Are there items for which Alice needs to consult her hospice team?

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

Given that this is her first case, it is a good idea for Alice to check with her team, particularly her supervisor, on all of these issues. She certainly needs to consult on issues related to medical care. She may decide to talk with the hospice physician, Dr. Nelson, about Pollyís anger issues. He could talk with Polly about the progression of her motherís illness and hopefully help her build a trusting relationship with him. The doctor and Alice could also talk with Polly about her own need for a check-up and re-evaluation of her need for Xanax. Another option might be for Alice to make a referral to the MSW social worker for counseling to address her anger, allowing her to focus more on her motherís needs.