Scenario:
Mrs. Jones is an 84-year-old, African American woman who lives by herself in subsidized housing in a large, inner-city neighborhood. Her husband of 58 years recently passed away. While Mrs. Jones is in fairly good physical health, she does require medication management for diabetes and some assistance with daily living activities. The nurse’s aide who visits her twice per week recently reported she is at increased risk for falls, particularly when bathing herself and other personal care activities. She has Medicare coverage but has a lot of out-of-pocket expenses Medicaid doesn’t cover for her care, and medical debt remaining from the care for her deceased husband. While some of the residents in her apartment complex stop by to check in on her from time to time, Mrs. Jones has no family in the area, is becoming more isolated, and demonstrating symptoms of depression. She barely makes ends meet on her social security check each month, and the nurse’s aide has also reported she may be at risk for food insecurity. She has limited resources, and it is increasingly difficult for her to use the public transportation system to get to a grocery store. Mrs. Jones used to attend church functions twice per week but finds it difficult for her to attend services, and she has stated she “just doesn’t want to be around people anymore.” She has stated she would like to live independently for as long as possible and does not wish to move into assisted living. The manager of the apartment complex has reported she left the stove burner on in her kitchen at least twice during the past month. Fortunately, a neighbor smelled the pan burning and helped her. The manager states these accidents are a danger to the health and safety of all residents, and he may recommend a non-renewal of her lease, which expires in 3 months.
Assemble an interdisciplinary therapeutic team to deliver services
Develop a PowerPoint presentation to present to the therapeutic team you have assembled.
Determine who the team members are, why you have selected that profession for inclusion as part of the team, the evidence-based interventions you will use, and the individual roles of each team member as well as how the team will work together
Select three primary goals for the team to address with the client system.
Be sure you clearly operationalize the role and responsibility of each team member, as well as explain the intervention or strategy each might use to accomplish the goals.
Finally, describe how you will evaluate the team’s effectiveness in accomplishing the goals you set forth.
