SOCW 6530 Assignment 1: Week 7 Blog
SummerLove75
WK6ASSI-Holcomb-S.docxSummerLove Holcomb
Walden University
SOCW 6530
Wanda Davidson
07/08/2021
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Client information/ presenting issue and any relevant information about setting and demographics. Agency: Sound options Client: Mrs. O Date: 07/07/2021 Presenting issues and purpose of contact: A case manager from the MS society contacted sound options because the client and her husband are both on SSDI and the husband has been taking care of his wife but is now in need of caregivers to come help him. This is the initial assessment process. |
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Dialogue |
Identify skills, techniques, and theories, |
Analysis/assessment of dialogue |
Personal reactions and self-reflection to the interaction |
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S: How are you doing today. My name is S, a social worker assigned to your case. |
Communication skills |
Establishing a rapport and understating the mental state of the patient at the time |
The client was cautious and her head was pushed off from my proximity |
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O: Nice to meet you, I am Mrs. O and this is my husband Mr. O |
Communication skills |
An analysis of cooperation and initiation of rapport
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The client was surprisingly willing even though body language is self-conscious |
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Mr. O hello. Nice to meet you. I am glad you are here to check on her. |
Communication skills |
He stretches his hand to greet and seem to be happy for someone to talk to his wife |
There is a willingness to collaborate but it also seems more like a need for a second opinion to convince the wife |
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S: I am responsible for any worries that you may have and would cater to ensuring your comfort and increased quality of life. |
Affirmation of roles and expectations |
Establishment of roles and purpose |
The client nods in understanding and shoulder slumps in acceptance. |
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O: Well, I have been living with this throbbing pain but I also have this open sore. I have not seen my doctor in a long time |
Active listening skill |
The client seems more open and uses gestures |
Nodding seems to make the client comfortable |
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S: I am sorry to hear that. I would like to recommend you make a doctor appointment it would help with assessing your pain and how to alleviate it. Plus we need a wound assessment |
Empathy Advocating |
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I need her to see the doctor so we can get a updated physical needs assessment so I can work on a copes application |
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O: Thank you. But I am worried about my husband. He always needs to be reassured that I am okay? Plus he is also disabled and it is getting harder for him to take care of me |
Family Life Cycle Theory |
The fidgety movement during this conversation shows that Mrs. O and her husband are co-dependent |
The client emphasis on her husband as a support system requires further evaluation |
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S: Mr. O he will be kept up to date on your situation and any recommendations don’t worry. Mr. O is also disabled and he is your main caregiver but it is getting harder for him because you are a full assist now? |
Family Life Cycle Theory Empathy reassurance paraphrasing |
Rapport and clarification |
I need a clear understanding of their needs. |
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O: That’s great, he worries a lot when there is no news and yes I am a full assist now he has to do everything even lift me. |
Active listening skills |
Client is twisting her hands this topic is upsetting to her |
I want to reassure her |
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S: When you talk with your doctor let him know we need a needs assessment this will help us get help for you in the home so that you can stay here and your husband can relax a little. I will email this to Mr. O as a reminder |
Encouraging empathy normalizing |
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I am trying to let her know there are resources |
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O: That would be great! So my next step is to call my doctor and make an appointment I can do that. |
Active listening |
She seems to understand And she feels empowered |
I am happy that she is active in this discussion and seems to be more relaxed |
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S: Ok once you have seen the doctor we will be able to get help caregivers, meal prep and housekeepers to help you. Is there anything else I can work on for you? |
Encouraging probing |
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I am just wrapping up but making sure that there is not something else needing attention right now |
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O: Well I could really use a cooling vest maybe we can look into that next time? I am sorry but I am getting tire now. |
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Client is fatigued she is not able to sit up straight |
I am glad that she knows that it is ok to say hay this is getting to be to much |
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S: OK I know this has been a long meeting and it is ok to let me know that you are getting tired.I have a website that offers free cooling vests |
Active listening normalizing empathy |
Client is feeling more comfortable with talking to me. Validation of feelings |
I don’t want her to feel bad |
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Mrs. O: Thank you so much |
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S: You will be okay Mrs. O. We will work on this together. We will talk again next week to check up on your progress and to submit the application for a cooling vest |
Grounded Theory reassurance encouragement |
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Student Self-Assessment: I started with establishing rapport. This was the first meeting hence the comfort was an important element to allow an active communication pattern and establish a strategy of communication. In addition, there was the establishment of roles earlier on to increase relations and draw boundaries that may be detrimental to intervention. through the assessment, there was consideration for learning about the patient which was a good insight into the expectation of the patent.
Plan for next Interview: Next week we will talk again to see if they have made the doctor appointment and we will be filling out an application for a cooling vest at that time.
