesteros: Zimmermann et al. (2014) state human beings are mostly close to their immediate family. The death of Mr. Ballesteros has caused Mrs. Ballesteros to shy away from social touches. The children of Mrs. Ballesteros can provide beneficial aid during the adverse experience of her mother. They can help their mother with the daily chores to manage her time for the doctor’s appointments. Similarly, they can also help her overcome the communication barriers that have been imposing a great deal of suffering for Mrs. Ballesteros. Makai et al. (2014) opined that in this case, children could mentally support her to deal with the scenario.
Social care worker: Social care workers can help Mrs. Ballesteros to understand her capability for self-advocacy before the doctors and service providers. Furthermore, Mrs. Ballesteros should be provided with interpreters so that she could detail her condition whenever she required. In her appointment with her doctor, she could not detail her condition due to her issue with the language. Therefore, she requires an interpreter who can interpret her issues (Munro et al. 2014).
General practioner: The general practitioners can cooperate with Mrs. Ballesteros to provide her with the necessary information for her ailment and its possible intervention. They should also communicate with her in a manner that can help her understand the problem in the present scenario.
Healthcare provider: As the healthcare provider lives in the close proximity of a patient, it is essential that the information obtained from personal service providers be used to assay Mrs. Ballesteros’ capacity of self-advocacy.
2. For each person identified in question 1 above, provide five specific questions you would askthem to assist you in the assessment of the client’s ability to self-advocate.
a. Mrs. Manu
Is she capable of doing her daily chores around the house?
Is she properly taking care of her children?
Is she able to decide what is good for her?
Is she depressed?
How do you think the news of her disease affected her?
What are your concerns for Mrs. Ballesteros regarding her health status?
What kind of assistance can you really give her?
Are you aware of any family or assistance that she can call on?
Why do you feel that she has financial crisis or struggling for money now?
b. Children of Mrs. Ballesteros
Is your mother capable to help you with your homework?
Does she provide you enough to eat?
Does she know everyone by their name?
Does your mother like to socialise?
Does she need additional help for her chores?
c. Social care worker
Can she form comprehensive words during the session?
Is she open to viable options of her treatment?
Has she shown signs of challenging activities in the recent or distant future?
Does she exhibit sensible decision-making skills?
Is she warm and compassionate with the rest of her family members?
d. Healthcare service provider
Has she appeared for the diagnosis alone or with her family?
Did she break down while receiving the news of her ailment?
How had she dealt with the news of her therapies and diagnosis?
How do you plan to communicate with her owing to the language problem?
Is Mrs. Ballesteros ready to cooperate with you regarding your choice of therapies?
Do you perform round-the-clock observation on Mrs. Ballesteros?
Does Mrs. Ballesteros need to be supervised during her daily activities?
Is she capable of taking independent decisions?
Can she remember taking her medicines on time?
Can she express her needs and preferences regarding her care therapy?
3. List 2 relevant strategies you could initiate and implement for addressing Mrs. Ballesteros’ rights and needs. Describe how you could enlist her collaboration in this process.
i. Mrs. Ballesteros should be encouraged to join cancer support groups and counselling sessions. This can help her to reduce the depression and sense of hopelessness. Here, the collaboration exists between the society and Mrs. Ballesteros.
ii. She can be aided with an interpreter to help her to resolve the communication issues. Furthermore, she can also learn to speak English from the interpreter to aid in future communication platforms. The collaboration in this case is created between the interpreter and Mrs. Ballesteros.
4. Describe 2 ways you could support and encourage Mrs. Ballesteros to exercise her rights and personal preferences without compromising hersafety or that of others.
i. Mrs. Ballesteros must be influenced to seek guidance from an advocate in order to realise her rights in the present scenario.
ii. Mrs. Ballesteros should demand information to the hospital authority, before registering into a special therapy for her breast cancer. Mrs. Manu should accompany her to keep her safe. In addition to this, the communication issue faced by Mrs. Ballesteros can be resolved by providing her a language translator. The advocate can support her through their participation and involvement in her therapeutic sessions. Furthermore, Snape et al. (2014) commented that her needs translation services so that she could seek medical attention and discuss her issues with her GP.
5. In this scenario, identify:
a. The potential barriersto solving Mrs. Ballesteros’ issues and achieving outcomes that support her rights, needs and preferences.
b. The potential resources that could be used and/or accessed to assist Mrs. Ballesteros in achieving outcomes that support her rights, needs and preferences.
Lack of an able family member
Lack of cooperation from the healthcare service providers
Depression on losing her husband
Governmental and non-governmental organisations for cancer support
Support from her neighbour, Mrs. Manu
Support for child care
Nurses related to cancer care
6. List a minimum of three key people/organisations that you would contact to maximise a positive outcome for Mrs. Ballesteros?
Cancer Council Australia
7. Identify any risks or potential risks for the main stakeholders involved in this scenario.For each risk, describe the work practice(s) you would follow to minimise the potential for harm to those involved.
The main stakeholders and their associated risks are as follows.
Mrs. Ballesteros: Mrs. Ballesteros is the main stakeholder in this scenario. Delay in services from the social care advocate can worsen the condition of Mrs. Ballesteros. She is already in an advanced metastasis stage of breast cancer.
Mrs. Ballesteros’ children: The children are the secondary stakeholders in this case. Their father has already passed away, and with their mother battling cancer, their primary needs are being ignored. As opined by Makai et al. (2014), they can develop malnutrition driven diseases or can be associated with criminal activities, owing to the lack of parental guidance.
Mrs. Manu: Mrs. Manu is the tertiary stakeholder in the present case. She can be exposed to risks like emotional distress and extensive stress due to her ailing friend. She may also have to compromise her household duties to aid Mrs. Ballesteros.
Her some should be secured place and it must not contain any potential equipments that could harm her physical health. Moreover, De Raeve et al. (2017) commented that in order to secure her presence and ensure no harm of her children, her house should have safe environment.
8. What action would you take in relation to Mrs. Manu’s concerns about the children’s welfare?
a. What is your duty of care responsibility in this situation?
b. Would you have any responsibilities in relation to mandatory reporting? Why or why not?
As a social care advocate, I can contact Child Protective Services to screen the children for possible neglect. The children can also be included in the therapy of Mrs. Ballesteros to promote their relationship.
a. My duty of responsibility as a social care worker resides in assessing the welfare of the children. I should ensure that they are properly taken care of in a healthy and nurturing environment. I need to discuss with Mrs. Ballesteros whether she is capable of feeding her child. Moreover, Makai et al. (2014) commented that her advocate should undertake that whether she is able to feed her child and clothe them.
b. Mandatory reporting in Child Protective Services can be a necessity in this scenario as Mrs. Ballesteros is unable to cater to the needs of her children. The ailments of Mrs. Ballesteros have made her resort to a solitary life that often involved neglect of her children. They are often underfed and wear old, patched up clothes. Mrs. Ballesteros need to ensure her child’s safety and therefore, adequate care should be taken regarding her security. She should consult with child protection services so that her child does not have any issue with her safety and they are secured within their environment.
9. Describe how you would consult with your supervisor or other support workers about Mrs Ballesteros in a way that upholds her rights and supports herreasonable expectations.
As a social care advocate, I should work in collaboration with my team members and my supervisor. I should report to my team members and recommend strategies collectively to uplift the living condition of Mrs. Ballesteros. As stated by Handler et al. (2014), the regional governmental organisations and voluntary healthcare providers should implement a collaborative working field to safeguard her fundamental rights. I need to take help from these governmental as well as non-governmental services so that Mrs. Ballesteros have enough information and knowledge regarding her rights and supports. Furthermore, it is also essential that she have enough information regarding the various rights.
10. For each of the following, provide an example that you would need to consider to make sure your actions were in accordance with requirement:
a. Legal requirements
b. Organisation requirements
c. Duty of care requirements
b. Organisational care refers to the series of care therapies that are given to Mrs. Ballesteros in her ailment. She can be referred to rehabilitation centres and therapeutic sessions to receive chemotherapy for breast cancer. I need to appoint her with a service provider who will take care of her health wherever she required. Moreover, Kitching et al. (2015) opined that a personal service provider would make her feel confident and this will ensure that she could perform her duties well. Being emotionally strong is necessity and therefore, service provider will provide her with this support.
c. The care needs of Mrs. Ballesteros must be recognised with acute preference to her physical and emotional needs. Doctors and nurses should collaboratively perform to achieve the best possible care for Mrs. Ballesteros (De Raeve et al. 2017). I need to assure that she has translational services so that she could understand the conversation and services appropriately. Moreover, she need to understand er health and therefore, this form of translational services will allow her to receive adequate care and services.
11. Describe how you would ensure that any information collected is kept in confidence unless authorisation is given to release it.
The information retrieved from Mrs. Ballesteros should be kept documented in a highly secure system. Any third party should not be given access to the information (Gradinger et al. 2016). This is in compliance with the General Data Protection Regulation (2018) that involves the archival of private information in protected repositories.
Handler, J.F., (2014). Protecting the social service client: Legal and structural controls on official discretion (Vol. 5). Cambridge: Academic Press.
De Raeve, P., Gomez, S., Hughes, P., Lyngholm, T., Sipilä, M., Kilanska, D., Hussey, P., Xyrichis, A. and ENS4Care project, (2017). Enhancing the provision of health and social care in Europe through eHealth. International nursing review, 64(1), pp.33-41.
Gradinger, F., Britten, N., Wyatt, K., Froggatt, K., Gibson, A., Jacoby, A., Lobban, F., Mayes, D., Snape, D., Rawcliffe, T. and Popay, J., (2015). Values associated with public involvement in health and social care research: a narrative review. Health Expectations, 18(5), pp.661-675.
Makai, P., Brouwer, W.B., Koopmanschap, M.A., Stolk, E.A. and Nieboer, A.P., (2014). Quality of life instruments for economic evaluations in health and social care for older people: a systematic review. Social science & medicine, 102, pp.83-93.
Snape, D., Kirkham, J., Preston, J., Popay, J., Britten, N., Collins, M., Froggatt, K., Gibson, A., Lobban, F., Wyatt, K. and Jacoby, A., (2014). Exploring areas of consensus and conflict around values underpinning public involvement in health and social care research: a modified Delphi study. BMJ open, 4(1), p.e004217.
Zimmermann, C., Swami, N., Krzyzanowska, M., Hannon, B., Leighl, N., Oza, A., Moore, M.,Rydall, A., Rodin, G., Tannock, I. and Donner, A., (2014). Early palliative care for patients withadvanced cancer: a cluster-randomised controlled trial. The Lancet,383(9930), pp.1721-1730.
Chibba, M., (2015.) Contemporary perspectives on international business and culture. International Journal of Business and Globalisation, [online] 14(4), pp.408-419. Available from: https://www.linkedin.com/pulse/contemporary-perspectives-international-business-culture-chibba 4 [Accessed on 15/2/18]
Kitching, J., Hart, M. and Wilson, N., (2015.) Burden or benefit? Regulation as a dynamic influence on small business performance. International Small Business Journal, [online] 33(2), pp.130-147. Available from: http://journals.sagepub.com/doi/full/10.1177/0266242613493454 [Accessed on 15/2/18]
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