Decision Making and Planning on Social Work - Essay Example

The role of the social worker with regard to the assessment, decision making, and planning in this backdrop is analyzed based on the data or information available in respect of the case. 1. Residential Care for Older Patients in Hospital Facts of the case in brief Mr. Harris was admitted to hospital having been found on the floor with a slight head injury. Mr. Harris was happily married for 53 years, and had an active social life and many friends before his wife died unexpectedly less than a year ago.

He has been diagnosed as having Parkinson’s disease. His daughter Beatrice, Mr. Harris’ only child, has two children. Her younger son is 10 years old and has a form of autism. She lives in the town and has been visiting twice a week. Assessment of the Case For the assessment of the cases, collecting complete information is necessary to develop interventions and treatment planning. . Proper assessment is very essential for taking various decisions involved in the treatment and for planning and coordination.

Perception of inadequacies in the set-up is very important to take corrective measures to improve the situation. Parkinson’s Disease “Parkinson’s Disease is a progressive disorder of the central nervous system resulting in a lack of dopamine in the brain, among other changes. Dopamine, a chemical produced by cells in the brain, is necessary for the smooth, controlled movement of muscles. researchers do not know what causes Parkinson’s disease at this time. “(The Parkinson’s Institute and Clinical Center, 2008) Confusion and lack of motivation on the part of Harris can be attributed to the disease.

According to the Institute, in addition to the well-known symptoms of tremor, slowness, and imbalance, other problems such as excessive saliva, a soft voice, as well as hand and foot cramps may occur. Depression, anxiety, and a number of sleep disorders are quite common.  The observation of the physiotherapist as “uncooperative with exercise programs and lacking motivation” is understandable. Local authorities where the patient ordinarily resides reimburse the charges to the hospital if they are responsible for any delay in discharge from the hospital due to a lack of arrangements for community care.

Notice has been issued under the Community Care (Delayed Discharges etc.) Act, 2003. Also, a Community health care center is ideal for the treatment of Harris, rather than a hospital set-up.