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In the Christ & Diwan (2008) article, the authors list seven  domains that social workers should address in order to fully assess an  older client’s needs. Each domain is considered equally important. This  comprehensive evaluation fits well with the social work perspective that  it is important to not only address the internal concerns of clients  but also their environment. Making decisions for older adults without  their input occurs often. In society people sometimes treat their elders  like children—making decisions for them based on what they think is  best rather than from the client’s perspective. While at times this may  be well intentioned, the potential for infantilism and, in turn,  compromised self-determination, occurs.

For this Discussion, review the program case study for the  Petrakis family. You will focus not on Helen, but on her mother-in-law,  Magda. What decisions were made about Magda’s treatment without a formal  assessment and/or her input? Consider how Christ & Diwan’s (2008)  seven domains relate to Magda’s case. Complete an assessment for Magda  and identify the choices that were made without her feedback.



 Petrakis Family Episode 3 Program Transcript FEMALE SPEAKER: And you're sure Alec is stealing from her? Pills. From his own grandmother. FEMALE SPEAKER: I can't call the police. He's still on probation! Possession. FEMALE SPEAKER: Have you spoken to him about it? FEMALE SPEAKER: He denied it. But I found them. He got her oxy prescription refilled so he could take them himself. How old are you? FEMALE SPEAKER: Excuse me? FEMALE SPEAKER: I said, how old are you? FEMALE SPEAKER: I don't see what that has to do with anything. FEMALE SPEAKER: You're too damn young to be doing this job. That's it. You don't know what you're doing! None of this would have happened! It was your bright idea! You're the one who told me to have him move in with her and take care of her! FEMALE SPEAKER: I did tell you to do anything! I only suggested it. And we talked about it together. FEMALE SPEAKER: No, no. That's not true. I followed your advice. You're going to have to fix this. You have to do something. I don't know what else to do. I can't call the police. He can't go back to jail. Awful things will happen to him. I can't let that happen. I won't! Petrakis Family Episode 3 Additional Content Attribution MUSIC: Music by Clean Cuts Original Art and Photography Provided By: Brian Kline and Nico Danks  


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  1. a summary of your assessment of  Magda’s situation that addresses the seven domains. 
  2. Fill in the gaps in  content as necessary. Describe ways you would have included Magda in the  original assessment and treatment plan. 
  3. Include questions you would  have asked Magda and her professional support system (doctors, nurses,  etc.) to gain further insight into the situation.
  4. explain how  their assessments support the NASW Code of Ethics (2017). Include two  values and/or guiding principles to support your explanation.
Support your responses with specific references to the  Learning Resources. Be sure to provide full APA citations for your  references.

 

Åhsberg,   E., Fahlström, G., Rönnbäck, E., Granberg, A., & Almborg, A.   (2017). Development of an instrument for assessing elder care needs. Research On Social Work Practice, 27(3), 291-306.

 
Christ, G., & Diwan, S. (2008). Chronic illness and aging: The role of social work in managing chronic illness care. Council on social work education. Retrieved from http://www.cswe.org/getattachment/Centers-Initiatives/CSWE-Gero-Ed-Center/Teaching-Tools/Gero-Competencies/Practice-Guides/Assignments-Measurments/CI-Sec2-Role-SW.pdf.aspx  
Harrington, A. (2016). The importance of spiritual assessment when caring for older adults. Ageing And Society, 36(1), 1-16.
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Paveza, G. J. (2013). Assessment of the elderly. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 177–195). Hoboken, NJ: Wiley.
 
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
The Petrakis Family (pp. 20–22)

 
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