Communication Barriers and Ethical Issues - Alcohol and Other Drugs - Rob Vents Case Study - Nursing Assessment Answer

Communication Barriers and Ethical Issues Nursing Assessment Answer

Assessment Task:

Case study
Scenario

Rob is a worker at CareShore, which is a multi-faceted not-for-profit community services organisation. CareShore operates a medium-sized Alcohol and Other Drug (AOD) unit and in his role as a counsellor, Rob often makes referrals to related services such as detoxification, residential rehabilitation and mental health services through network partnerships.

One particular day, Rob hears a commotion at the front desk and goes to investigate. He sees an older Aboriginal man and a middle-aged Aboriginal woman arguing with the receptionist. There are other people in the reception area, and Rob notices their discomfort at the commotion especially when a child starts to cry.
The older man is looking anxious and Rob hears part of the heated conversation: “He’s (the older Aboriginal man) from the Alice but he’s been staying with me here in Sydney. I’m his daughter” the Aboriginal woman said. “He don’t speak English so well, so you gotta talk to me” she continued. Then loudly, as if rebuking her father she said “He’s he got on the grog and he’s gone silly, he needs the rehab now. He’s talking about how everybody would be better off if he was dead.” Now visibly upset she continued in a moderately quieter voice “You got rehab here, you should take him. My family doesn’t drink, only him. We don’t want him staying with us.”

Rob notices that Irene from the administration is handling the front-desk inquiries because Judy is in training. Rob notices that Irene is struggling to cope with the situation.
Irene states impatiently “Look, even if he wasn’t from out of our service area, we don’t do comorbidity in the residential program. Is this suicidal ideation we’re talking about here?” The Aboriginal woman angrily quips: “What are you on about? He needs to get into rehab so hurry up!” Irene vainly attempts to check procedure manuals on the desk. The older Aboriginal man turns to his daughter and speaks to her in hushed tones in presumably is the language of his people. The conversation
between the man and his daughter become louder and more heated.

Irene interrupts the man and his daughter telling them “I doubt he’ll get past our exclusion criteria. He can’t come in if he’s suicidal. I’ll see if there’s someone else here who speaks Aborigine.” Irene picks up the phone to arrange and Aboriginal and Torres Strait Islander (ATSI) liaison officer to help.
 

Instructions
Read the case study on the previous page and answer the following short-answer questions:
Question 1
(a) From the case study, Identify three barriers to communication that occurred and describe how each barrier could have been avoided or minimised.

(b) The Aboriginal man’s daughter could speak both English and his people’s language. Name 2 advantages and 2 disadvantages of having a person who is directly involved in a situation act as an interpreter.

(c) List three questions Irene could have asked the daughter in her attempts to arrange a suitable interpreter for the Aboriginal man.

c) List one communication need of the following people, and identify a way in which Rob can support each of them.

Scenario (continued)

Rob decides this is not a good situation and steps in. The daughter turns to Rob and says:
“She’s not listening to me. My father needs rehab. He can’t stay at my house. None of us even drink! He needs to get some help. He says he wants to die!”
Rob says: “Hi, I’m Rob, I’m a Counsellor here. What’s your name?” “Joyce” the daughter answers. She continues “This lady says my father can’t come into rehab. Is that
true?” Rob responds sincerely “I like to think we have a No Wrong Door policy here. We shouldn’t be excluding people.”

Question 2
a) Name and briefly describe 3 communication techniques Rob could use to de-escalate the situation. These techniques could be aimed at either Irene, Joyce and her father, or both.

b) Briefly describe 2 ways in which Irene could improve her communication style in order to address the clients with respect, uphold their rights, and accept individual differences.

c) Do you think Irene and Rob are representing CareShore’s policies and procedures? Are Irene and Rob communicating in a way that would be in line with CareShore’s policies and protocols?

Scenario (continued)
Later, Rob gets to sit and talk with Joyce and her father, Will. Irene is also present. It appears that Irene was right – the exclusion criteria state that people with “mental illnesses with high levels of risk in terms of either harm to self or harm to others, or both” are indeed excluded from the residential program.

Question 3
(a) How should Rob explain this exclusion issue to Joyce and Will? What should he say?

(b) Do you think Will should be excluded from the rehab program? Justify your response and say if you think you are being judgemental or not.

Scenario (continued)
Instead of explaining that CareShore cannot admit Will, Rob says:
“Look, we really shouldn’t be taking your father into rehab because he might have Alcohol Related Brain Injury and if he’s suicidal, it’s not strictly ok. However, I can see it’s pretty urgent for you guys, and he’d probably be safer with us. How about we don’t mention the suicide thing and you can just apply and say he
needs rehab.” Irene does not look happy about this and asks for a private word with Rob. Away from Joyce and Will, Irene says she is going to report Rob if he doesn’t exclude Will.

Question 4
a) Imagine you are Irene.
i) What should you do in the face of such ethical issues and dilemmas? Explain your answer.

ii) Do you believe Rob has breached organisational policies and procedures? Explain your answer.

b) What problem solving techniques could Irene use to address this ethical dilemma? Name and describe at least one.

c) How can Irene and Rob identify the scope of their own ethical and legal rights and responsibilities in this scenario? Think about people they could talk to and possible sources of information.

Scenario (continued)
Rob agrees that Irene has a good point. He suggests they refer Will to a mental health service.

Question 5
(a) What would be the appropriate way to communicate with Will about the referral to a mental health service?

(b) How could Rob and Irene seek feedback on the effectiveness of their communication with Will?

Scenario (continued)
Rob calls a mental health service. They tell him he can’t refer Will because Will has an alcohol problem and he needs to detox first. Their exclusion criteria forbids it. Rob is angry about this. He says to Irene: “What are we supposed to do with this guy? We can’t take him because he’s suicidal, and they can’t take him because he’s still drinking! Where is he supposed to go?” Irene says he’d better think of something because the service now has a duty of care to Will. Rob says he will ask the Mental Health Crisis Team to assess Will. He asks Will, using Joyce to interpret, for consent to refer him to the Mental Health Crisis Team. Joyce replies Will is not making any sense, he’s just muttering about killing himself. Rob says never mind the consent, he’s going to refer him anyway.

Question 6
(a) Is Irene correct about the duty of care? Why/why not?

(b) Is Rob correct to refer Will without getting consent? Why/why not?

Scenario (continued)
The Crisis Team arrive and declare that Will is a risk to himself and needs to be assessed at a secure psych unit. Joyce starts to panic, saying:
“What the hell is that! They can’t just take him away can they? Can’t you do something Rob? Where does it say they can just take him away?”

Question 7

a) Two potential or actual conflicts of interest that exist in this scenario have been provided in the table below. For each one, state what action may be taken.

b) Find, in your state or territory mental health legislation, a section relevant to this situation. Quote the most relevant paragraph from the section.

c) Conduct some research and identify a principle, or right, that conflicts with people being locked up against their will. Make sure you include the source (where you got your information from).

d) Are there any aspects of the Declaration of Human Rights that can be applied to this situation? Think about the differences between human rights and human needs.

This Nursing Assessment has been solved by our Nursing experts at My Uni Paper. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our experts are well trained to follow all marking rubrics & referencing style.

Be it a used or new solution, the quality of the work submitted by our assignment experts remains unhampered. You may continue to expect the same or even better quality with the used and new assignment solution files respectively. There’s one thing to be noticed that you could choose one between the two and acquire an HD either way. You could choose a new assignment solution file to get yourself an exclusive, plagiarism (with free Turnitin file), expert quality assignment or order an old solution file that was considered worthy of the highest distinction.