TaShonda Bowser

Robeson County Department of

Social Services
October 21, 2016

Adult
Protectiv
e
Services

Special
Assistance in
home

Guardianshi
p

Adult
Placement

Adult Care
home case
management

WHAT IS ADULT SERVICES?

Adult Services is a
division that
manages the
operation of
programs providing
services and benefits
to older and disabled

Several
Counseling
and Case
management

ha
t
i
w
ed
g
t
n
n
i
l
e
Dea e dem
er tient
v
e
s
pa

Did not
make
much eye
contact
with the
I
client
N
D
I
A
N

Can not speak

English

Bu
dd
ha

Looke
d
aroun
d a lot

BACKGROUND
INFORMATION
This family comes from an amazing country, Hindu India.
Leaving many family members behind to retire and live a
good life in Lumberton, N.C. Lumberton is known for a great
retirement place for many who live and know this area. This
family includes a wife, husband (severely demented) and a
mother in law (husbands mother who also has beginning
stages of dementia). The family does not speak English
except for the wife, which can sometimes be difficult to
understand but overall her English is exceptionally well for
the time they have been in the United States. The husband
was referred to us on August 8, 2016 for caretaker neglect.
Caretaker being the wife, although no harm was meant it
was becoming a hassle unknowingly her taking care of two
individuals who have dementia in the home alone. The
husband does have a Certified Nursing Assistance that
comes in a few hours out the day. But it is not enough time
for her to do anything for herself or for the mother in law.

VALUES & DIFFERENCES

Buddhism

Christianity

Centered on the Life and Teachings of

Gautama Buddha
Nontheistic Religion, they do not believe in a
actual creator (i.e. God)
Value family first, no matter the
circumstances
Pray daily
The enlightened one

Centered on the Life and

Teachings of Jesus Christ.

Holy Bible

Marriage is a holy sacrament

Original Languages Aramaic,

Greek and Latin.

The purpose of life is to end suffering,

Buddha taught humans that we suffer
because we continually strive after things
that do not give lasting happiness.
Endless cycle of birth, re-birth, and death and
can only be broken by attaining nirvana. This
is the only way to escape suffering
permanently.

Means to salvation Through

Christs Passion, Death, and
Resurrection.

Believe in Heaven and Hell

PROBLEM STATEMENT:
Wife refuses placement due to family members
not being able to communicate or speak English
and they are severely demented.

DIAGNOSIS & TREATMENT

Robeson County APS

Due to the severe status

disease with the husband,
Doctors recommend that he
stay at home and continue
to receive in home
assistance, and with the
help of Robeson County
Department of Social
Services, APS we are trying
to help find housing that
better fits the needs of the
individual due to having
stairs in the current

Research
Dementia is a disease that causes
loss of memory and deterioration in
other mental functions. This disease
appears slowly in three general
stages:
Mild (early stage)
Moderate (Middle-stage)
Severe (Late-stage)
There is no way to stop or slow
down the disease once it has
happened it is common in the
elderly population.

SERVICES

Placement is not an option, due to the disability and

language barrier
Help find a smaller apartment, current apartment has
stairs and is a dangerous hazard to the husband. He tries
to climb the stairs due to his behavioral status with
dementia.
Expedite CAP waiting list (Communities Alternative
Programs)
More sitter hours

STRENGTHS & LIMITATIONS

Adult is able to use hands to pick up cups

to drink
Take medication while being supervised
and administered to him one pill at a
time.
Adult is ambulatory (walk)
Adult can not be left alone at no point or
circumstances
Behavioral issues caused from the
disease

ASSESSMENT GOALS:
Interventions & timeframes

g
sin
u
Ho

CA
P

Competencies Used...

Competency 1.1
Competency 1.2
Competency 1.3
Competency 2
Competency 3
Competency 4
Competency 6
Competency 7