Case Study 2 – Maria and Marcus

Case Study 2 – Maria and Marcus Maria and Marcus work with people with disabilities in respite care. Recently Maria asked her friend and work colleague, Marcus, what is the matter. He has been very pre-occupied lately and it is starting to show in his work. He is short with the clients and really lost his cool when two of the clients were arguing at lunch time. Maria has also noticed that he seems to be distancing himself from the clients sometimes. Yesterday Keith was getting very frustrated when he couldn’t do up his buttons – normally Marcus is very good with Keith and takes time to talk to him and reduce his frustration levels but yesterday Marcus just walked out of the room and told Keith to get Maria to help him. Marcus decides to confide in Maria but makes her promise not to tell anyone what has happened. He has been charged with assault following a pub brawl which resulted in the person being seriously injured. He has spoken to a lawyer who has advised that it will definitely go to court but it will be some time before his case is heard – probably more than 12 months. He insists it wasn’t his fault – the other guy was being an absolute idiot in the pub and pushed Marcus until he lost his temper and hit him. Marcus is worried sick about what will happen when he has to go to court. But he is also worried about his job now. He knows he should declare the charges to his supervisor but he is sure that he will not be allowed to continue at work due to the seriousness of the charges. He needs the job so he will be able to show in court that his is gainfully employed, and also so he can pay for his legal costs. Maria gives him a hug and feels very bad for Marcus. Marcus tells her that he is taking a week’s leave to sort things out and that Maria must keep it a secret. Maria knows she should not do that. It all seems very unfair and now she has a problem too. Advise what you would do in Maria’s position. Case Study 3 – James James is a member of the local hospital board. His father is getting old and frail and has had some medical problems lately. The family is looking for a prioritised place in the local aged care facility. As member of the board, James will have some say in whether his father is offered a prioritised place or not. 1. What is the problem in this case study? 2. What should be done? In this situation, nothing is done and James influences the board to approve the priority place for his father. He justifies his action by saying that his father was a clear priority and that the decision would have been the same whether he was on the board or not. 3. If this is the case, has James and the rest of the board made an ethical decision? Explain your answer. 4. What should the rest of the board have done? Case Study 4 – Herriot You are working in a community health service which is run in conjunction with a youth ‘drop-in’ program. known as Youth in Front. Herriot Malini is a 14-year-old girl who has been attending the program for some time. Herriot has a mild intellectual disability with sub-average intellectual functioning and lack of social skills. Herriot has a reputation for dishonesty including telling lies and stealing from others. You have noticed lately that she has been withdrawn and subject to fits of temper. When you ask her if she is okay, she tells you that no, she is not okay and how would you feel if your mother’s boyfriend kept feeling you up? As you talk to Herriot, she discloses that her mother’s boyfriend has touched her sexually on several occasions when her mother has been at work. She has now moved in with her grandmother to get away from him. Her mother went crazy when she found out she was living with Grandma and when she told her why she called her a ‘lying little b***h’. She tells you that she wants the man locked up so he can’t hurt her anymore but she also tells you that she would be much too scared to talk to authorities about what has happened. Herriot also says that her mother has no rights over her because she is not her real mother but only a guardian because her mother died when she was a baby. 1. What legislation covers the protection of children against abuse in your state? 2. Herriot has a reputation for lying. Does this mean you should decide whether or not she is telling the truth before reporting the allegation? How may the code of ethics assist you with this decision? 3. Where can you find information about how to deal with allegations of client abuse inside and outside of your organisation? 4. What guidance does a code of ethics give in relation to confidentiality in this case? 5. Is Herriot right when she says her mother has no rights because she is not her real mother? 6. You realise you will need to report this to your supervisor. When should you do this and what would you do if your supervisor was not available? You have no counselling experience or training, but for several years you have worked with young people with disabilities who are at risk. You think Herriot needs some counselling to help her with her issues around the sexual assault and her problems with her mother. As you have a good relationship with Herriot, you think you are the best person to do this. You arrange to meet Herriot at her grandmother’s house tomorrow to start the counselling. You are looking forward to helping Herriot and read up on counselling text books overnight. 7. What is wrong with your idea to provide counselling to Herriot? 8. What is your responsibility to Herriot? Case Study 5 – Lionel Lionel is participating in an alcohol program to try to reduce his drinking. He has a history of domestic violence against his wife, Julieanne – always after he has been drinking. He loves Julieanne – but when he drinks he gets violent. Julieanne has decided to give him one more chance – and he has agreed to participate in the program. All is going well and Lionel has not had a drink in two months. But one day his mate, Ollie, comes to town and they go out for a drink for old time’s sake. One drink leads to two, which leads to many more and Lionel and Ollie go back to Lionel’s house after midnight very drunk. Julieanne is not happy – after all his hard work, Lionel is drunk again. It is all Ollie’s fault in Julieanne’s mind. She says something about it to Ollie, which Lionel hears. He loses his temper. He calls Julieanne names and starts pushing her about. Despite Ollie trying to stop him, Lionel hits Julieanne across the head and she falls backwards, banging her head against the door jamb. An ambulance takes Julieanne to hospital. She has head injuries. The next day Lionel is remorseful. He attends his program and tells the coordinator what happened. He feels ashamed. The program coordinator is very disappointed with Lionel. He was going so well but he has just gone straight back to his old ways – and now Julieanne is in hospital. His coordinator wants to shout at Lionel and refuse to have him in the program. He looks terrible, and is dirty and unwashed from last night. He smells of alcohol. She feels very sorry for Julieanne – she deserves better than this. She should just leave him, he will never change! Lionel can see the disapproval in his coordinator’s face. ‘Oh, come on!’ he says. ‘My best friend was in town. I just went out for a drink with him.’ 1. How do Lionel’s values and those of his program coordinator differ? 2. What should the program coordinator do to make sure she works non-judgmentally with her clients? SCIENCE HEALTH SCIENCE NURSING

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