Generalist Model on a Case Study

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Implementation of the Generalist Model and the Ecosystems Perspective on a Helping Situation Pentaris (Notis) Pentaris
Hawaii Pacific University

Helping Situation (Case Study)
Katie is a 17 year old adolescence diagnosed with cancer since she was 3 years old. The doctor told her parents, back then, that only if they had a new born child, it would be able to donate its sister so that she could survive in future times. Katie has an older brother, named James, who has learning difficulties and needed a lot of attention by his parents. However, Katie’s parents, Josh and Anita, focused all of their attention to their sick daughter, putting aside their son’s needs by sending him, at age of 7 in a daycare to handle his difficulties. Katie feels horrible and sorrowful that she, unwillingly, “stole all the attention” of their parents and he got nothing. Josh and Anita, when they were told of having another child so that Katie could have her donator, they decided to do so. Hence Katie’s sister, Charity, was born a few years later. At the present she is 13 years old and has been hospitalized and been under the knife several times through her childhood stages. One year ago, while Katie was under chemotherapy in a hospital setting, she met a boy, Peter, who was also under chemotherapy. He was diagnosed with brain cancer. The two adolescences felt understandable to each other and decided to “hang out” together. That relationship was Katie’s first experience lovely and sexually. The next morning after she made love with that boy, he disappeared, until the time that Katie was informed that he died that day due to his disease. Afterwards Katie was devastated and most convinced of her own future being as well. Katie is in the hospital once again, after bleeding constantly and not being able to self – function anymore. There is a strong need for kidney transplantation, which only Charity can donate. Both parents have decided for Charity’s side that she will do the transplant. Charity does not decline the fact. Albeit the process is ready to take place, Katie feels so tired and sick. She has spent most of her life hospitalized and all of it under prescriptions. At the moment she can feel that nothing can be done. She is exhausted out of pain, and doesn’t want to keep going on pills. She feels that this is the time for her to pass away. And she is really happy that she is able to make this decision for herself. On the contrary though, her parents do not let her go emotionally and psychologically. They keep trying to save their daughter’s life and never stop and listen to what she wants or needs. Katie gives more effort staying in life, so Josh and Anita can be better prepared to accept her death. At the same time the doctor notifies the parents that Katie’s situation is no longer to be confronted by the hospital and recommends that it would be better for the dying youth to spend her last moments in home with her family. The mother reacts badly against the doctor and the staff in general, and insists for the transplantation to be made. Katie experiences all these deeds and emotions of her parents’ and her mother’s especially. She feels haggard with everything and still is in severe pain caused from her disease. Simultaneously she has asked her sister, Charity, to deny being the donator, so that Katie could die without any more clinical efforts. She believes that this is the best way of hampering her prolong of lifetime under painkillers and hospitals. Katie declares forlorn and rejected from the decision making process concerning her own life. She feels abandoned of her parents due to their unwillingness to listen to her and understand that she no longer wants to suffer and simultaneously make her family suffer with her.

Implementation of the Generalist Model and the Ecosystems Perspective on the Helping Situation As soon as the intake process has been already made during the patient’s hospitalization, the engagement part of...
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