How might Alice approach Jenna about Juneís needs during the dying process?

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

Alice could talk with Jenna about the dying process and help Jenna identify ways she could be helpful to June. She could also discuss what needs and resources Jenna has available to her. Jenna may be concerned about the approaching death of her grandmother, the stress she sees Polly experiencing and her own lack of resources, including a home and a job. If Jenna indicates a need for resources beyond what Magnolia can provide, Alice could help her connect with subsidized housing, financial services, and medical eligibility services that would allow her to regain some independence. Alice might inquire about Jennaís relationship with the childrenís father to determine if he could be a resource for childcare and finances. Alice might assist Jenna in finding a daycare that would take the children part-time. This would provide some quiet time for June and give the children a happy environment for part of each day. Jenna is grieving and seems to sincerely want to be helpful to her Gram. Alice could help her understand that June needs time of quiet and stillness, as well as frequent visits from Jenna and her children.