Older Adult Social Work

Older Adult Social Work
You are a social worker at a “congregate meal site” located in a Senior Citizens highrise apartment complex. Seniors from the community can come and receive a low-cost or free meal at this site. During lunch, one of residents introduces you to his friends Bill and Martha Reynolds, age 71 and 65 respectively – and asks if you can help them.

Bill & Martha used to live in Las Vegas and Bill retired seven years ago. Martha was a volunteer for the local elementary school prior to Bill retiring. Four months ago, Martha had a small stroke and was hospitalized. She was then transferred to a rehab program where she stayed for two months. When she was released to their home, she continued receiving home nursing and physical therapy two times a week to help her get stronger. She was doing great and those services were scheduled to end this week. Then late last week their home, into which they have sunk all of their life savings, was destroyed by a freak desert tornado. They did not have homeowners insurance that covers tornados. So they have come to live in your local area. They are staying in a close by motel and are on the waiting list for the complex. The wait list is 6-8 months. Bill and Martha have no children and spend most of his retirement travelling, entertaining friends and enjoying their home.

They both have Medicare insurance and Medicare Part D Prescription Drug Plan. Between them they receive a total of about $2,100 from Social Security “the third of every month.” But they have almost nothing in the bank now, because they’ve been paying for gasoline, restaurant meals, and motels. Martha needs a refill for an expensive medicine she takes to prevent another stroke, but none of the pharmacies here will accept her insurance without approval from their insurance provider, who is out-of-state. The Reynolds are currently awaiting approval from a local health care provider so they don’t have to pay for the medicine out of pocket, but haven’t yet established residency. Bill relates to you, “I feel so bad. We never imagined things could go so wrong. We’ve worked hard all of our lives and we’ve got nothing to show for it. I don’t even know where we’re going to sleep tonight. I feel like I’ve totally let my Martha down. Here we are homeless, broke, and begging for a handout. I don’t know what to do anymore.” Bill breaks down and begins to cry.

Older Adult Social Work

Questions 1. Identify the developmental stage of each client according to Erik Erikson’s Psychosocial Developmental stages (remember that a person can be in transition between two stages). Discuss one result of how the impact of these client’s dilemma can impact the developmental stage for these clients.

Question2: Assess and identify the client’s top three (3) priority needs. Discuss your rationale for identifying these needs as the priority. Include three to five relevant questions you would explore with this couple to establish the priority need in this case.

question3. (a) Identify and provide details of three relevant local resources and one advocacy group available to elder community members in your area. (b)Research and provide agency information (e.g. name, locations, contact info, summary of services and populations served) of the selected resources and advocacy group available in your community. (c)Discuss your rationale on how these resources are likely to address your client’s identified priority needs.

question 4. (a) Research and identify any rules in your area for an elderly person to establish residency and receive medicare/prescription coverage (You will have to research changes in medicare when moving to another state). (b) Discuss two potential barriers for accessing coverage with displaced or homeless elderly from outside the local area and pertains specifically to your current client’s situation. (c) Discuss one resource you can contact in your local area, to find out how to help these client’s navigate the insurance and health care concerns they have?

question5. Identify and discuss a brief synopsis of your intervention plan for these clients. Provide two examples of how you will foster the client’s collaboration in the planning process. (specifically write out your collaborative QUESTIONS OR STATEMENTS that will promote client involvement).

Older Adult Social Work

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