After Joseph passed away from having a sudden heart attack, their four children, Joseph Jar. , Michael, Jennifer, and Linda frequently stop over to visit the family home where their mother Catherine still resides; furthermore, each adult child takes turns throughout the weekday to ensure that her basic needs are being met.
Catering’s eight grandchildren also spend a great deal of time with their beloved grandmother, especially over the weekends as well as during holidays and school recess. In addition, they are quite helpful to her and often assist her with household chores such as washing dishes, mopping and sweeping the floors, washing the laundry (with the exception of her undines), and helping out In her treasured flower garden.
Furthermore, Catherine is always appreciative of her family nice gestures and their willingness to continuously want to help her, but she also never hesitates to mind them that she can still do all of these things on her own without any help from anyone. Mrs… Lopez can be identified by her family and close friends as being a well- maintained, independent, charismatic, and kindhearted individual who enjoys her freedom.
Out of growing concern for her mother’s safety and security as well as her current mental health status and overall well-being, Catering’s eldest daughter Linda recently contacted our agency to setup appointment and obtain services for her elderly parent. Furthermore, Linda gave a brief synopsis over the phone ascribing her elderly mother’s concurrent forgetfulness, especially regarding things that had Just occurred as well as having difficulty carrying out simple to complex household tasks, which has left the entire family fearful of leaving Catherine home alone without having adequate supervision.
An appointment was setup to meet with Catherine along with her daughter Linda in person for a more in-depth assessment and evaluation regarding the chief complaint of their concerns. During the first initial interview with Catherine, she along with her daughter Linda, tooth gave an account of their growing concerns of the potential client’s mental health decline; in addition, I was asked what services were available to help them in their time of need and their requested information was provided.
Moreover, I negotiated with clients the purpose, goals, and nature of what our helping relationship would entail prior to its onset; additionally, the client was informed of the limitations of our proposed relationship (NOSH, 2014). I also stated to the client that as human services professional we are obligated to protect the client’s right to privacy and infallibility except when such confidentiality would cause harm to the client or others, if our agency guidelines state otherwise, or under other stated conditions such as local, state, or federal laws.
Furthermore, if I or other agency personnel suspect that the client or others are in danger as a result of the client’s behavior, within our human service professional capacity appropriate and professional measures will be taken in efforts to protect the safety of those individuals. This may involve seeking consultation, supervision, and/or breaking the confidentiality of the relationship. This policy will also be put in writing and will require the client’s signature in order to continue our counseling relationship (NOSH, 2014).
Next, a social history was conducted to help provide a description and history of the client’s presenting problem as well as additional, pertinent background information about Catering’s life such as her family of origin, birth and childhood, marriages and significant others, current living arrangements, education, employment history, medical history, religious 4 activities, social and recreation interest, the client’s successes and her strengths Summers, 2012).
In good conscience, the client provided me with all of the necessary information that was needed to complete her mental health chart. Furthermore, the last section of the social history includes my final impressions and recommendations for Catherine. The client had good insight about her current mental health status and the role that it plays with her occasional forgetfulness. In addition, the client expressed a desire to seek help and to “get down to the bottom of things that are taking place in her life”.
From the information that was provided by the client’s gather Linda and from the client herself, I would likely diagnose her condition as unspecified dementia without behavioral disturbance, 2014 ACID-II-CM Diagnosis code OFF. 90 (Caudate. Com, 2014). Indents counseling sessions; additionally, she has expressed how much she enjoys our trusting relationship. Catherine has also begun to share intimate details regarding her fears of living alone because on a few occasions she has forgotten to turn off household appliances like the iron, stove, tea kettle, and coffee maker.
Catherine also stated that while she had fallen to sleep for a brief amount of time while running water for her bubble bath, the tub had almost over-flowed. In addition, she exclaimed that she had also fallen a few times after getting out of the bath tub, further detailing that she only had a few minor bumps and bruises from the results of her fall. Catherine also added how fearful she was of losing her independence and how she does not want to become a burden to her family or others.
Lastly, she confessed that she further fears that she may be developing beginning signs of Alchemist’s disease and if this is so, she knows that her children will have her immediately placed into a senior citizen home. 5 According to the Alchemist’s Association (2012), one in eight older Americans suffer from this debilitating mental health disease which happens to also be the sixth- leading cause of death among our elderly population who are 65 and over; in addition, 5 million Americans are affected and over 8 million worldwide.
Moreover, Alchemist’s is the most common type of dementia, which significantly effects certain vital brain functions such as memory, abstract thinking, object identification, verbal/ instituting abilities, motor skills, and sound Judgment, in addition, it can also alter the usual behavior of the affected individual and can be the cause of an impending death.
Studies show that in 2014, there were approximately 47,000 older adult from the New York State region between the ages of 65-74 who are living with Alchemist’s disease. In addition, 160,000 between 75-84 and 170,000 who are 85-years and older are also affected in New York State by the ramifications of dementia; furthermore, 13% of senior citizens in total are living with this disease (Alchemist’s Association, 014).
The National Center for Health Statistics (2013) studies have indicated that Alchemist’s disease mortality is highest among the non-Hispanic white population with a staggering rate of 26%, which is higher than the nymphomaniacs African-American population, whom are next in line with a rate of 20. 9%. Even more alarming is that overall, women have a 30% higher risk of dying Alchemist’s than men, whose rate is 21. 0%. Additionally, the Hispanic population has the lowest morality rate, with only 16. 6% of Hispanic men and 19. % of Hispanic women. According to the American Psychological Association (1998), when evaluating an older adult it is suggested that the practitioner should assess the client’s current mental status, cognitive thinking ability, the client’s medical status, noncompliance with prescription treatment regimens will be established; any recent loss of a loved one, changes in the client’s living conditions, financial status, pending legal concerns, and family/interpersonal challenges will be 6 evaluated as well.
If mental health impairment is suspected, scheduling an interview tit family members and/or close friends is highly recommended. At this current stage of my helping relationship with Catherine, I have no reason to suspect any form of physical abuse, neglect, or maltreatment. Catering’s daughter Linda actively sought out assistance for her elderly parent because of the family worry for their mother’s health and safety, which shows their willingness to protect the widowed matriarch from potential hurt, harm, and danger to herself.
Additionally, the client’s overall appearance has been well-maintained from the start of our reflections relationship and it still is today. Her attitude is cooperative and she is always cheerful when she happily discusses the quality time that she spends with her children and grandchildren. She also shared during one of our few sessions how she still loves shopping for new clothes and handbags with her daughters and how grateful she was that her children cooperatively take turns driving her to places such as the market, bank, the doctor’s office, or any other errands that she may need to take.
My only concern is that if Catherine does not receive a mental health evaluation room her physician in a timely manner to determine whether she is suffering from early signs of Alchemist’s or any other form of dementia because the next that she falls or forgets to turn off the household appliance, she may not be so lucky the next time this occurs.
In addition, speaking with the client and obtaining verbal and/or or written consent with her signature to disclose confidential information with her family members regarding the concerns that have been identified during our individual counseling sessions and offering suggestions such as arranging for additional services, medical care that may include drug or non-drug treatment as well as other helpful resources in the community; therefore, discussing all necessary options with the client and her family will be imperative for the overall safety and well-being of the client (SCOFFS, 2014).
In addition, I will 7 comprehensively discuss my professional duty to serve and protect each of my clients from harm and imminent danger. I will further express that as an human services professional working in the state of New York it is my legal responsibility to port any suspected cases of elder abuse such as physical, sexual, and psychological/or emotional abuse as well as neglect, abandonment, and the illegal use of the client’s financial and material possessions (SCOFFS, 2014,).
An explanation of our agency’s limits of confidentiality policy was verbally communicated to the client prior to the onset along with written documentation that required her signature. The significance of this information has been reiterated to Catherine throughout the health counselor to keep her safe from harm in the event that I feel as though she ay pose a danger to herself or to others.
I will work closely with Catherine and her family in helping her make the decision whether to seek further consultation from her primary care physician who can provide a more thorough examination that may include cognitive, physical, and neurological testing as well as undergoing an MR.. Scan that will identify any changes in her normal brain activity, such as the presence of a brain tumor or if she has suffered from a minor stroke, which could be the underlying culprits of her cognitive impairment (Alchemist’s Association, 2012).
In inclusion, my number one priority is to respect the integrity and welfare of Catherine at all time, in addition to ensuring that she is treated with respect, acceptance, fairness, and dignity regardless of her age, race, gender, ethnicity, physical and mental limitations, or her social economic status.