How might Celia advocate for Mr. Brown regarding the nurses’ comments?
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.
One option is for Celia to report the incident to the DON, but she is unlikely to pursue this given her prior experiences.
Another option is to collect all the information she has on the situation (e.g., observations of staff behaviors and interactions with Mr. Brown, her own conversations with Mr. Brown), and talk with Betty. Perhaps Celia and Betty could present the observations and concerns about staff behavior to the administrator, Jeffrey, who would then make a decision on how to handle the situation. However, Celia is concerned about Betty’s lack of interest in Mr. Brown; and this may prevent her from feeling confident that Betty would advocate for Mr. Brown.
Perhaps Celia could contact the preceptor, Sally. She could present the case to her, including her thoughts and plans, and ask Sally for feedback and guidance on how to best advocate for Mr. Brown. However, she must be careful not to alienate Betty by approaching Sally on her own. This would have to be handled carefully.
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