What was the “big deal” about Celia using her own money and taking Mr. Brown to get his license?
Celia O’Neil, a 39-year-old baccalaureate social work student, was assigned to complete her internship in a nursing facility where she had been employed for the past 12 years and continued to work three days a week as the Activity Director. The social work director, Betty Williams, LSW, was Celia’s task supervisor but new to the nursing home setting. Therefore, Sally Jones, LCSW, served as Celica’s preceptor. Celia’s client, Mr. Brown, was a 47-year-old man admitted to the nursing home in June 2001 with numerous psychosocial needs. Celia was frustrated by what she interpreted as Betty’s lack of effort to assist Mr. Brown. She began to wonder whether her supervisor cared about the client, and she found the nursing staff uncaring and non-supportive. In addition, the nursing staff made rude comments about Mr. Brown right in front of him, which upset Celia a great deal. She felt the comments were abusive and she wondered how to advocate for Mr. Brown.
It was not appropriate for Celia to use her own money to assist Mr. Brown in getting his license. It does not seem fair to other residents who do not have any money of their own but have a need for something. If Celia does something like that for one client, it could be argued that she should do it for all clients. However, this is neither realistic nor probable financially. Celia needs to learn how to work within the system (community, facility, family) to get services for her clients.
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