Feminist Theory
\nFeminist Theory
\nn 1 to 2 sentences, identify and describe the problem to be worked on in your chosen case study.
\nIn 1 to 2 sentences, explain how feminist theory you are utilizing denes and explains the cause of the
\nproblem.
\nIn 1 to 2 sentences, use feminist theory to describe the role of the social worker to facilitate change in
\nthe case study.
\nIn the assessment phase, identify 2 assessment questions you will ask to explore what the client\u2019s
\ngoals are and how they will get there.
\nRemember, feminist theory should be driving the assessment.
\nDescribe two interventions to address the problem and explain how the clients will implement the
\ninterventions.
\nRemember, feminist theory should be driving the interventions.
\nIn 2 to 3 sentences, discuss how you would evaluate if one of the interventions you identied is
\neective with the client.
\nExplain how, specically, you will set the tone throughout your work with the client to reduce the
\nhierarchical relationship and make it more collaborative.
\nEvaluate one strength and one limitation of feminist theory in working with the client.
\nPaula Cortez
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\nIdentifying Data: Paula Cortez is a 43-year-old Catholic Hispanic (the best nursing writing service, a studybay for your papers) female residing in New York City, NY.
\nPaula was born in Colombia. When she was 17 years old, Paula left Colombia and moved to New York
\nwhere she met David, who later became her husband. Paula and David have one son, Miguel, 20 years
\nold. They divorced after 5 years of marriage. Paula has a ve-year-old daughter, Maria, from a dierent
\nrelationship.
\nPresenting Problem: Paula has multiple medical issues, and there is concern about whether she will be
\nable to continue to care for her youngest child, Maria. Paula has been overwhelmed, especially since she
\nagain stopped taking her medication. Paula is also concerned about the wellness of Maria.
\nFamily Dynamics: Paula comes from a moderately well-to-do family. Paula reports suering physical and
\nemotional abuse at the hands of both her parents, eventually eeing to New York to get away from the
\nabuse. Paula comes from an authoritarian family where her role was to be \u201cseen and not heard.\u201d Paula
\nstates that she did not feel valued by any of her family members and reports never receiving the
\nattention she needed. As a teenager, she realized she felt \u201cnot good enough\u201d in her family system, which
\nled to her leaving for New York and looking for \u201csomeone to love me.\u201d Her parents still reside in Colombia
\nwith Paula\u2019s two siblings.
\nPaula met David when she sought to purchase drugs. They married when Paula was 18 years old. The
\ncouple divorced after 5 years of marriage. Paula raised Miguel, mostly by herself, until he was 8 years old,
\nat which time she was forced to relinquish custody due to her medical condition. Paula maintains a
\nrelationship with her son, Miguel, and her ex-husband, David. Miguel takes part in caring for his halfsister, Maria.
\nPaula does believe her job as a mother is to take care of Maria but is nding that more and more
\nchallenging with her physical illnesses.
\nEmployment History: Paula worked for a clothing designer, but she realized that her true passion was
\npainting. She has a collection of more than 100 drawings and paintings, many of which track the course of
\nher personal and emotional journey. Paula held a fulltime job for a number of years before her health
\nprevented her from working. She is now unemployed and receives Supplemental Security Disability
\nInsurance (SSD) and Medicaid. Miguel does his best to help his mom but only works part time at a local
\nsupermarket delivering groceries.
\nPaula currently uses federal and state services. Paula successfully applied for WIC, the federal
\nSupplemental Nutrition Program for Women, Infants, and Children. Given Paula\u2019s low income, health, and
\nMedicaid status, Paula is able to receive in-home childcare Helpance through New York\u2019s public
\nHelpance program.
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\nSocial History: Paula is bilingual, uent in both Spanish and English. Although Paula identies as Catholic,
\nshe does not consider religion to be a big part of her life. Paula lives with her daughter in an apartment in
\nQueens, NY. Paula is socially isolated as she has limited contact with her family in Colombia and lacks a
\npeer network of any kind in her neighborhood.
\nFive (5) years ago Paula met a man (Jesus) at a ower shop. They spoke several times. He would visit her
\nat her apartment to have sex. Since they had an active sex life, Paula thought he was a \u201cstand-up guy\u201d and
\nreally liked him. She believed he would take care of her. Soon everything changed. Paula began to suspect
\nthat he was using drugs, because he had started to become controlling and demanding. He showed up at
\nher apartment at all times of the night demanding to be let in. He called her relentlessly, and when she
\ndid not pick up the phone, he left her mean and threatening messages. Paula was fearful for her safety
\nand thought her past behavior with drugs and sex brought on bad relationships with men and that she
\ndid not deserve better. After a couple of months, Paula realized she was pregnant. Jesus stated he did not
\nwant anything to do with the \u201ckid\u201d and stopped coming over, but he continued to contact and threaten
\nPaula by phone. Paula has no contact with Jesus at this point in time due to a restraining order.
\nMental Health History: Paula was diagnosed with bipolar disorder. She experiences periods of mania
\nlasting for a couple of weeks then goes into a depressive state for months when not properly medicated.
\nPaula has a tendency toward paranoia. Paula has a history of not complying with her psychiatric
\nmedication treatment because she does not like the way it makes her feel. She often discontinues it
\nwithout telling her psychiatrist. Paula has had multiple psychiatric hospitalizations but has remained out
\nof the hospital for the past 5 years. Paula accepts her bipolar diagnosis but demonstrates limited insight
\ninto the relationship between her symptoms and her medication.
\nPaula reports that when she was pregnant, she was fearful for her safety due to the baby\u2019s father\u2019s anger
\nabout the pregnancy. Jesus\u2019 relentless phone calls and voicemails rattled Paula. She believed she had
\nnowhere to turn. At that time, she became scared, slept poorly, and her paranoia increased signicantly.
\nAfter completing a suicide assessment 5 years ago, it was noted that Paula was decompensating quickly
\nand was at risk of harming herself and\/or her baby. Paula was involuntarily admitted to the psychiatric
\nunit of the hospital. Paula remained on the unit for 2 weeks.
\nEducational History: Paula completed high school in Colombia. Paula had hoped to attend the Fashion
\nInstitute of Technology (FIT) in New York City, but getting divorced, then raising Miguel on her own
\ninterfered with her plans. Miguel attends college full time in New York City.
\nMedical History: Paula was diagnosed as HIV positive 15 years ago. Paula acquired AIDS three years later
\nwhen she was diagnosed with a severe brain infection and a Tcell count of less than 200. Paula\u2019s brain
\ninfection left her completely paralyzed on the right side. She lost function in her right arm and hand as
\nwell as the ability to walk. After a long stay in an acute care hospital in New York City, Paula was
\ntransferred to a skilled nursing facility (SNF) where she thought she would die. After being in the skilled
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\nnursing facility for more than a year, Paula regained the ability to walk, although she does so with a
\nsevere limp. She also regained some function in her right arm. Her right hand (her dominant hand)
\nremains semi-paralyzed and limp. Over the course of several years, Paula taught herself to paint with her
\nleft hand and was able to return to her beloved art.
\nPaula began treatment for her HIV\/AIDS with highly active antiretroviral therapy (HAART). Since she ran
\naway from the family home, married and divorced a drug user, then was in an abusive relationship, Paula
\nthought she deserved what she got in life. She responded well to HAART and her HIV\/AIDS was well
\ncontrolled. In addition to her HIV\/AIDS disease, Paula is diagnosed with Hepatitis C (Hep C). While this
\ncondition was controlled, it has reached a point where Paula\u2019s doctor is recommending she begin a new
\ntreatment. Paula also has signicant circulatory problems, which cause her severe pain in her lower
\nextremities. She uses prescribed narcotic pain medication to control her symptoms. Paula\u2019s circulatory
\nproblems have also led to chronic ulcers on her feet that will not heal. Treatment for her foot ulcers
\ndemands frequent visits to a wound care clinic. Paula\u2019s pain paired with the foot ulcers make it dicult for
\nher to ambulate and leave her home. Paula has a tendency not to comply with her medical treatment.
\nShe often disregards instructions from her doctors and resorts to holistic treatments like treating her
\nulcers with chamomile tea. When she stops her treatment, she deteriorates quickly. Maria was born HIV
\nnegative and received the appropriate HAART treatment after birth. She spent a week in the neonatal
\nintensive care unit as she had to detox from the eects of the pain medication Paula took throughout her
\npregnancy.
\nLegal History: Previously, Paula used the AIDS Law Project, a not-for-prot organi nization that helps
\nindividuals with HIV address legal issues, such as those related to the child\u2019s father . At that time, Paula
\nled a police report in response to Jesus\u2019 escalating threats and successfully got a restraining order. Once
\nthe order was served, the phone calls and visits stopped, and Paula regained a temporary sense of
\ncontrol over her life. Paula completed the appropriate permanency planning paperwork with the
\nHelpance of the organization The Family Center. She named Miguel as her daughter\u2019s guardian should
\nsomething happen to her.
\nAlcohol and Drug Use History: Paula became an intravenous drug user (IVDU), using cocaine and heroin,
\nat age 17. David was one of Paula\u2019s \u201cdrug buddies\u201d and suppliers. Paula continued to use drugs in the
\nUnited States for several years; however, she stopped when she got pregnant with Miguel. David
\ncontinued to use drugs, which led to the failure of their marriage.
\nStrengths: Paula has shown her resilience over the years. She has artistic skills and has found a way to
\nutilize them. Paula has the foresight to seek social services to help her and her children survive. Paula has
\nno legal involvement. She has the ability to bounce back from her many physical and health challenges to
\ncontinue to care for her child and maintain her household.
\nDavid Cortez: father, 46 years old<\/p>\n
Paula Cortez: mother, 43 years old
\nMiguel Cortez: son, 20 years old
\nJesus (unknown):
\nMaria\u2019s father, 44 years old
\nMaria Cortez: daughter, 5 years old<\/p>\n","protected":false},"excerpt":{"rendered":"
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