What prompted Celia’s strong reaction to the nurses’ comments about Mr. Brown?
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.
She was very disturbed that the nurses spoke about him so disrespectfully and negatively, and when she saw Mr. Brown around the corner she realized he could hear what they were saying. She thought this action on the part of the nurses could be interpreted as abusive (emotional or verbal) and felt she had to do something, but she was not sure what to do and how to do it. The problem was compounded by the fact that she had reported similar instances but both the DON and the administrator had dismissed her comments and defended the nurses.
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