CASE #3
You have been assigned to care for the Ross family. The family just had triplets:
three
girls. The girls were premature, but they are now home after two months in
hospital.
There are two older children in the family, Ray, age two, and Lori, age five.
Although
maternal and paternal grandparents are all living, they reside 1600 km away and
cannot visit to help.
The family seems to be loving and close-knit. The parents seem very happy with the
new additions— although they admit that the birth of three was very much a
surprise.
You have been with the family for two months and over that time have noticed a
change in Ray. He seems less able to run as steadily as he did before. As well, he
seems
to be using more “baby-talk,” not speaking words as clearly as he once did. He also
seems to be more fearful.
Today is your day off. You find yourself in the Ross’ neighbourhood and decide to
say
hello. As you go up to the door, you see Mrs. Ross violently shaking her son. She
is
visibly upset and is speaking to him in a very angry voice.
1. Describe all the feelings that you (or other PSWs) might have in this situation.
Explain
how they might be helpful or unhelpful in resolving the problem. (2 marks)
I and other PSW’s will feel fear for Ray’s safety as well as fear of anger on his
part because an adult is abusing him by shaking him violently.
2. Identify the possible reasons for the angry outburst in Mrs. Ross. (3 marks)
a.In this case there are three newborns in the family as well as two other
children who needs attention and patience.
a.As a mother, she will feel tired, exhausted and drained because she alone caters
for five children.
b.Usually triplets are born through caesarean section meaning the mother won’t be
able to carry anything more than 10kg which makes her incapable of taking care of
her children.
c.Also, we aren’t aware of the financial capability of the family in question since
we don’t have any idea of their resources.
d.The mother also faces psychological consequences of three babies staying in NICU
and having to commute on daily basis.
e.She is always worried about Ray’s development and confused about how to deal with
it.
3. Identify two behaviours in Ray that indicate that he may be abused. (2 marks)
a.Ray’s gross motor development shows a delay.
b.His speech development is regressing and shows a fearful behavior.
4. What action is appropriate for the PSW to take in this situation? Why? (3 marks)
As a PSW,I will immediately report the issue to social services to take a quick
action because I am not on duty.