Mrs. Judith Hansen, a 75-year-old woman who lives alone, fell and broke her hip. She is now in a rehabilitation center. The interdisciplinary team discusses her post-discharge care options. Her family wants her to go to a nursing home due to safety concerns if she returns home alone. The physical therapist recommends Judith use a walker and check her home's flooring. Occupational therapy found Judith can bathe, dress, and cook independently. The doctor recommends a psychiatric evaluation to assess Judith's ability to make decisions about her post-discharge living arrangements. As the social worker, the role is to help Judith and her family adjust, encourage treatment choices, ensure awareness of

1. R&R Case Study #4: Overla
pping Roles Presentation

2. Case Study
75-year-old Judith Hansen, who lives alone, fell at
home and shattered her left hip; she is now a patient in a
rehabilitation center. The optimum course of action for
post-discharge care is discussed in a meeting of the
interdisciplinary team.

3. Case Study
In the provided case study, Mrs. Judith Hansen's
loved ones express a desire for her to remain in a
nursing home once she is released from the
hospital due to their concerns for her safety as a
resident of their house alone.

4. Management Plan
• Mrs. Judith was advised by her physical therapist to start using a
walker so she can go about on her own. It is also recommended to
check the flooring to see whether it is suitable for a walker.
• Occupational therapists have confirmed that Mrs. Judith can bathe,
dress, and cook for herself. He recommends she see whether the
kitchen is ready for her to start cooking.
• The doctor requires psychiatric consultation for Mrs. Judith so that
she may be assessed for her ability to make decisions (Morant et al.)
about her post-discharge living arrangements.

5. My Role as a Social Worker
My role is to work as a social worker is to help her in multiple ways.
• When I finally get to talk to her, I will have a better understanding of how she and her family are
adjusting to her illness.
• I would do everything I can to encourage her and guide her while she considers her treatment
choices.
• To help her get the most out of her medical care, I would make sure she is aware of the
psychological and social effects of her condition and how to cope with them, as well as how to
speak with the surgeon, doctor, and other members of the health care team. I would also make sure
she has access to resources like education, home care, insurance help, and transportation.
• I would direct her to HSS's stress and pain management and disease-specific support and education
programs, as well as others in the community and government.

6. References
Morant, Nicola, Emma Kaminskiy, and Shulamit Ramon. "Shared decision
making for psychiatric medication management: beyond the
micro‐social." Health Expectations 19.5 (2016): 1002-1014.