Reading/media: 1. Chapter 6 in Thomlison, B. (2016). Family assessment handbook: An introductory practice guide to family assessment (4th ed.). Pacific Grove, CA: Cengage Learning. 2. Gelman, C. R. (2014). Familismo and its impact on the familycaregiving of Latinos with Alzheimer’s Disease: A complex narrative. Research on Aging, 36(1), 40-71. (Article Read the following scenario about the Sanchez family and then respond to the questions that follow. Scenario: Nieves is a 54-year-old married female originally from Dorado, Puerto Rico. She moved to Orlando 20 years ago and considers it her home. Nieves’s job is to manage the human resources department at a local theme park, which can be very hectic at certain times of the year. Nieves’s 78-year-old mother-in-law, Isabel, moved into the home Nieves shares with her husband and her two teenage sons, aged 16 and 19. Prior to moving in with Nieves and her family, Isabel lived in Dorado all of her life. For the past 5 years, she has lived with Sonya, Nieves’s sister-in-law, in Dorado. Last month, Sonya called Nieves’s husband Rafael and told him that she was no longer able to provide care for Isabel due to the financial and emotional stress it was causing her. Isabel arrived by plane from Puerto Rico 2 weeks ago. Nieves and Rafael were surprised to see that Isabel’s health seemed to have declined quite a bit since they had seen her 1 year ago. Now, Isabel is unsteady on her feet, has developed serious cataracts in one eye, and has a red rash on her legs. Nieves and Rafael suspect that Sonya was not providing appropriate care for Isabel. What disturbs Nieves most, however, is that Isabel seems to be severely depressed. Isabel is tearful often, complains of “los nervios” and keeps saying “Que sea lo que Dios quiera” (“It’s in God’s hands”). Since Nieves is at her wits’ end and Rafael seems unconcerned, Nieves decides to call the Senior Resource Center for help. She heard through her local church group that they can provide assistances to older people. The Senior Resource Center will be sending a practitioner over to do a home assessment. All members of the family will be present. The practitioner speaks only English. Your goal as the practitioner is to ensure immediate safety of the grandmother, understand her primary health and social needs, and establish rapport with each family member. Cite required materials in responding to the questions below. 1. How do you think trauma history and diversity characteristics (economic, social, biological, cultural, gender, age, and others) intersect in this case? 2. What kind of techniques/ strategies would you use while assessing the primary needs of the grandmother? 3. How would you assess family roles, communication, and problem solving? 4. How would you establish rapport with each family member? How would you assess the how family members feel about the caregiving role? References: Gelman, C. R. (2014). Familismo and its impact on the family caregiving of Latinos with Alzheimer’s Disease: A complex narrative. Research on Aging, 36(1), 40-71. Thomlison, B. (2016). Family assessment handbook: An introductory practice guide to family assessment (4th ed.). Pacific Grove, CA: Cengage Learning.
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