Identify the relevant values and ethics (as defined by codes of ethics) that a social worker may draw upon when carrying out their roles and responsibilities. 
  1. Values and Ethics
  • Please think critically about how law/policy/guidance may cause tensions with social work ethics, and how any such tensions could be resolved. In doing so you will be expected to draw upon specific codes of ethics and relevant research/literature.

Identify the relevant values and ethics (as defined by codes of ethics) that a social worker may draw upon when carrying out their roles and responsibilities.

Case Study: The Campbell Family

 

The Campbell family are a black British family of Jamaican heritage living in Salford. Ionie Campbell is 55 years old and lives in a 2-bedroom terraced house. She was widowed in her 20s and raised her two daughters as a single parent and they are both now adults. Three years ago, Ionie’s oldest daughter, Kenise (who is now 32), moved back in to live with Ionie, along with her own children –Aleesha (who is now 15), Daryl (who is now 8) and Ruby (who is now 5). Aleesha attends Higher Brook High School, and Daryl and Ruby attend Springfield Primary School.

 

Kenise Campbell has suffered from mental health issues throughout her adult life and often goes through periods where she struggles to get out of bed, to manage basic household tasks or to appropriately supervise the children. It was because of these issues that she moved back in with her mother 3 years ago. Since this time her mental health has continued to deteriorate and Ionie undertakes the majority of the household tasks and care for the children.

 

Aleesha’s father is unknown, but Daryl and Ruby’s father is Jason –a 35-year-old white British man who lives locally. He is named on Daryl and Ruby’s birth certificates. Jason lives locally with his wife and their baby. He sees Daryl and Ruby every weekend but does not have them overnight.

 

Recently Ionie has been diagnosed with cancer. She spent two weeks in hospital –during which time her younger daughter (Angelique) came to stay at the family home so she could visit her mother, and she stayed for an extra week to help around the home. However, Angelique returned to her job in Spain a month ago. Ionie is suffering from extreme tiredness because of her treatment, and has episodes of dizziness, nausea and confusion. She also must attend hospital appointments every few days. As a result, she is struggling to undertake the housework, to make meals and to supervise the children. She is also missing socialising with her friends at their weekly bingo sessions. Ionie has a Macmillian nurse who visits fortnightly to offer support to Ionie with her treatment.

 

Ionie’s diagnosis has had a further impact on Kenise’s mental health, and she now rarely leaves her bedroom during the day. At night times she often leaves the house and the family do not know where she goes. At Ionie’s insistence, Kenise has reluctantly spoken to the GP about how she is feeling. She has told him that she feels low all the time and self-medicates using sleeping tablets, and occasionally other drugs that she gets from a friend to help her sleep during the day. When she wakes in the evening, she sometimes hears voices that tell her to go for a walk, which she does, but she often cannot remember where she has been or recall much information about her walks.

 

Springfield Primary School have noticed that Daryl and Ruby have seemed increasingly tired and withdrawn in school over the past month. They often attend in dirty clothes and often forget their packed lunch. Their attendance has also dropped over the past month, and they are often late for school. Aleesha often brings them to school now, and they often walk home alone. Often the children say they are hungry and have not had breakfast.

 

Daryl has severe asthma, and the school nurse has raised concerns that he has not been attending the asthma clinic and his medication has not been renewed. This meant that in the last week when he had an asthma attack in school, he had no inhaler and had to use another child’s inhaler. When the school rang Ionie after the asthma attack, she seemed confused and said she did not know he had asthma, even though she has previously taken him to all his appointments. Springfield Primary School liaised with Higher Brook High School who told them that Aleesha’s school attendance had dropped from 100% to almost non-existent over the past month. Friends of Aleesha’s who attend the school have been round to the house to visit her and have told teachers that the house is now dirty and untidy and that Aleesha often asks her friends if they can bring some food round. She has told her friends that she is often going with her grandma to her hospital appointments and is scared to leave her grandma at home with just her mum.

Springfield Primary School have referred Aleesha, Darryl and Ruby to the statutory Children and Families Team.

Ionie’s Macmillan nurse has referred Ionie to the Adult Social Care Team.

Kenise’s GP has referred her to the Mental Health Team.

 

 

 

 

Critically consider the rights of the service user(s) as defined by law and whether these provide any tensions with the law/policy/guidance the social worker might use.
  1. The Rights of Those Involved
  • Critically consider the rights of the service user(s) as defined by law and whether these provide any tensions with the law/policy/guidance the social worker might use.
  • Consider how the social worker might use their role to uphold the service user’s rights
  • You will be expected to be able to cite specific rights as set out in legislation. This may include Human Rights Legislation as well as rights within other legislation.

You may find it useful to draw on relevant research and literature to consider how rights can be upheld, whilst the social worker also carried out their statutory responsibilities

 

Case Study: The Campbell Family

 

The Campbell family are a black British family of Jamaican heritage living in Salford. Ionie Campbell is 55 years old and lives in a 2-bedroom terraced house. She was widowed in her 20s and raised her two daughters as a single parent and they are both now adults. Three years ago, Ionie’s oldest daughter, Kenise (who is now 32), moved back in to live with Ionie, along with her own children –Aleesha (who is now 15), Daryl (who is now 8) and Ruby (who is now 5). Aleesha attends Higher Brook High School, and Daryl and Ruby attend Springfield Primary School.

 

Kenise Campbell has suffered from mental health issues throughout her adult life and often goes through periods where she struggles to get out of bed, to manage basic household tasks or to appropriately supervise the children. It was because of these issues that she moved back in with her mother 3 years ago. Since this time her mental health has continued to deteriorate and Ionie undertakes the majority of the household tasks and care for the children.

 

Aleesha’s father is unknown, but Daryl and Ruby’s father is Jason –a 35-year-old white British man who lives locally. He is named on Daryl and Ruby’s birth certificates. Jason lives locally with his wife and their baby. He sees Daryl and Ruby every weekend but does not have them overnight.

 

Recently Ionie has been diagnosed with cancer. She spent two weeks in hospital –during which time her younger daughter (Angelique) came to stay at the family home so she could visit her mother, and she stayed for an extra week to help around the home. However, Angelique returned to her job in Spain a month ago. Ionie is suffering from extreme tiredness because of her treatment, and has episodes of dizziness, nausea and confusion. She also must attend hospital appointments every few days. As a result, she is struggling to undertake the housework, to make meals and to supervise the children. She is also missing socialising with her friends at their weekly bingo sessions. Ionie has a Macmillian nurse who visits fortnightly to offer support to Ionie with her treatment.

 

Ionie’s diagnosis has had a further impact on Kenise’s mental health, and she now rarely leaves her bedroom during the day. At night times she often leaves the house and the family do not know where she goes. At Ionie’s insistence, Kenise has reluctantly spoken to the GP about how she is feeling. She has told him that she feels low all the time and self-medicates using sleeping tablets, and occasionally other drugs that she gets from a friend to help her sleep during the day. When she wakes in the evening, she sometimes hears voices that tell her to go for a walk, which she does, but she often cannot remember where she has been or recall much information about her walks.

 

Springfield Primary School have noticed that Daryl and Ruby have seemed increasingly tired and withdrawn in school over the past month. They often attend in dirty clothes and often forget their packed lunch. Their attendance has also dropped over the past month, and they are often late for school. Aleesha often brings them to school now, and they often walk home alone. Often the children say they are hungry and have not had breakfast.

 

Daryl has severe asthma, and the school nurse has raised concerns that he has not been attending the asthma clinic and his medication has not been renewed. This meant that in the last week when he had an asthma attack in school, he had no inhaler and had to use another child’s inhaler. When the school rang Ionie after the asthma attack, she seemed confused and said she did not know he had asthma, even though she has previously taken him to all his appointments. Springfield Primary School liaised with Higher Brook High School who told them that Aleesha’s school attendance had dropped from 100% to almost non-existent over the past month. Friends of Aleesha’s who attend the school have been round to the house to visit her and have told teachers that the house is now dirty and untidy and that Aleesha often asks her friends if they can bring some food round. She has told her friends that she is often going with her grandma to her hospital appointments and is scared to leave her grandma at home with just her mum.

Springfield Primary School have referred Aleesha, Darryl and Ruby to the statutory Children and Families Team.

Ionie’s Macmillan nurse has referred Ionie to the Adult Social Care Team.

Kenise’s GP has referred her to the Mental Health Team.

 

 

What is the role and responsibilities of the social worker AS DEFINED BY LAW/POLCIY/GUIDANCE AND PROFESSIONAL REGULATION in relation to this specific service user? 
  1. The Role and Responsibilities of the Social Worker
  • What is the role and responsibilities of the social worker AS DEFINED BY LAW/POLCIY/GUIDANCE AND PROFESSIONAL REGULATION in relation to this specific service user?
  • This is NOT asking you to provide a care plan for the service user (e.g., “the social worker should provide a carer”) and it is NOT asking you for an in-depth exploration of the approach a social worker might take (e.g., a person-centred approach) – though if you want to briefly mention an approach which might fit with the social worker’s role/responsibilities this is fine.
  • Please consider the social worker’s role/responsibilities critically, drawing on evidence from relevant research and literature
  • Please remember that the professional regulator is Social Work England (SWE) not HCPC/GSCC/any other body. Many (but not all) social workers are members of BASW (British Association of Social Work) and those who are would be expected to follow BASW’s code of ethics. The NASW is not applicable as this is an American organisation.

    Case Study: The Campbell Family

     

    The Campbell family are a black British family of Jamaican heritage living in Salford. Ionie Campbell is 55 years old and lives in a 2-bedroom terraced house. She was widowed in her 20s and raised her two daughters as a single parent and they are both now adults. Three years ago, Ionie’s oldest daughter, Kenise (who is now 32), moved back in to live with Ionie, along with her own children –Aleesha (who is now 15), Daryl (who is now 8) and Ruby (who is now 5). Aleesha attends Higher Brook High School, and Daryl and Ruby attend Springfield Primary School.

     

    Kenise Campbell has suffered from mental health issues throughout her adult life and often goes through periods where she struggles to get out of bed, to manage basic household tasks or to appropriately supervise the children. It was because of these issues that she moved back in with her mother 3 years ago. Since this time her mental health has continued to deteriorate and Ionie undertakes the majority of the household tasks and care for the children.

     

    Aleesha’s father is unknown, but Daryl and Ruby’s father is Jason –a 35-year-old white British man who lives locally. He is named on Daryl and Ruby’s birth certificates. Jason lives locally with his wife and their baby. He sees Daryl and Ruby every weekend but does not have them overnight.

     

    Recently Ionie has been diagnosed with cancer. She spent two weeks in hospital –during which time her younger daughter (Angelique) came to stay at the family home so she could visit her mother, and she stayed for an extra week to help around the home. However, Angelique returned to her job in Spain a month ago. Ionie is suffering from extreme tiredness because of her treatment, and has episodes of dizziness, nausea and confusion. She also must attend hospital appointments every few days. As a result, she is struggling to undertake the housework, to make meals and to supervise the children. She is also missing socialising with her friends at their weekly bingo sessions. Ionie has a Macmillian nurse who visits fortnightly to offer support to Ionie with her treatment.

     

    Ionie’s diagnosis has had a further impact on Kenise’s mental health, and she now rarely leaves her bedroom during the day. At night times she often leaves the house and the family do not know where she goes. At Ionie’s insistence, Kenise has reluctantly spoken to the GP about how she is feeling. She has told him that she feels low all the time and self-medicates using sleeping tablets, and occasionally other drugs that she gets from a friend to help her sleep during the day. When she wakes in the evening, she sometimes hears voices that tell her to go for a walk, which she does, but she often cannot remember where she has been or recall much information about her walks.

     

    Springfield Primary School have noticed that Daryl and Ruby have seemed increasingly tired and withdrawn in school over the past month. They often attend in dirty clothes and often forget their packed lunch. Their attendance has also dropped over the past month, and they are often late for school. Aleesha often brings them to school now, and they often walk home alone. Often the children say they are hungry and have not had breakfast.

     

    Daryl has severe asthma, and the school nurse has raised concerns that he has not been attending the asthma clinic and his medication has not been renewed. This meant that in the last week when he had an asthma attack in school, he had no inhaler and had to use another child’s inhaler. When the school rang Ionie after the asthma attack, she seemed confused and said she did not know he had asthma, even though she has previously taken him to all his appointments. Springfield Primary School liaised with Higher Brook High School who told them that Aleesha’s school attendance had dropped from 100% to almost non-existent over the past month. Friends of Aleesha’s who attend the school have been round to the house to visit her and have told teachers that the house is now dirty and untidy and that Aleesha often asks her friends if they can bring some food round. She has told her friends that she is often going with her grandma to her hospital appointments and is scared to leave her grandma at home with just her mum.

    Springfield Primary School have referred Aleesha, Darryl and Ruby to the statutory Children and Families Team.

    Ionie’s Macmillan nurse has referred Ionie to the Adult Social Care Team.

    Kenise’s GP has referred her to the Mental Health Team.

     

Should cost be a consideration when deciding on treatment for patients with cancer?

Description

Many new cancer treatments for advanced cancers are very expensive, yet many if not all of these treatments are not curative. Some of these cancer treatments only prolong cancer patient’s lives for 4-6 months. Find examples of such treatments currently being used (i.e. immunotherapy) and answer the following questions: What are the ethical and societal considerations we must consider when deciding on implementing such expensive treatments? Should cost be a consideration when deciding on treatment for patients with cancer? Comment on at least two of your classmates’ posts.

What specific law, policy and guidance the social worker might use when working with this person.

Case Study Assignment

This assignment requires you to respond to a case study. The case study is provided below. You are required to think about how a social worker might work with the following people from in the case study:

  • Ionie
  • Kenise
  • Aleesha, Daryl & Ruby

 

 

 

 

In your responses you need to consider:

  1. Law, Policy and Guidance
  • What specific law, policy and guidance the social worker might use when working with this person. You will need to provide evidence to justify your decision referring to the law/policy itself and referring to appropriate relevant research and literature.
  • It may not always be clear which law/policy/guidance (or section of law/policy/guidance) is most applicable – there may be different options that could be used. If this is the case you will need to explore the different options, drawing on appropriate relevant research and literature to analyse the different option.
  • When drafting your answer please remember to consider law AND policy AND guidance and consider what is appropriate. In some cases, all three may be relevant, in other cases only one.

Please remember that law includes both legislation and case law. In some cases, both may apply, in other cases only one of these may apply.

Case Study: The Campbell Family

 

The Campbell family are a black British family of Jamaican heritage living in Salford. Ionie Campbell is 55 years old and lives in a 2-bedroom terraced house. She was widowed in her 20s and raised her two daughters as a single parent and they are both now adults. Three years ago, Ionie’s oldest daughter, Kenise (who is now 32), moved back in to live with Ionie, along with her own children –Aleesha (who is now 15), Daryl (who is now 8) and Ruby (who is now 5). Aleesha attends Higher Brook High School, and Daryl and Ruby attend Springfield Primary School.

 

Kenise Campbell has suffered from mental health issues throughout her adult life and often goes through periods where she struggles to get out of bed, to manage basic household tasks or to appropriately supervise the children. It was because of these issues that she moved back in with her mother 3 years ago. Since this time her mental health has continued to deteriorate and Ionie undertakes the majority of the household tasks and care for the children.

 

Aleesha’s father is unknown, but Daryl and Ruby’s father is Jason –a 35-year-old white British man who lives locally. He is named on Daryl and Ruby’s birth certificates. Jason lives locally with his wife and their baby. He sees Daryl and Ruby every weekend but does not have them overnight.

 

Recently Ionie has been diagnosed with cancer. She spent two weeks in hospital –during which time her younger daughter (Angelique) came to stay at the family home so she could visit her mother, and she stayed for an extra week to help around the home. However, Angelique returned to her job in Spain a month ago. Ionie is suffering from extreme tiredness because of her treatment, and has episodes of dizziness, nausea and confusion. She also must attend hospital appointments every few days. As a result, she is struggling to undertake the housework, to make meals and to supervise the children. She is also missing socialising with her friends at their weekly bingo sessions. Ionie has a Macmillian nurse who visits fortnightly to offer support to Ionie with her treatment.

 

Ionie’s diagnosis has had a further impact on Kenise’s mental health, and she now rarely leaves her bedroom during the day. At night times she often leaves the house and the family do not know where she goes. At Ionie’s insistence, Kenise has reluctantly spoken to the GP about how she is feeling. She has told him that she feels low all the time and self-medicates using sleeping tablets, and occasionally other drugs that she gets from a friend to help her sleep during the day. When she wakes in the evening, she sometimes hears voices that tell her to go for a walk, which she does, but she often cannot remember where she has been or recall much information about her walks.

 

Springfield Primary School have noticed that Daryl and Ruby have seemed increasingly tired and withdrawn in school over the past month. They often attend in dirty clothes and often forget their packed lunch. Their attendance has also dropped over the past month, and they are often late for school. Aleesha often brings them to school now, and they often walk home alone. Often the children say they are hungry and have not had breakfast.

 

Daryl has severe asthma, and the school nurse has raised concerns that he has not been attending the asthma clinic and his medication has not been renewed. This meant that in the last week when he had an asthma attack in school, he had no inhaler and had to use another child’s inhaler. When the school rang Ionie after the asthma attack, she seemed confused and said she did not know he had asthma, even though she has previously taken him to all his appointments. Springfield Primary School liaised with Higher Brook High School who told them that Aleesha’s school attendance had dropped from 100% to almost non-existent over the past month. Friends of Aleesha’s who attend the school have been round to the house to visit her and have told teachers that the house is now dirty and untidy and that Aleesha often asks her friends if they can bring some food round. She has told her friends that she is often going with her grandma to her hospital appointments and is scared to leave her grandma at home with just her mum.

Springfield Primary School have referred Aleesha, Darryl and Ruby to the statutory Children and Families Team.

Ionie’s Macmillan nurse has referred Ionie to the Adult Social Care Team.

Kenise’s GP has referred her to the Mental Health Team.

Discuss how positive pressure ventilation and the settings of IPAP and EPAP both influence work of breathing and oxygenation, considering the implications to the patient’s respiratory function if these settings are incorrectly applied.

Day 9 post admission Natalie has developed a respiratory nosocomial-acquired infection which

has caused type 1 respiratory failure. A MET call was issued for signs of respiratory distress and

hypoxaemia, and non-invasive ventilation bi-level positive airway pressure (BiPAP) was

commenced, with IPAP 12cmH20 and EPAP 6cmH20, FiO2 0.6.

Within 15 minutes of NIV therapy, there is an increase in SpO2 from 88% (on FiO2 0.6) to 91%,

and BP drop from 112/65mmHg to 94/50mmHg.

 

Question 5: (approx. 250 words)

Discuss how positive pressure ventilation and the settings of IPAP and EPAP both influence

work of breathing and oxygenation, considering the implications to the patient’s respiratory

function if these settings are incorrectly applied.

Identify and rationalise what signs and symptoms would alert you to compartment syndrome in this case considering the mechanisms by which Natalie’s epidural could mask compartment syndrome.

Question 4: (approx. 175 words)

Natalie has an external fixation device insitu to the right tibia and fibula. Identify and rationalise

what signs and symptoms would alert you to compartment syndrome in this case considering

the mechanisms by which Natalie’s epidural could mask compartment syndrome.

 

Rationalise two immediate actions/interventions related to epidural care that you would undertake (before escalating to your preceptor) in this scenario, while linking causative factors underpinning these signs and symptoms.

That evening Natalie goes to operating theatre for a laparotomy, splenectomy, and stabilisation

of the right open comminuted fracture tibial/fibula with an external fixation device. She returns

to the trauma unit with an T9-T10 Epidural (Bupivacaine) in situ.

Six hours later, Natalie is drowsy but complaining of abdominal pain 5/10 only on the left flank

when she is awake. Vital signs are BP 95/50mmHg, T36.2C, RR 10 (asleep) RR 14 (awake), SpO2

94% on 2LNP, HR 60 regular.

 

Question 3. (approx. 175 words)

Rationalise two immediate actions/interventions related to epidural care that you would

undertake (before escalating to your preceptor) in this scenario, while linking causative factors

underpinning these signs and symptoms.

discuss one independent nursing intervention and one dependent nursing intervention for the actual problem.

CASE EXAMINATION:

Natalie Hill (pronouns she/her) is a 42-year-old female admitted to University Hospital by

ambulance at 0420am following a motor vehicle accident (MVA) at 80km/hr. The car had

impact with the metal lane barrier. Natalie was the driver, with no other persons in the car at

the time of the crash.

Natalie’s primary survey upon immediate arrival to the Emergency Department (ED) of

University Hospital (UH) demonstrated the following:

A: Airway cleared, Yankeur suctioning required to remove vomitus. Blood noted in

mouth, 3 front teeth loose. Speaking inappropriate words, drowsy. C-spine collar in situ

B: Respiratory rate (RR) 26 per minute, laboured. Decreased breath sounds to right

lower lobe, and left lung. Equal chest symmetry. SpO2 84% at scene, 99% 10 L oxygen

via Hudson mask (HM).

C: Heart rate (HR) 121 beats per minute, pulse thready and regular. Blood pressure

90/58 mmHg. Skin is cool, pale, clammy. Capillary refill (CR) > 3 seconds. 2L 0.9% Normal

Saline IVT administered by paramedics. 2 x IV cannula inserted left and right antecubital

fossa. Positive focused assessment with sonography in trauma (FAST) scan. Hb 94g/L.

D: Glasgow coma score (GCS) 10 (E2V3M5). PEARL size 3+. Blood glucose level

11.1mmol/L mmol/L.

E: Temperature 35.5 degrees Celsius, Bair Hugger warming blanket applied. Multiple

lacerations and contusions evident on all limbs, abdomen and face. Significant bruising

and swelling to right lower leg, toes mottled and cool.

 

 

 

 

 

 

 

 

 

 

QUESTIONS:

Question 1. (approx. 250 words)

The above data outlines what is involved in the primary assessment of Natalie. From this

information, rationalise one actual/priority problems and two potential problems. Underpin

your responses with underlying pathophysiological causes to justify your decision

making. Link to other signs and symptoms as applicable.

 

Answer:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

You have now performed a secondary survey of Natalie. Some diagnostic results and physical

assessment data gathered from this includes:

Vitals: BP 99/60mmHg; RR 28; SpO2 94% 10LHM; HR 134bpm, Temperature 36.1

GCS 12 (E3V4M5); C-spine collar remains in situ. Periorbital bruising noted. PEARL 3+sluggish.

Await head/neck/spine CT scan. Lung sounds remain unchanged from primary survey, nil signs

of subcutaneous emphysema, nil tracheal deviation. Weak and thready radial pulses, heart

sounds S1 S2. Hb 79g/L.

Log-roll performed: palpation of spine NAD (No Abnormalities Detected) and posterior

inspection NAD. Tenderness and localising to abdominal palpation, bowel sounds decreased.

Not passed urine. Right leg: immobilised in splint, CR 4 seconds, cool peripherally, dark bruising

++ to leg and foot with right dorsalis pedis and posterior tibialis pulses weak.

 

Question 2: (approx. 250 words)

From the secondary survey data, rationalise one actual problem (different from Q1). Then

discuss one independent nursing intervention and one dependent nursing intervention for the

actual problem. Underpin your responses with possible underlying pathophysiological causes to

justify your decision making. Link to other signs and symptoms as applicable.