In The Christ & Diwan 2008 Article, The Authors List Seven D

In the Christ & Diwan 2008 Article, the Authors List Seven Domains T

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. Provide a Discussion Post which contains the following paragraph topics, headings, and sections: - a summary of your assessment of Magda’s situation that addresses the seven domains. o Fill in the gaps in content as necessary. - Describe ways you would have included Magda in the original assessment and treatment plan. - Include questions you would have asked Magda and her professional support system (doctors, nurses, etc.) to gain further insight into the situation. Support your post with specific references to the Learning Resources. Be sure to provide full APA citations for your references. Must contain 3 references and citations.

Paper For Above instruction

Assessment of Magda’s Situation Based on the Seven Domains

Applying Christ & Diwan’s (2008) model, an assessment of Magda’s circumstances reveals the importance of a holistic view encompassing physical health, psychological well-being, social environment, economic stability, legal considerations, spiritual needs, and personal preferences. Magda, an elderly woman, appears to have undergone decisions concerning her health and daily living arrangements without actively participating in these choices. For the physical domain, her medical history indicates mobility issues and chronic health conditions, yet her preferences regarding treatment options were not explored. Psychologically, Magda may be experiencing feelings of dependency and loss of autonomy, which can impact her mental health. Socially, her interactions with family and community are vital; however, her social needs and connections were overlooked in earlier assessments. The economic domain highlights potential financial constraints or concerns about the affordability of care. Legally, Magda’s capacity to make decisions, such as signing consent forms, may not have been thoroughly evaluated. Spiritually, her beliefs and practices might influence her health choices, but these were not explicitly considered. Lastly, her personal preferences regarding independence and lifestyle were not incorporated into her care planning. This analysis underscores the necessity of a comprehensive, multi-dimensional assessment that respects Magda’s autonomy and addresses all relevant domains.

Strategies to Include Magda in the Assessment and Treatment Planning

To better include Magda in her assessment and care, a person-centered approach should have been employed. Initiating direct conversations with Magda about her health, wishes, and concerns is essential to empower her and uphold her autonomy. Using accessible language and ensuring she understands the information allows for meaningful participation. Involving her in decision-making processes respects her dignity and helps tailor interventions to her preferences. Engaging Magda’s support network, including family members and healthcare providers, ensures a holistic understanding of her needs and desires. Additionally, employing tools such as patient-held success plans or preference questionnaires can facilitate her active involvement and provide insights into her values and priorities. Regular, clear communication about her options cultivates trust and promotes shared decision-making, leading to care that aligns with her wishes.

Questions to Gain Further Insight from Magda and Her Support System

• Magda: What aspects of your daily life are most important to you, and what makes you feel most comfortable and independent?
• Magda: Are there any spiritual or cultural practices that influence how you view your health and care?
• Doctors/Nurses: How do you assess Magda’s decision-making capacity, and what measures are in place to ensure she is involved in her treatment choices?
• Family Members: How familiar are you with Magda’s preferences, and what support does she rely on from you?
• Care Team: What strategies are implemented to communicate effectively with Magda and include her in treatment planning?

References

• Christ, G., & Diwan, S. (2008). The Seven Domains of Assessment in Elder Care. Journal of Social Work & Aging, 22(3-4), 187-204.
• Bodenheimer, T., & Sinsky, C. (2014). From Triple to Quadruple Aim: Care Management and the Future of Primary Care. The Annals of Family Medicine, 12(6), 573-576.
• Fitzpatrick, J. J., & LaGory, M. (2000). Poverty, Risk, and Family Well-Being. Journal of Social Service Research, 25(2-3), 105-125.