Carla Washburn is a 76 year-old African-American woman who has been widowed for the last fifteen years.
She lives alone in Plainville, a small town in the Northwest. Her small home is in a neighborhood that has been
steadily deteriorating ever since the paper mill-the city's largest employer went out of business four years ago.
Carla and her husband were both employed at the mill until their respective retirements. Carla receives a small
pension and Social Security. Unfortunately, the recent economic downturn has put the mill's pension fund in
serious jeopardy.
Ms. Washburn recently lost her grandson in Afghanistan. She had raised Roland Jr. from the age of eight; he
came to live with her after her son Roland and his wife were killed in a car accident fourteen years ago. Until
Roland Jr. turned eighteen, Ms. Washburn was able to collect survivor benefits, funded by OASDI, to enable
her to care for him adequately.
During the time that Roland Jr. lived with her, Ms. Washburn threw herself into his care and activities. She
found that she had nothing much in common with her old friends, because they had raised all of their children
and had more freedom to socialize than she did. Eventually, these friends dropped out of her life.
Roland Jr. decided to join the Army after his high school graduation, to get money to pay for college. Shortly
after finishing basic training, he married a young woman, Alice, who he met while at the Army base in North
Carolina. Carla travelled to North Carolina to attend the wedding. Although she liked her grandson's new bride,
she really did not know her. And when Roland Jr. was killed, the Army focused its family outreach services on
the young widow.
Although Carla and her sister spoke weekly by phone for the last fifteen years, Carla has made no attempt to
contact Anna since Roland Jr.'s funeral eight months ago. When Anna called, Carla questioned over and over
how it could be that both her son and grandson were no longer alive while she, an old woman, still lived. Anna
has told you that her sister told her of a recent fall she had had in her home that left her with difficulty walking.
In the course of the conversation, Anna also mentions that Carla has Type II diabetes, and is insulindependent.
When you contacted Ms. Washburn, she refused at first to have you visit and expressed irritation with her sister
for contacting the AAA*. However, when you explained how worried her sister had been and how Carla could
ease her sister's concern if she would consent to a visit, Carla finally agreed to see you. But she was adamant
that she neither wanted nor needed help. (Case courtesy of Routledge.com, A Lieberman, University of Kansas) *AAA= Area Agency on Aging
Put yourself in the role of the practitioner and answer the following questions.
1.
2.
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5.
6.
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9. What are the key facts in the case?
“Tuning in” to Ms. Washburn, what thoughts or feelings might she be experiencing?
What would you say or do to engage her?
Identify some preliminary concerns and goals that could be the basis for a working relationship.
Write out your opening statement to explain the purpose of your visit.
Identify individual, family and environmental strengths.
Write 2 questions that you could ask to explore for strengths.
Write 3 questions you could ask to explore Ms. Washburn’s situation.
What stage of change is Ms. Washburn in and what is 1 thing you could do to move her forward?

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Status NEW Posted 11 May 2017 04:05 AM My Price 20.00

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