A home health referral indicates that an elderly client’s caregiving needs are not fully met by the live-in caregiving son and daughter-in-law. The client is constantly left in a windowless back bedroom with no television or radio, and virtually never brought out. There are also signs of skin breakdown, isolation-induced depression, and questionable nourishment, all of which were addressed by the referring nurse. The caregivers now openly acknowledge they are not able (or willing) to meet the client’s needs, so they openly support placement. However, they emphasize that they have given up employment to provide care, are living on the client’s retirement funds, and note that the home (which could be sold to pay for care) has been left to them in a will. Consequently, they are unwilling to make the changes required for placement. The FIRST social work response should be to:

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The Association of Social Work Boards Masters Exam, formerly known as the ASWB Intermediate exam, is a licensure examination designed by the Association of Social Work Boards (ASWB). The ASWB exams measure skills and knowledge in social work-specific content areas, such as human development and behavior, social and economic justice, and intervention processes.  Each ASWB exam consists of 170 multiple choice questions, including 150 scored questions and 20 questions used for data collection regarding the effectiveness of the exam. The 10 sections of the ASWB Masters Exam include: Human... Show more

A home health referral indicates that an elderly client’s caregiving needs are not fully met by the live-in caregiving son and daughter-in-law. The client is constantly left in a windowless back bedroom with no television or radio, and virtually never brought out. There are also signs of skin breakdown, isolation-induced depression, and questionable nourishment, all of which were addressed by the referring nurse. The caregivers now openly acknowledge they are not able (or willing) to meet the client’s needs, so they openly support placement. However, they emphasize that they have given up employment to provide care, are living on the client’s retirement funds, and note that the home (which could be sold to pay for care) has been left to them in a will. Consequently, they are unwilling to make the changes required for placement. The FIRST social work response should be to: