Please complete the care plan template below using the information

Please read and answer case below base on the case study Silvia is an 80 year old woman who has been widowed for 7 years. She has been referred to your family service agency following a serious fire in her home. Firemen called to the scene reported that Silvia was sitting calmly in the driveway as they approached the scene. She told the first responders that she had been warming something in the microwave and it caught on fire. She was unable to contain the fire, which spread throughout her house and caused significant damage. She was taken to the ER to be evaluated and suffered no physical harm as a result of the fire. Past History: Silvia was married to her husband more than 50 years before he died. Five years before his death, her husband was diagnosed with cancer. Silvia was the primary caretaker for her husband during his illness. He ultimately died in the house. Silvia refused to part with any of his personal belongings after his death. Additionally, they had built that house when he retired and moved in shortly before he was diagnosed with cancer. She said she felt his presence in the house since they had planned and furnished that house together. Silvia had a strong family history of diabetes. Shortly before her husband’s retirement, Silvia began taking oral medication for elevated glucose levels. She was told to be mindful of her diet by her doctor and did so until her husband became ill. By the time her husband died, Sylvia was now taking insulin injections as her sugar was now out of control and she had Type II diabetes. Silvia and her husband lived in the Boston suburbs prior to his retirement. When they moved to Broward, they lived far from their three children and ten grandchildren. Only one child, their youngest daughter, visited frequently. Silvia was dependent on her husband and deferred all decision making to him. Even when he was diagnosed with cancer and undergoing treatment, he still did all the driving and was in control of their finances. After his death, Silvia transferred all decision making to her eldest son. He took control of her bank account and Silvia trusted that he was making all decisions in her best interest. Silvia’s children are estranged from each other. Conflict stems from a long history of family disagreements, most of these regarding money. Silvia’s daughter has reason to believe that her oldest brother has been syphoning off her mother’s money since her father’s death and has expressed this to Silvia. Silvia has been dismissive of her daughter’s concerns. Silvia’s daughter has also been concerned about her mother living alone in the house following her father’s death. She worried about her mother’s capability of taking care of herself. Silvia has been non-compliant with her doctor’s instructions in her diabetic management. She has developed diabetic retinopathy and had to have four surgeries to correct the condition. Silvia’s daughter believes her mother’s eyesight is limited due to the diabetic retinopathy, and further believes this could have been what caused the fire in the house. Again, Silvia minimized these concerns. Additionally, when her daughter suggested she consider moving and offered several options, including independent living near her, assisted living, or moving in with her daughter, Silvia became angry, defiant and hostile, saying that she could never leave the house because that would be “leaving” her husband. Silvia’s daughter’s attempts to communicate her concerns to her eldest brother were ignored. Though he did not visit, he merely listened to his mother say she was doing “fine” and that “nothing needed to change.” Current History: It is now two weeks since the fire. Silvia has been staying with a neighbor following the fire. She has consented to be evaluated by the family service agency after her endocrinologist insisted that she make the appointment. Silvia feels this appointment is unnecessary. She only agrees to go since her doctor told her she would not continue seeing her as a patient unless she was evaluated. Silvia goes to the appointment with the premise that this will be the only time she will go. Silvia has never been in therapy. She believes her life is her “business” and does not share anything that is “personal” with anyone, including her children. She strongly protects her “privacy”, and talks only on a surface level with all others, including her husband. When he died, and at other significant times in her life when she suffered emotional pain, she spoke to no one about her feelings. She believes in being stoic, in “putting on a face”. “It’s nobody’s business.” Silvia believes the house will be “fixed”, though the repairs are significant, and that she will return to her life as it was before the fire. Directions: Address each of the following prompts. For this assignment, you are a clinical social worker in the field and must “think on your feet” with each case that is assigned to you. Use what you know in response to the prompts. Paper should demonstrate critical thinking skills, attention to details, problem solving skills, knowledge of theory and the connection to practice, and understanding of the dynamics and issues that are involved specifically in working with older adults. Questions 1. Analyze and discuss this case in detail. Do NOT just repeat the facts that are in the case scenario. Discuss what strikes you as significant in the case narrative and why you think this matters. What don’t you know and are curious about and why? What do you consider to be the most significant need to address in the first session and why? Consider and discuss one way in which culture, gender, generation or ethnicity could be a factor in this case. Your response to question 1 should be about 5 – 6 pages. 2. List appropriate collateral professional(s) that you would reach out to regarding this case. Explain your rationale for collaborating with these professionals. Your response to question 3 should be about 1 – 2 pages.

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