I. Entry/Screening
A. As her counsellor, I must know her background information, her short-term and long-term needs, and what services she might need.
B. Knowing that Sonya is suffering from anger management, issues of grief and loss, and feeling emotionally fragile, I can arrange a counselling for her issues/problems.
C. I also need to inform Sonya of what are her rights. I will need to inform her that all the information about Sonya, her records that I handle will all be confidential for her safety.
II. Assessment
A. Assessing Client’s Needs
a. Physiological Needs
Does she have the basic needs? Does her house, food, water, and clothing satisfies her? Does she have enough sleep every night? Some of these needs must be paid a lot of attention
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I must interview her face-to-face so I can identify what she really needs. Does she need support, such as her family to decide where she will go? Does she need more attention because of her issues? These will be answered by how the interview will go.
b. Observation
During the first encounter or conversation, I must observe her and monitor her reactions and responses. That way, I can find out a little bit about the way she thinks, through her actions and words.
C. Assessing Risk Cases
a. Life Threatening Situations
As the counsellor of Sonya, I worry about her living alone in her house with her health condition. This is a high risk situation for Sonya because she will have difficulties eating properly, shopping, and taking care of herself. This will need an immediate action. I will have to refer her to a nurse who can take care of her so we can prevent possible problems.
b. Where the age of the client creates special considerations
Sonya needs to be given special attention because of her age. Sonya has been through a lot and she is sensitive in her age. Knowing this, as her counsellor, I will have to encourage her, treat her as a special person who needs a special care. I must respect her decisions but also helping her to understand what’s best for her.
III. Care Planning
A. Goal
As the director, at the skilled nursing facility and rehabilitation center, her job is to help individuals, families, and loved ones cope with the recent diagnosis of the client being admitted. She is instrumental in the community by helping those who can no longer help themselves. She is a social worker but assumes the role of advocate by voicing concerns from the resident to other staff and family members. Her role is to help the client maintain autonomy and dignity throughout the process of relinquishing their independency.
However, it is not always that simple and there may be some instances when it is not possible to maintain total confidentiality and the counsellor my have to pass on certain information that was revealed. For example, if a crime has been committed or if there is a risk of harm to another person. In this case the counsellor must be clear with the client what information they may have to pass on and to whom.
By finding about a person’s preferences, life history and wishes then the care plan can be written to reflect this and the best care can be given. By knowing their life history may explain why they do things in certain ways. It also encourages discussion and leads to building relationships. They may like things done in a certain way to remind them of loved ones who are no longer here.
It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.
1.1 It is very important for the individual to be able to communicate. They need to tell us their practical needs, emotional needs etc and to respect their rights.
Today, MSC visited Maria at her residence for a face to face visit. When MSC walked in Maria was having a snack at the table. Maria waved and greeted her staff. MSC said, Hello, How are you?" She stated that she needs to talk to MSC in private after she finishes her food. MSC spoke wither Medical Direct Care Counselor Marie Rose. She stated that Maria has been doing good. He is cooperative at times, but requires redirection. Maria stated that she is medically stable and her behavior has improved over the past few months. She is communicates her wants and needs effectively. Maris continues to go to all of her medical appointments and enjoys attending program. Maria goes on all community inclusions and makes suggestions on places she would like to go. She struggles with balancing money, staff continues to assist her in budgeting.
This initial consultation is free of charge as it is an opportunity to assess whether I can treat Miss E ethically, for example being within my competency limits as a therapist, as well as identifying her personality type in order to write a personalised screed with the preferred modality. In
The concept of what is in the best interest of a person may be new or difficult to appreciate and operationalize. There will be occasions when the decision-maker might be faced with strong opposition from other members of the family whose interests may not be aligned. When multiple clients are involved, the same question arises: who is the primary client, and therein, whose goals should be identified, clarified, and pursued? This question is especially poignant when differing goals appear to conflict, as in some cases. There is a need to know whether it is the client’s best interests or her rights and freedoms that ought to be given greater weight and so which ought to act as a constraint on the other (Herissone-Kelly, 2010). And even when a primary client can be identified, an important consideration is whether the client’s desired decision can be considered when she is mentally ill and who should be socially responsible for such decision?
• Administer Care Plan in order to ensure that it is delivered in an appropriate, caring and respectful
The assessment holistic approach to understanding what has occurred and currently occurring in the clients life as well as understanding what is considered a priority of treatment for them and their guardian. The assessment begins with the presenting issues asking what brought the client in. The section also covers when the problem started, how long it has been going on, what is the level of intensity of the problems, and how frequently do they occur. In the family and social history section examples of questions asked are current household member, how does the client get along with others, client's strengths, and who do they go to when they need help. The next section is the abuse and sexual risk behavior where the client is asked if they feel safe inside and or outside there home and if they have or know of anyone that has been abused or neglected. Developmental history is then taken, which includes history of pregnancy, any disorder or disabilities the client has been diagnosed with, and delays in any motor
The counselling process is based on the exchange of emotions between the client and the counsellor which aims to form an alliance (Hough, 1998). It involves the counsellor using skills in which they possess in order to communicate effectively with clients (Hough, 1998). This reflective essay clearly articulates my application of counselling skills used in this practice session and suggestions for improvement. It will provide a summary of the session, identification of a range of skills used and a brief explanation of the reasons for using the skill. It will also provide an evaluation of my application of the skills chosen, including verbatim examples, suggestions for improvement, also including verbatim examples to demonstrate what could
The Department of Healthy formed a National Service Frame for Older People (2001) which was established to look at the problems for the elderly people so they get the best quality of care. This helps to minimise age discrimination in elderly people and it promotes independence and provides person centred care. The framework has four underlying principles which are; respecting the individual, intermediate care, providing evidence based specialist care and promoting an active healthy life. There is also National Care Standards which aims to improve the quality of life of the patients by the level of care and support provided. The frameworks and legislations help to guide Alice’s care.
The three concepts I have chosen to identify for this book report assignment are, basic empathy, motivation, and reframing. I feel that those concepts are important for counsellors to have as skils.
Before I started I went over a contract and I told Jillian how I was
Counselling session can facilitate the process of overcoming or working through personal issues from everyday hardship as well as potentially life threatening situations. This reflective essay will analyse a counselling session that I have attended with a professional counsellor. Her name was Hend. The session was to be recorded so I can refer to particular examples during the session. In this reflective essay I will give an overview of the counselling session as well as a discussion of my feelings before, during and after the session. Key skills used by the counsellor such as active listening, reflective skills and empathy will be explained, supported with verbatim examples from the session. Furthermore, the overall experiences and