PSW_Module_5_Abuse_and_Neglect_Assignment

PSW Module 5 - Abuse and Neglect Assignment

1 / 3

Module 5 - Abuse and Neglect Assignment

General Directions:

A. Work in a group, as assigned by your instructor.
B. Choose a group member to record the answers for the group.
C. Discuss the following scenarios and record your answers on the assignment sheets provided.
D. One assignment will be submitted per group— each member will receive the same mark, provided all participants contributed equally.
E. Submit your answers to your instructor at the end of the session.
F. Assignment is out of 30 marks.
G. Each group member will receive the same mark, provided all participants contribute equally.
H. The assignment will count for 40% of your final mark in Module 5.

CASE #1

Mrs. Green is your client. She is 78 years old and has progressive degeneration of her
hip joints that makes it very difficult for her to get out. You have been visiting her for
three weeks, helping with the vacuuming, washing, and providing some social contact.

Although Mrs. Green seems to want you to continue coming to see her, you notice
that she is very anxious about your leaving on time. You feel that she is probably
worried about the costs of your visits and wants to make sure that she isn’t charged for
extra time.

You’re aware that Mrs. Green has a daughter and, although she doesn’t say much
about her, you get the feeling that the daughter does visit. You have never met her,
though.

At the end of your last visit, Mrs. Green’s washer backs up, spilling water all over the
basement. Mrs. Green becomes very anxious, saying to you that, “It’s alright: the
water won’t hurt the floor. You’d better go, you’ll be late.”

You can’t just leave the water on the floor and insist on cleaning it up. Somewhat
reluctantly, Mrs. Green decides to let you do this and returns upstairs.

Just as you’re finishing, you hear the door. A younger woman speaks to Mrs. Green.
You notice that her tone is harsh as she says, “You’re out of milk and bread? What did
you do with all of the food I brought last week? Feeding those damn birds again— you
don’t have enough sense to make sure that you keep food for yourself. Now I have to
get stuff because you’ve wasted what you had. Sometimes you act as though you don’t
have a brain in your head.”

Concerned, you put away the last of the cleaning supplies when you hear the younger
woman say, “Whose coat is this?” When Mrs. Green replies that it is yours, the woman
continues, “What’s the matter? You aren’t satisfied with all that I do? You have to
invite some stranger into your house? Where are you getting all the money for this?”

You go to the top of the stairs. The younger woman says to you, “Thanks for your help,
but my mother won’t be needing you anymore. I’ll make sure that you’re well paid for
today.” Mrs. Green looks miserable, but helpless. She looks down at the floor.

1. Describe all the feelings that you (or other PSWs) might have in this situation.
Explain how they might be helpful or unhelpful in resolving the problem. (2 marks)

____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

2. List three behaviours of Mrs. Green’s that indicate she may be abused. (3 marks)

a. _________________________________________________________
b. _________________________________________________________
c. _________________________________________________________

3. In this situation, describe how power is being exerted over another person. (2 marks)
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

4. What action is appropriate for the PSW to take in this situation? Why? (3 marks)

___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

2 / 3

CASE #2

You have been assigned to assist Sarah, a new mother, care for her infant son. The
mother requires help as she has recently had a sprained ankle and wrist fractures.
Although she can get around, she cannot look after the infant and her 2-year-old
daughter. Home care was ordered by Sarah’s doctor, despite the family’s protests that
they could manage on their own. You have been visiting for two weeks.

Sarah is a quiet, painfully shy person. However, little by little, she has warmed up to
you. She smiles more often now and seems very grateful for your visits.

Today, as you hand Sarah her son after his bath, you notice a large bruise on Sarah’s
upper arm. It is purplish and about 10 cm. (4 inches) in diameter. Sarah notices that
you have seen the bruise and says, “Oh, that— I hit the freezer door last night.” You
must look doubtful, as Sarah begins to cry. She tells you that her husband grabbed her
arm and twisted it last night. She begs you not to tell anyone, saying that she would be
embarrassed if anyone knew. “He’s a good man,” she says of her husband, “I’d have
nothing if it weren’t for him.”

1. Describe all the feelings that you (or other PSWs) might have in this situation.
Explain how they might be helpful or unhelpful in resolving the problem. (1 mark)
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

2. Identify three signs that indicate Sarah is abused. (3 marks)
a.__________________________________________________________
b.__________________________________________________________
c.__________________________________________________________

3. Describe two ways in which Sarah is demonstrating denial. (2 marks)
a._________________________________________________________
b._________________________________________________________

4. What other emotion is Sarah displaying? (1 mark)
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

5. What action is appropriate for the PSW to take in this situation? Why? (3 marks)
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

 

3 / 3

CASE #3

You have been assigned to care for the Ross family. The family just had triplets: three
girls. The girls were premature, but they are now home after two months in hospital.
There are two older children in the family, Ray, age two, and Lori, age five. Although
maternal and paternal grandparents are all living, they reside 1600 km away and
cannot visit to help.

The family seems to be loving and close-knit. The parents seem very happy with the
new additions— although they admit that the birth of three was very much a surprise.

You have been with the family for two months and over that time have noticed a
change in Ray. He seems less able to run as steadily as he did before. As well, he seems
to be using more “baby-talk,” not speaking words as clearly as he once did. He also
seems to be more fearful.

Today is your day off. You find yourself in the Ross’ neighbourhood and decide to say
hello. As you go up to the door, you see Mrs. Ross violently shaking her son. She is
visibly upset and is speaking to him in a very angry voice.

1. Describe all the feelings that you (or other PSWs) might have in this situation. Explain
how they might be helpful or unhelpful in resolving the problem. (2 marks)
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

2. Identify the possible reasons for the angry outburst in Mrs. Ross. (3 marks)
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

3. Identify two behaviours in Ray that indicate that he may be abused. (2 marks)
a.______________________________________________________________
b.______________________________________________________________

4. What action is appropriate for the PSW to take in this situation? Why? (3 marks)
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________