(Q) The Case of Lonnie and Dorothy

Individuals or families who need case management services do so because they have a number of problems. Like Lonnie and Dorothy, they may “get by” for a period of time. At some point, their problems escalate, multiply, or both, making it difficult to cope. It is at the end of this case, when Lonnie is beginning to experience some serious medical problems, that you enter their lives as a case manager.
Lonnie and Dorothy live in the southern part of town in a low-income area. At one time, the neighborhood was nice. This was long before Lonnie and Dorothy arrived. They have two grown sons, John and Leroy, who occasionally come by to visit, and a grown daughter they never talk to. Lonnie, 62, works at a nursing home as a janitor. Dorothy, 60, does not work due to health problems, though she has worked as a personal nurse at some time in the past. They have been married for thirty-nine years but do not get along very well. They bicker constantly, and Dorothy has talked of times when Lonnie would lock her in the house due to jealousy while he was at work. Now, they basically coexist together without much substantial interaction.
Lonnie’s job is rough on him—he works seven-day shifts and then has three days off. He drives forty-five minutes to work in his 1985 pickup, on which he is still making payments. He spends all day on his feet and is exhausted when he gets home. For years, Lonnie was the head janitor at a truck stop and enjoyed the job. Unfortunately, he was laid off due to cutbacks and has been trying to find a job with better pay. He has found that his age has kept him from getting better work. He has been working at the nursing home since. He has talked of finding better work, but because he and Dorothy live from paycheck to paycheck, they cannot afford for him to take any kind of pay cut, even temporarily. Lonnie spends most of his spare time in front of the television.
This is hard on Dorothy. Due to heart problems, she is on disability and rarely gets away from the house, often spending days alone in the house. This causes her to be lonely and to have a limited view of the world—the “other side of town” is like another world to her. If she does get away, it is only to go to the grocery store or the pharmacy. She also has a tendency to be paranoid. For instance, if her disability check does not come on the exact day it did the previous month, she spends the afternoon on the phone talking to the disability office and the post office, positive someone has “made a mistake” or has “taken her check.” In some ways this is understandable, since Lonnie and Dorothy need the check to pay their bills. Dorothy’s check pays the rent and what little spending money she gets, while Lonnie’s covers the car payment, food, utilities, and medical bills. They spend every penny each month, leaving nothing for savings. Last month, Lonnie started to have medical problems himself and has had to go the doctor more frequently than usual.
List the needs that Lonnie and Dorothy have. Then prioritize them.Identify the necessary case management roles and purposes for each of the three most important needs Lonnie and Dorothy have.The three methods of delivering case management you read about in Chapter 3 provide a structure for the case manager’s roles, responsibilities, and length of involvement with a client. Review the methods.Which one would be most effective with Lonnie and Dorothy’s situation? Why?

Besides, Vittola contends war is fundamental, not just for protective purposes, ‘since it is legitimate to oppose force with force,’ yet in addition to battle against the shameful, a hostile conflict, countries which are not rebuffed for acting unjustifiably towards its own kin or have unfairly taken land from the home country (Begby et al (2006b), Page 310&313); to “show its foes a thing or two,” yet for the most part to accomplish the point of war. This approves Aristotle’s contention: ‘there should be battle for harmony (Aristotle (1996), Page 187). Notwithstanding, Frowe contends “self-protection” has a majority of portrayals, found in Part 1, demonstrating the way that self-preservation can’t necessarily in every case legitimize one’s activities. Much more tricky, is the situation of self-preservation in war, where two clashing perspectives are laid out: The Collectivists, a totally different hypothesis and the Individualists, the continuation of the homegrown hypothesis of self-protection (Frowe (2011), Page 9& 29-34). All the more significantly, Frowe discredits Vittola’s view on retaliation in light of the fact that right off the bat it enables the punisher’s position, yet additionally the present world forestalls this activity between nations through lawful bodies like the UN, since we have modernized into a generally quiet society (Frowe (2011), Page 80-1). Above all, Frowe further discredits Vittola through his case that ‘right expectation can’t be blamed so as to take up arms in light of expected wrong,’ proposing we can’t simply hurt another on the grounds that they have accomplished something treacherous. Different elements should be thought of, for instance, Proportionality. Thirdly, Vittola contends that war ought to be kept away from (Begby et al (2006b), Page 332) and that we ought to continue conditions carefully. This is upheld by the “final hotel” position in Frowe, where war ought not be allowed except if all actions to look for strategy comes up short (Frowe (2011), Page 62). This implies war ought not be proclaimed until one party must choose the option to pronounce battle, to safeguard its domain and privileges, the point of war. Nonetheless, we can likewise contend that the conflict can never be the final retreat, considering there is generally a method for attempting to keep away from it, similar to assents or conciliation, showing Vittola’s hypothesis is defective. Fourthly, Vittola inquiries upon whose authority can request a statement of war, where he infers any region can do battle, however more critically, “the sovereign” where he has “the regular request” as indicated by Augustine, and all authority is given to him. This is additionally upheld by Aristotle’s Legislative issues ((1996), Page 28): ‘a ruler is the regular unrivaled of his subjects.’ In any case, he truly does later stress to place all confidence in the sovereign is off-base and has results; a careful assessment of the reason for war is expected alongside the readiness to arrange rival party (Begby et al (2006b), Page 312& 318). This is upheld by the activities of Hitler are considered shamefully. Additionally, in this day and age, wars are not generally battled simply by states yet additionally non-state entertainers like Al-Queda and ISIS, showing Vittola’s regulating guarantee on power is obsolete. This is additionally upheld by Frowe’s case that the pioneer needs to address individuals’ inclinations, under genuine power, which joins on to the fourth condition: Public statement of war. Concurred with many, there should be an authority declaration on a statement of war (Frowe (2011), Page 59-60&63). At last, the most dubious condition is that wars ought to have a sensible likelihood of coming out on top. As Vittola emphasized, the point of war is to lay out harmony and security; getting the public great. In the event that this can’t be accomplished, Frowe contends it would be smarter to give up to the foe. This can be legitimate on the grounds that the expenses of war would have been greater (Frowe (2011), Page 56-7).>
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