Most of the challenges that she was experiencing while trying to access several services in her own home were not solved by the home care support services. The reablement team on the other hand did not attend to her effectively. She was not physically and mentally well and therefore she needed both physical and psychological support in order to handle her activities effectively. She was unstable financially and this in turn raised an alarm that she needed government support financially yet at the same government was up in arms to stop the medical allowances that were being given to the sick. The two challenges can be said to be of great hindrance to her functioning appropriately yet the home care support could not deliver effective services to her.
The main social work approach that best suits Ms. R’s case is the progressive approach since the function of the social worker in this context is to enable the people on the receiving end to realize the oppressive forces and be able to question its sources. The problems that are experienced by the service users does not necessarily emanate from their own wrong doing but from the inequalities and the power relations which are not in order thus making these people become victims of unnecessary oppression. This approach does not dwell on making the service users adapt to the inefficient systems of administration but it is about empowering so that they can be able to gain a greater level of awareness and eventually being able to challenge such systems (Bryman, 2004, p. 249). Approaching Ms. R’s situation from a progressive approach, the social worker should enter into dialogue with Ms. R and start by establishing a clear understanding of Ms. R’s situation. Getting an insight of her past life will greatly help in understanding how Ms. R took life initially. Before she fell ill, Ms. R had a different perspective of life which is very different from her present perspective. The fact that she is not able to