Case Presentation

Charles A. Williams
University of North Carolina Pembroke
Professor A. Oxendine
October 10, 2018
 • Born 1940 and raised in Laurinburg
• Graduated from Queen’s College in Charlotte
with a Bachelor’s in Mathematics
• Taught Math at a Jr. high school for two years
before getting pregnant with her first child and
becoming a homemaker

Background • Met her husband after her sophomore year of

college
• Active and involved at Presbyterian church in
youth and administrative positions throughout
life
 Problem

• Resident experienced decrease in physical functioning following fractures in

arm and leg.
• Fractures were sustained while evacuating from a coastal home prior to the
strike of hurricane Florence.
 Physical Therapy

Occupational Therapy

Services Locate resources local to coastal

home
Social services Locate resources for the care of
resident’s spouse

Nursing services to help with Activities

of Daily Living (ADL)
 Strengths and Limitations
• Strengths; prior independence and education
• Limitations; resident is the primary caregiver for her spouse

• Biases; positive connection with resident upon admittance and partiality to

her independence
• Little difference among resident and interviewer values
• More difficult to recognize when more assistance may be needed
 Goals and Interventions

• Goals; return to prior level of physical functioning which was adequate for
previous living arrangement
• Independence in ADL and ability to provide oversight for spousal care

• Interventions; medical care, physical and occupational therapies, location of

local support for continuing care
• Timeframe; 8 weeks
 Recommendations
• Additional structure to therapy appointments may
make time management less difficult for active and
social residents
• Reported to Social Worker (SW)

• Research also supported at-home exercises designed

by physical therapists for strengthening muscles
(Fahlström, Kamwendo, Forsberg, & Bodin, 2018)
 Competencies
• Competency 6; Engage with individuals, families,
groups, organizations and communities
• Competency 7; Assess individuals, families,
groups, organizations and communities
• Competency 9; Evaluate practice with
individuals, families, groups, organizations and
communities
 References
National Association of Social Workers. (2017). Code of ethics of the national
association of social workers.
Retrieved from: https://www.socialworkers.org/About/Ethics/Code-of-
Ethics/Code-of- Ethics-English
Fahlström, G., Kamwendo, K., Forsberg, J., & Bodin, L. (2018). Fall
prevention by nursing assistants among community‐living elderly people. A
randomised controlled trial. Scandinavian Journal of Caring Sciences, 32(2),
575–585. https://doi-org.proxy181.nclive.org/10.1111/scs.12481