1 WORKING LEGALLY AND ETHICALLY Question 1: Case study of Jules The first thing that the social care provider need to know is the provisions and policies in the legislation regarding the rights and treatment of the autistic adults in the country. According to the ADA or Americans with Disability Act, the person with disability need to be treated normally and there should be no discrimination (Crowe and Salt 2015). The organisation helps Jules in his day to day work. The social worker must know the provision of treating the autistics patients so that they do not feel discriminated. As a social worker I would treat Jules without showing any discriminatory behaviour and help him to learn social skills as well. In the ethical aspects there can be some issues related to the social interaction and the preference of the autism patients. My response to such issue will be to give special reference to the choice of Jules. I would ask Jules if he is interested in the interaction and then only go with it. Another scenario would be inclination towards sameness. I would definitely provide Jules with required information of there is any change in his schedule. I would also try to keep the change to minimum level. Case Study of Mariah The case of Mariah need to be treated with moral and ethical perspective mostly. In the legal level, I would ensure that regular check-up is being done as the government has the policy of Medicare for the paralysed patients. Mariah is also eligible for the medical insurances and grants for her daily life expanses. As a social worker I would review all the legal supports she could get and make them available to her. The mental support for the patients of paralysis is important. The patients are most of the time vulnerable and they also suffer from mental distancing in facing other people. The case of Maria falls under this moral issue. As a social help provider, I would try to give her metal
2 WORKING LEGALLY AND ETHICALLY support and counselling in daily basis. While helping her with the daily chores and care, I will have active interaction with her. Other than that, to give her mental support, I would suggest her to read books or meet new people of broader mind set. The ethical responsibility would be to make sure that her positive outlook of life is persistently maintained. Case study of Aisha This is a complex case study for the social support workers as there are multiple level of work and interpretation in this case. Aisha has confided that she is homosexual and is not been able to share this with her parents as she belongs to the conservative family. The laws of homosexuality can have appositive impact on this case. As a social support giver I can assess all the legal support system that Aisha can avail for her. The first ethical issue is sharing Aisha’s secret with her parents. Another issue is treating Aishaforherdepressedconditionandhelpingherinsocialisation.Thesecretof homosexuality should only be shared with her parents if Aisha herself wants the same. Other than that part, the social care giver should make sure that Aisha get the help of professional counsellor for her mental health. The counsellor can also help her come out of her comfort zone and speak her mind to her parents and society. Gaining confidence is necessary for the dystrophy patients. They will then respond better in the physiotherapy as well. I have to make sure that Aisha gets all the moral and ethical support for her betterment. Question 2 Case study of Nicole has huge ethical connotations. The troubled childhood and workplace experience of Nicole has resulted in her PTSD condition. Therefore, this case should be treated with special care. The ethical issue are the main concern in this case study. There are severalissuesliketroubledchildhood,identitycomplexity,anddepression,traumatic experiences. Hence Nicole is quite sensitive in her present condition. According to the
3 WORKING LEGALLY AND ETHICALLY Transgender Persons (Protection of Rights) 2019, any kind of discrimination or crime against transgender is criminal offense. The crime of the staff against Nicole can be reported so that she can get justice. The mental support and counselling is required so that Nicole could once again join the social circles. The social distancing that Nicole is practicing is reducing the confidence of her. She has to go back to her normal life. Her health and hygiene would be better if the social care is provided. Another support is help for her day to day care. I can give her initial level of counselling so that she can come out of her anxiety and try to have a normal life. Gradually, she can start of doing a job and our organisation can help her getting one. Case Study of Theo The behaviour of the staff is not acceptable as that is ethically wrong and can have bad effect on the Theo. The staff has breached the duty of care provision in looking after Theo. The first step in this would be show-causing the staff for his behaviour and suspend him. The organisational policies can also be an instrumental support here. While providing the help to the parents, the social workers have to take care that their privacy and security is not harmed. Also, the parents can be given some training how they can gradually make Theo a bit more ready for his social skills. The violent behaviour of Theo needs to be given special care and his needs to be met. Theo has to be taken to doctor and therapist regularly. This way his social skills can be developed. The Down syndrome patients sometimes are quite responsive and understanding. Hence, if Theo listens anything that is derogatory for his confidence, that can hurt him seriously. As a social support giver, I need to be quite carful for choosing the right words while interacting with Theo. Case study of Barney
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4 WORKING LEGALLY AND ETHICALLY The ethical issues with the patients of dementia are the consent process and mental anxiety care. The case of Barney is no exception. As Barney has advanced dementia most of his decisions are taken by his grandson for him. As they do not live with their grandfather, it is the responsibility of the care givers to communicate the situation of Barney with them. There can be problems in ethical decision making if the condition is not narrated to his grandson correctly. Again, it is the responsibility of the social support giver to be with this old person for more than work time (Johnson and Karlawish 2015). Patients of dementia need to have a 24 hour care system as they can have the attack anytime. There can be conflicts in the consents and opinion of the patients at times. As they keep forgetting every time the quality of life gets affected. Therefore, it is the moral responsibility of the care giver that they should spend quality time with the old patients. Barney need to provide with both medical and moral supports. As a social acre worker, I need to have patience while treating him and provide him with decision making supports and life enhancing supports.
5 WORKING LEGALLY AND ETHICALLY References Crowe, B.H. and Salt, A.T., 2015. Autism: the management and support of children and young people on the autism spectrum (NICE Clinical Guideline 170).Archives of Disease in Childhood-Education and Practice,100(1), pp.20-23. Johnson, R.A. and Karlawish, J., 2015. A review of ethical issues in dementia.International psychogeriatrics,27(10), pp.1635-1647.