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Discussion 1: Self-DeterminationIn the Christ & Diwan (2008) article, the authors list seven domains that social workers should address in order to fully assess an older client’s needs. Each domain is considered equally important. This comprehensive evaluation fits well with the social work perspective that it is important to not only address the internal concerns of clients but also their environment. Making decisions for older adults without their input occurs often. In society people sometimes treat their elders like children—making decisions for them based on what they think is best rather than from the client’s perspective. While at times this may be well intentioned, the potential for infantilism and, in turn, compromised self-determination, occurs.For this Discussion, review the program case study for the Petrakis family. You will focus not on Helen, but on her mother-in-law, Magda. What decisions were made about Magda’s treatment without a formal assessment and/or her input? Consider how Christ & Diwan’s (2008) seven domains relate to Magda’s case. Complete an assessment for Magda and identify the choices that were made without her feedback.By Day 3Post a summary of your assessment of Magda’s situation that addresses the seven domains. Fill in the gaps in content as necessary. Describe ways you would have included Magda in the original assessment and treatment plan. Include questions you would have asked Magda and her professional support system (doctors, nurses, etc.) to gain further insight into the situation.Helen Petrakis52-year-old heterosexual female of Greek descentLives in a four bedroom house with her husband John, age 60, and three adult children, son Alec, age 27, and daughters, Dmitra, age 23, and Athina, age 18Works full time in the billing department of a hospitalServes as the caregiver for her husband’s mother, Magda Petrakis, a widow, age 81, who lives in an apartment about 30 minutes from Helen’s homeBegan visiting a social worker because she is feeling “blue” and feeling overwhelmed by her family responsibilitiesJohn Petrakis60-year-old male married to Helen, age 52, both of Greek descentLives in a four bedroom house with his wife, Helen, and three adult children, son Alec, age 27, and daughters, Dmitra, age 23, and Athina, age 18Works full time managing a grocery storeDoes not expect his children to contribute to the finances or upkeep of the homeHis wife Helen is the caregiver for his elderly mother, age 81, who lives about 30 minutes away and who has some physical limitations and early dementia symptomsMagda Petrakis81-year-old widow and mother of John, age 60Lives in an apartment 30 minutes from her son and daughter-in-law’s homeDaughter-in-law Helen, age 52, takes the responsibility for her care and visits Magda several times a weekRecently, Helen has allowed her son, Alec, to move in with Magda, and Alec has begun stealing from his grandmother to support a drug habitAlec Petrakis27-year-old male of Greek descentCurrently unemployedLives with his parents, John, age 60, and Helen, 52, and sisters, Dmitra, age 23, and Athina, age 18Recently moved in with his elderly grandmother promising to help take care of her, but instead, has begun stealing from her to support a drug habitDmitra Petrakis23-year-old female of Greek descentWorks as a sales consultant for a local department storeLives with her parents, John, age 60, and Helen, 52, and with a brother, Alex, age 27, and a sister, Athina, age 18Has a grandmother, Magda Petrakis, age 81, who lives about 30 minutes from the family homeAthina Petrakis18-year-old female of Greek descentWorks part time as a hostess at a family friend’s restaurantIs an honors student at a local collegeLives with her parents, John, age 60, and Helen, 52, and with a brother, Alex, age 27, and a sister, Dmitra, age 23Has a grandmother, Magda Petrakis, age 81, who lives about 30 minutes from the family home
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