HUM 102 MODULE THREE SHORT ANSWER ASSIGNMENT GUIDELINES AND RUBRIC

Case 5.1 Mrs. Ellyn Townsend: Mrs. Ellyn Townsend is an 87-year-old widow who lives alone with her cat in a modest apartment in the center of a large city.

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Case 5.1 Mrs. Ellyn Townsend

Mrs. Ellyn Townsend is an 87-year-old widow who lives alone with her cat in a modest apartment in the center of a large city. She has lived alone for 20 years, following the death of her husband of 40 years from a fatal stroke. She has lived in this neighborhood since she and Mr. Townsend first married. They raised four children in the apartment Mrs. Townsend still occupies. The neighborhood is not as safe as it once was, but many older people have stayed in the area because of its convenient proximity to the downtown shopping area.

Recently, the neighbors called Mrs. Townsend’s daughter, Theresa, to tell her that Mrs. Townsend was wandering around the neighborhood looking for her husband. Mrs. Townsend expressed concern that he was late getting home from work. When reminded that Mr. Townsend died 20 years ago, she became very agitated and argumentative. She accused the neighbors of misunderstanding her and trying to make fun of her. Although her concern about the rising crime rate in her neighborhood is warranted, she has become hypervigilant about locking doors and windows.

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Case 5.1 Mrs. Ellyn Townsend

Mrs. Ellyn Townsend is an 87-year-old widow who lives alone with her cat in a modest apartment in the center of a large city. She has lived alone for 20 years, following the death of her husband of 40 years from a fatal stroke. She has lived in this neighborhood since she and Mr. Townsend first married. They raised four children in the apartment Mrs. Townsend still occupies. The neighborhood is not as safe as it once was, but many older people have stayed in the area because of its convenient proximity to the downtown shopping area.

Recently, the neighbors called Mrs. Townsend’s daughter, Theresa, to tell her that Mrs. Townsend was wandering around the neighborhood looking for her husband. Mrs. Townsend expressed concern that he was late getting home from work. When reminded that Mr. Townsend died 20 years ago, she became very agitated and argumentative. She accused the neighbors of misunderstanding her and trying to make fun of her. Although her concern about the rising crime rate in her neighborhood is warranted, she has become hypervigilant about locking doors and windows.

Mrs. Townsend has various health problems, including heart disease and circulation problems attributed to her late-onset diabetes. She is on almost a dozen different prescription medicines,

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although it is obvious to Theresa that she does not understand when and how to take them. She becomes irritated when Theresa asks her about her medications, insisting she is taking them as required and can prove it. Mrs. Townsend is a retired nurse and until recently was very skilled in monitoring her blood sugar and giving herself insulin. She needs to be reminded how to do this now.

Theresa has noticed recently that the house smells of urine and feces, and she has found soiled clothes stuffed in drawers and under the bed. Her mother denies there is a problem, refusing to consider she might need an adult hygiene product. The cat runs away frequently, and Theresa suspects that this is because her mother is either not feeding the cat or has become abusive.

  1. What symptoms does Ellyn Townsend exhibit that suggest she might have depression dementia, or delirium? Which symptoms are clearly a change from what her daughter has seen in her mother over the years?
  2. What immediate issues should the social worker address for Ellyn’s safety and well-being?
  3. What might be the next step in developing an intervention for her? Who else does the social worker need to involve in the diagnostic process?

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