Bi-Weekly Infraction Report

Your client Sue is a Social Work Assistant. In your last session she disclosed that she is concerned that on a recent home visit, herself and a senior colleague did not follow the necessary policies and procedures. They had visited a family with a history of neglect and domestic violence and did not ask to see the child or enter the home, both these actions are prescribed as appropriate as part of their work.

On 6/30/2016, CM met with the client to complete to Bi-Weekly ILP Review. In the meeting, client was dressed appropriately for the weather. She was very loquacious and client. Client appears to have difficulty sustaining attention, client does not seem to listen when spoken to directly and she is unable to follow through on tasks. Client affect is inappropriate and she denied suicidal or homicidal ideation.

The intervention that was implemented was the invitation for the father to participate in the therapeutic sessions with his son and ex-wife. I explained the client’s recent behavior and the subsequent admittance to my agency. I clarified that the client’s behavior worsens after their divorce which is evidenced by the increased disciplinary infractions he received at school. The client also became more combatant and argumentative with his mother and siblings as reported by them. I proposed the idea of meeting for a family therapy session to uncover the cognitive reasons behind the

Hi, Janet! I do believe that all boundaries set for yourself as a case manager should be done through professionalism regardless of whatever situation you find yourself with a client. Janet we do have to be careful

In appointments, I usually helped her with her taxes, provided emotional support, helped with benefit applications, and sometimes helped her with technology. She has a fairly short attention span because of her pain, medications, and depression and needed help with critical thinking in regards to filing her years of tax paperwork. When I was first passed this client, it seemed to come with an attitude of "I am sorry I have to pass this client off to you, she is kind of a pain." After I met with her the first time I was really shocked because I saw her situation from a completely differently. I recognized that she needed help, and even though her concerns were a bit unconventional, we had the resources available to help her. We had months of productive work together, and towards the end of the placement, our receptionist was very forward in telling me that I needed to discontinue working with her because "we did not provide the services she needed help with" and that she was essentially draining our resources. The first time it happened I explained to the receptionist that we have students and volunteers sitting

About a month ago, while at work, I was asked to assist a behavior health patient in the emergency room. On a typical day, the first thing I do is collect historical background data of the client from a standard report. In my opinion, this is helpful for me to determine suitable intervention approaches. However, because of time limitations I spoke directly to another BHT to collect the client’s information. She seemed profusely negative and acrimonious about having to work with the patient. I believe she had already formed her opinion about the client and was now trying to infringe her feelings on me. As a result, I immediately

Last week we met as a team to create a transition plan for two children to return to their father’s care due to the father obtaining and maintaining housing, employment, and sobriety over the past ten months. The children were present at part of the meeting and contributed their thoughts about returning home with their father. The children then expressed being excited to be able to move home with their father. The transition was set up to have the children in their father’s care on October 14th so that the children would start their new school following fall break. I met with the father this week on Wednesday and found out that the father had quit his job on Tuesday. As we talked the father stated that his supervisor was being disrespectful Monday morning and continued to be disrespectful throughout the day and the father was unable to tolerate the disrespect any longer so he did not return to work on Tuesday resulting in a no call no show. I provided the client with several employment leads to local businesses and encouraged him to apply quickly. I notified the FCM

Everyone knows that Kate and Jon Gosselin can't seem to get along. They share children, but the two hardly even speak now. Jon has revealed that he doesn't even get to see all of his children and never knows which ones are going to show up when it is time for him to get the kids. In Touch Weekly shared that Kate Gosselin has actually called the police on Jon three times saying that she thought he was using his DJ business as a front to sell drugs. If this is true, it would explain why being a DJ was enough money for Jon. It doesn't sound like Kate has any kind of proof that he is a drug dealer, though.

This past week at the Crisis Center for South Suburbia was not as eventful as the past two weeks. The clients that were causing frequent verbal altercations have either exited on their own, exited involuntarily, or been given a written warning in which they are following the conditions of. I now have only one client on my caseload, since the other had voluntarily exited herself and her son. On Monday, 10/31/16, I was able to help the children in shelter celebrate Halloween. We set up trick or treating spots throughout the shelter and I also was able to handout treat bags that were donated to the shelter. The kids seemed to have some fun with the little celebration we were able to give to them. Also on that day, I worked my first evening shift. The evening definitely has a lot more activity since most clients are back from work or other commitments during the day. During this time, it was just myself and D working. In the midst of all the activity, we had a medical emergency that I was able to respond to. Tiffany* had been discharged from hospital with the understanding that she had a mild heart attack and would need to have a stent put in later. Upon arriving back from the shelter, something was just not right with her. Myself along with another client, observed her in the kitchen staring at the counter without moving for around five minutes. When she finally seemed to snap out of whatever was going on, she tried to walk away but was stumbling and almost

The most challenging aspect of this clinical situation was that the client always wants to run away from us as soon as he believes he is doing fine and does not need to be with the nurses. It was hard to deal with a client who loves to seek attention, as soon as he gets a hold of the nurse and gets what he wants, he just wanted to run away from the nurse. Working with a client with such behaviours, I would wonder if I, as a nurse was taking too long to provide the care that he receives every day from other nurses. I wanted to make sure that the client’s condition is stable, as Canadian Nurses Association (2008) stated one of the nursing values and ethical responsibilities is that “[n]urses work with people to enable them to attain their highest possible level of health and well-being” (p. 10). It was my responsibility to make sure my client’s

There had been some moments where I have noticed that other workers and clients made judgments towards this specific client. There have been a few incidents where this client had fallen and was unable to get up, or defecated all over himself because of something they had served for lunch in the nursing home. None of the nurses responded quickly enough when these

As soon as the client arrived in the parking lot of Feed My Sheep I knew that something had went wrong. It seems like the Help Center never actually help. Its like if I send twenty two people to the help center twenty four return without any help. I saw her park her red Mazda 3 with no bumper in the front of the building. The client stepped into our small lobby and asked to speak to me. The secretary called me over the radio and asked for me to come meet with the client. Sometime its like clients know when I am about to go on break, they always come to the facility just before I am about to go on break. I came to the front of the office and escorted her back to my office, but I left the door open. I tried to warm her up with some small talk because I remember how she was yesterday, she did not seem like she was in a good mood. The first thing she did when she got into my office was blame me for being denied services at the Help Center. I told her I don’t work there and whatever they told her is what they are going to do. I have no power

Nursing values are the main responsibilities to guarantee that ethical standards are being met in practice (Canadian Nursing Association, 2008). While going through the decision making process, it is obvious that multiple nursing values had been violated. The main value that was marred was "Preserving Dignity: Nurses recognize and respect the intrinsic worth of each person" (Canadian Nursing Association, 2008). It is known that the client was in a delirious state that left them vulnerable. It is the prime opportunity to help that client maintain their dignity. Joking around and discussing about how annoying it is listening to the client is not respecting them, nor is it preserving their integrity. The client as a whole was ignored, instead

The client's request were denied and explained to the client by the Area Office Supervisor, the VR Services Review Request Letter, Ombudsman, and the Program Coordinator for the Client Assistance Program. The client's concerns are disability related and she wishes to disregard the agency's protocol. For example, the client does not prefer for the senior JRT Coordinator to conduct her CCUs and does not want the Fiscal Specialist to provide her with the data concerning her stipend. The client only desires to work with only one particular JRT staff member, who is out rank by the senior JRT Coordinator.

for deciding not to treat the client should be explained carefully. This will let the client know that