Reference no: EM133351899
Case Study: You are a social worker embedded into a geriatric care clinic at the start of the COVID pandemic. In-person clinic visits have been suspended due to the vulnerability of your patients. Visits are currently primarily via telemedicine, with some in-home visits offered for patients who do not have technology access. Your nurse practitioner (NP) sends you a message after a home visit with a patient and her daughter. The NP noted that both daughter and patient seemed uncharacteristically stressed and agitated with each other. The daughter is also caring for her two elementary aged children who are being schooled at home due to the pandemic. The daughter is also a teacher who has been expected to rapidly pivot to teaching via online education. The daughter reported that the patient is not using her walker and has had several falls. The patient minimized falling and stated "I can walk by myself." In the course of the physical exam, the NP noted bruising on the patient's left hip and shoulder. In the NP's assessment, the bruising does seem indicative of a fall injury. The NP does not feel that physical abuse has occurred, but is concerned about the level of caregiver stress and the risk of abuse. Your NP asks what you as the team social worker can do to support this family.
Questions: Using the scenario above, answer the following questions:
1. How does sandwich generation apply to this family?
2. What factors exist within this family that create a higher risk for abuse?
3. Name at least three informal or formal social supports that are realistically available in this unprecedented period of social isolation that might be useful for either the patient or her daughter.
4. What family activities can you suggest for the patient and her grandchildren that might provide a respite for the daughter and provide some sense of purpose for the patient?
5. What existing legislation would provide some macro-level support to this family and other families struggling to provide care for an elder?