You Have Been Referred The Case Of Carla Washburn, A 74-Year

You Have Been Referred The Case Of Carla Washburn A 74 Year Old Woman

You have been referred the case of Carla Washburn, a 74-year-old woman, whose sister has called your agency on her behalf. Widowed twenty years ago, Ms. Washburn recently lost her 25-year-old grandson, whom she raised from childhood. Recently, she fell off a ladder at home and has been in great pain ever since. She refuses to see a doctor.

As you delve into the case, you will see many levels to this problem. Can you help her? Visit to review the information on the case and respond to the questions in the post. Be sure to read the posts of other students and respond to at least 2 other students. Your responses must reflect critical thinking and engagement in the content. Ask thoughtful questions and leave comments about your agreement or different viewpoint. Write a few sentences to answer each question.

Paper For Above instruction

The case of Carla Washburn presents a complex interplay of emotional, physical, and social factors that influence her reluctance to seek help. As a 74-year-old woman who has experienced substantial loss and physical injury, her resistance to accessing services can be understood through several psychological and social lenses. First, her recent grief over her grandson's death likely exacerbates feelings of loneliness, grief, and perhaps a sense of vulnerability that can diminish her motivation to seek outside assistance. Second, her refusal to see a doctor might stem from fear of medical procedures, denial of injury severity, or mistrust of healthcare providers, which is common among older adults who have had negative past experiences or fear of dependency.

To effectively engage Ms. Washburn, it is essential to employ empathetic communication skills that build trust while respecting her autonomy. Techniques such as active listening and reflective questioning can help her feel heard and validated. Establishing rapport may involve addressing her emotional pain directly, acknowledging her grief, and showing genuine concern for her well-being. Motivational interviewing is another powerful tool; it allows the practitioner to explore her ambivalence about seeking care and gently guide her toward recognizing the benefits of addressing her pain and injury. Collaborating with her in setting small, manageable goals could also empower her and reduce resistance.

Support systems play a crucial role in her recovery and well-being. Potential sources of support include her sister, who initially contacted the agency, as well as close friends, neighbors, or community members who might provide emotional comfort, companionship, and assistance with daily activities. Her sister could offer emotional support and help her navigate healthcare options, while friends or neighbors could provide companionship to alleviate loneliness and monitor her condition. Social support networks can also facilitate access to resources such as transportation to medical appointments or meal provision. The ecomap is a valuable tool for visualizing these connections, showing strong links to familial and community supports, but possibly weaker ties to formal healthcare resources, which might be underutilized or inaccessible due to her reluctance or fears. Interpreting the flow of resources, it appears that her social environment primarily offers informal support, with limited engagement from formal health services, suggesting a need to bridge these gaps through trust-building and outreach.

Overall, understanding Ms. Washburn’s emotional landscape, leveraging her existing support network, and employing empathetic engagement techniques are critical steps toward helping her overcome her resistance and ensuring she receives the care necessary for her recovery and well-being.

References

• Bertolino, B., & Kellogg, K. (2020). Theories and Models of Social Work Practice. Pearson.
• McGoldrick, M., Giordano, P., & Garcia-Preto, N. (2016). Ethnicity and Family Therapy. Guilford Publications.
• National Institute on Aging. (2022). Grief and Loss in Older Adults. https://www.nia.nih.gov/health/grief-and-loss-older-adults
• Rathus, S. A., & Nevid, J. S. (2017). Abnormal Psychology in a Changing World. Cengage Learning.
• Wyatt, G. E., & Williams, D. R. (2019). Social Support and Health Outcomes. Journal of Aging & Social Policy, 31(2), 152-164.
• American Psychological Association. (2021). Engaging Older Adults in Mental Health Treatment. https://www.apa.org/pi/oema/resources/ethnicity-health
• Cohen, S., & Wills, T. A. (1985). Stress, Social Support, and the Buffering Hypothesis. Psychological Bulletin, 98(2), 310–357.
• Silverstein, M., & Bengtson, V. L. (2014). Intergenerational Relations and Support in Later Life. In D. K. M. & H. B. (Eds.), The Handbook of Aging and the Social Sciences (8th ed.). Academic Press.
• World Health Organization. (2022). Ageing and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
• Carroll, J., & Leahy, M. (2019). Building Trust in Healthcare among Older Adults. Journal of Elder Abuse & Neglect, 31(3), 210-227.