How might Alice determine who makes up the primary client system?

Question

Alice Singletary, a novice social worker with Magnolia Hospice in Alexandria, Louisiana, met June Plunket, who had terminal cancer, and her daughter, Polly, for an admission interview. June was in quite a bit of pain and trying to cope with dying. Polly blamed Dr. Dubuis and herself for her mother’s approaching death, and was also angry with her brother, who had distanced himself from the family. June and Polly lived in a chaotic and overcrowded household with Polly’s daughter, Jenna, and Jenna’s two young children. While assessing June’s situation, Alice identified a multitude of family problems which had to be balanced with the mission of the hospice. In this situation, Alice was not sure where to begin.

Answer 1

Following the guidelines of hospice, there were a variety of issues that Alice might address with the family (see earlier questions 5-10 ). Alice must analyze the persons involved in the case and how each may be a part of the client system. She must consider both their strengths and their needs. For example, Pollyís brother may request services as his mother is dying, or Alice may decide to explore Juneís wishes around contact with her son. Each person was dealing with grief around Juneís impending death. Polly, Jenna, and other family members may continue as hospice clients, even after Juneís death.