Case Study 1: Jamie – Supported Living Agency
Jamie is a 35-year-old female with autism and an intellectual disability. She often uses assistive
technology on an iPad to communicate with others. Jamie lives in a supported living agency
with other adults with disabilities. Her mother is elderly, so Jamie relies primarily on the
advocacy and support services at her supported living agency. When her mom comes to visit
one week, she notices a change in Jamie’s behavior. Jamie is typically very happy and
interested in being active. Her mother observes unexplained violent episodes, disinterest
interest in eating her favorite foods and it seems like she may have more trouble balancing
lately. Jamie’s mother requests she be taken to the doctor for a check-up.
A workforce shortage to staff supported living agencies means there has been a high turnover
rate for care providers of people with ID and often caregivers are stretched beyond capacity.
Jamie’s newly assigned caregiver only sees Jamie on Tuesday’s and Thursday’s during the
afternoons while another caregiver sees her in the mornings and nights. Reluctantly, because of
her novel experience, Jamie’s caregiver takes her to the doctor. Jamie becomes anxious when
required to wait in the lobby while her caregiver completes a stack of required paperwork. The
lobby is noisy, the door chime keeps going off, and there are loud phone conversations
happening at the front desk. Since her caregiver is new, she doesn’t know how to help Jamie
feel less anxious and there are no quiet spaces available in the facility for them to wait. In
addition, the caregiver becomes frustrated because she is being called back to the agency to
tend to another client and doesn’t have all the required medical information to accurately
complete the paperwork. When it comes time for the appointment, the physician speaks only to
Jamie’s caregiver and rushes through the appointment because it is only scheduled to be 30
minutes long. At the end of the appointment, Jamie’s physician prescribes her antipsychotics to
control the violent episodes.



How would you address the facility experience from your profession’s perspective?

What questions would you ask the patient to best care for and address their needs in this scenario?
What additional information do you need to make informed decisions?
What are possible avenues to obtain the necessary information to enable you to provide best-practice care in this case? (e.g., Patient, family member, caregiver, EHR, managed care organization)
Practice how you would go about asking each member of the patient’s support group for additional information. Start with the patient themselves.
What challenges would you anticipate and how might you address those challenges from the beginning?




Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.



Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.