Health and Social Care Essay Example for Free

Health and Social Care Essay Describe how incorrect handling and moving techniques can damage the skin. Identify a range of interventions that can reduce the risk of skin breakdown and pressure sores. Describe the changes to an individual skin conditions that should be reported. It is important to avoid or prevent the vulnerable areas or where sores has already formed. Regularly changing position or moving helps to prevent pressure sores developing in a vulnerable areas or to relieve already existing ones. In every clients risk assessment notes it must be shown how often they need to be moved it could be every 15 min. r might be every 2 hours. Risk assessment as well should be suggesting how to prevent putting pressure on existing ones or vulnerable areas. Also might be helpful: correct sitting lying positions how best to support feet to keep good posture the special equipment There are range of special mattresses and cushions to relieve pressure on vulnerable parts of body. Most popular are the ones that can be connected to flow of air. Which is automatically regulated to reduce pressure as and when required. Special dressings and bandages can be used to protect and to speed up the healing of pressure sores. Topical preparations such as cream and ointments can speed up healing process and prevent further tissue damage. Antibiotics and antiseptic creams might be used to prevent infection and bacteria spreading. Certain dietary supplements such as protein, zinc, vitamin c can be helpful. If clients diet lacks vitamins and minerals skin may be more likely to develop pressure sores. Debridement ,maggot therapy,surgery has been known to be helpful. Carrying out a regular checks are necessary for evidence of an early signs of the condition. Any dis-coloration of skin any patches of skin that feel unusually spongy or tough to touch must be recorder into clients personal file and a person in charge informed. Outcome 2 identify legislation and nation guidelines affecting pressure area care describe agreed ways of working relating to pressure area care describe why team working is important in relation to providing pressure area care Every company has different policies how to prevent pressure sores and how to deal with the situation when it happens. First and most important is new staff training introducing to the rules how to follow regular checks on clients,how vital is to read risk assessments and how to record ,for the other members of staff to be informed what was noticed who was informed and how the problem was solved. Team work can do wonders for clients well being,when staff is well trained and keep each other informed about every simple change the maximum success can be achieved. Unit HSC 2028 Move and position individuals to their plan of care. Every single client with difficulties to move has a detail notes how it has to be done and how they prefer to be moved. Because of their individual conditions the normal movement of some joints might not be possible or restricted. It is important to understand how joints work together to achieve the understanding in what is the best way to move the client. Special exercises designed to suit different conditions can be very useful. A physiotherapist would be the one who makes an assessment keeping in mind clients condition e. . following a stroke the client usually has weakness in the left side of the body so physiotherapist will aim to create a work out plan to strengthen the weaker side of the body after hip joint replacement surgery client must feel lots of pain and weakness in the leg as well as stiffness. The physiotherapist will be aware of conditions and will make a plan suitable for this condition. Most of people in wheelchairs have a set of special designed exercises to keep their fitness levels and firm muscles.

Blus Hanging by Lois-Ann Yamanaka Essay -- Book Reviews Lois Ann Yama

Blu's Hanging by Lois-Ann Yamanaka Blu's Hanging by Lois-Ann Yamanaka tells a sad and realistic story of the Ogata family. With the absence of a mother and an uncaring father, the three children, Ivah, Blu, and Maisie, face insurmountable obstacles. Furthermore, various outside forces, such as sexual violence, poverty, and racism, make it even harder for them to cope with the harsh society. In spite of these hardships, it is the mother's invisible presence that keeps the three children together and guides them, although it also contributes to the unintended indifference of father, and the children's vulnerability of societal attacks. Eleanor, "the mother", is often presented in the story even though she is dead, in terms of her ideas and family's memory of her. The children's effort to include their mother in family events and not forgetting what she has said to them show how naturally they think of their mother's existence with them. When Poppy asks "O-kay, who's first?" (98) on a Christmas day for gift exchange, Blu says "You and Mama" (98), as if his mother is still there with him. The children do not forget to visit Mama's grave on special occasions, such as mother's day. These rituals regarding their mother indicate the presence of her in the family. Poppy's longing for Eleanor is also demonstrated when he frequently sings the song "Moon River" throughout the novel, and tells Ivah that "your Bradda's voice-thass your Mama singing right out his throat" (140). The lyrical content of the song "Moon River" shows how much he misses her, and finding mother's resemblance in Blu's voice shows that Poppy has n ot forgotten about her. The family remembers her, and will not forget her, which keeps her alive in the n... ...ides to "walk back ... stay there till I fix what I did wrong the first time ... take my sulfones too with Eleanor" (258), and leaves with Ka-san, a representation of Eleanor. This ending also shows the contradicting effects of the mother's invisible, yet existing characteristic, illustrating how Poppy was unable to let go of Eleanor, but the children were able to do so. This result is understandable since Poppy is the one who spent more time with Eleanor and the children are used to having her only spiritually. In Blu's Hanging by Yamanaka, the absence of mother leads to two opposing outcomes in the family: Poppy's downfall, the children's vulnerability to societal attacks, and at the same time a force to bond the family members together and guide the children to the right direction. Works Cited: Yamanaka, Lois-Ann. Blu's Hanging. New York: Avon, 1997.

Chutiya Ram Essay

Tour Dutt was born on March 4, 1856 in Bengal and she died on August 30, 1877, in the prime of her youth, at 21. She is often called the Keats of the Indo-English literature for more than one reason – her meteoric rise on and disappearance from the literary firmament, as also for the quality of her poetry. James Darmesteter pays a befitting tribute to her, â€Å"The daughter of Bengal, so admirable and so strangely gifted, Hindu by race and tradition, and an English woman by education, a French woman at heart, a poet in English, prose writer in French, who at the age of 18 made India acquainted with the poets of French herself, who blended in herself three souls and three traditions, died at the age of 21 in the full bloom of her talent and on the eve of the awakening of her genius, presents in the history of literature a phenomenon without parallel†. Literary Achievements Toru Dutt’s literary achievements lay more in her poetic works than in her prose writings. Her poetry is meagre, consisting of A Sheaf Gleaned in French Fields and Ancient Ballads and Legends of Hindustan. But she â€Å"compels attention† as KRS Iyengar puts it. Her poetry has sensitive descriptions, lyricism and vigour. Her only work to be published during her lifetime was A Sheaf, an unassuming volume in its overall get-up. The Examiner in its August 1876 issue published the review of her book. Edmund Gosse, the then reviewer expressed his surprise â€Å"To find Miss Toru Dutt translating, in every case into the measure of the original, no less than 166 poems, some of them no less intricate in form than perplexing in matter†. He calls it an â€Å"amazing feat† and â€Å"a truly brilliant success†. A review in the Friend of India says. â€Å"†¦ the versification is generally good, and the translations, we believe, intelligent and faithful†. In selecting poems for translation Toru focused attention on the Romantics of French literature, although she also included Chenier, Courier, Lamartine and a few others of the transition period as well as Brizeux, Moreau, Dupont and Valmore who were not Romantics. In France, the Romantic school was born towards the close of the 18th century and in the beginning of the19th, as in England. They asserted the free-play of imagination, simple and direct diction and freedom from any restrictions. The poems that she translated were probably those which could touch the cord of her imaginations and sentiments – patriotism, loneliness, dejection, frustrations, illusions, exile and captivity. One remarkable thing about her translation is that she has been able to capture the spirit of the original. No wonder, then, that Edmund Gosse, in his review says, â€Å"If modern French literature were entirely lost, it might not be found impossible to reconstruct a great number of poems from its Indian version†. Not that she has blindly translated. In fact, she has changed words and phrases of the original and substituted them by more appropriate ones without any hesitation which make her work exact and yet free. The verses maintain the rhythm of the original. Though European by education and training, Toru was essentially an Indian at heart. From her childhood her mother had imbued in her love for the old legends from the Puranas, the Mahabharata and the Ramayana. Her readings of the old Sanskrit classics gave her first-hand knowledge of the charming stories. Her woman’s imagination wove myriad coloured picture and she embarked upon her work, Ancient Ballads and Legends of Hindustan, which appeared in 1882, with â€Å"Introductory notes† by Sir Edmund Gosse. Critics have hailed Ancient Ballads as the â€Å"best work in English†. It shows her keen interest in the Indian translations. According to Lotika Basu, a literary critic, Ancient Ballads, â€Å"for the first time reveals to the West the soul of India through the medium of English poetry†. In fact, scholars are profuse in their praise of this work for its finely-knit verses full of vigour and variety. The stories included are of Savitri, Lakshman, Prahlad, Sindhu and others. Toru wrote two novels – Bianca and Le Journal de Mademoiselle d’Arvers. The former, an incomplete romance, is in English and the latter in diary form, is the story of Marguerite and is in French. The manuscripts of these works were discovered after her death amid her papers. Both these works have simple plots which sustain the story element, the language is poetic and the characters are clearly drawn. Toru was proud of India’s cultural heritage, her flok-lores, myths and legends, and its rich classical literature. Though English by education, she was an Indian through and through. E. J. Thompson wrote about her, â€Å"Toru Dutt remains one of the most astonishing woman that ever lived †¦. Fiery and unconquerable of soul. These poems are sufficient to place Toru Dutt in the small class of women who have written English verse that can stand†.

Canadian Employment Insurance - Online Application

If you have paid Canadian Employment Insurance (EI) premiums and are unemployed, you may be able to apply for Canadian Employment Insurance benefits using the EI Online Application from Service Canada. EI Online Application - Frequently Asked Questions Before you attempt the EI online application, please read through the Frequently Asked Questions from Service Canada. EI Online Application - Personal Information The EI online application takes about 60 minutes to complete, but if you are disconnected during the process, your information will not be saved. Be sure to have all the information youll need close at hand before you begin the EI online application. If you do not have all the information listed below, or if you have any questions, then it is better to file your Employment Insurance application in person at the nearest Service Canada office to make sure your Employment Insurance benefits are not delayed. For the EI online application you will need: Your postal codeSocial Insurance Number (SIN)Date of birthMothers maiden nameAddress and postal code of residenceGross salary - total earnings before deductions including tips and commissionsGross salary for your last week of work - from Sunday to your last day of workVacation pay - received or to be receivedSeverance pay - received or to be receivedPension - received or to be receivedPay in lieu of notice - received or to be receivedOther money - specifyName, address, dates of employment and reason for separation for all your employers in the last 52 weeks.Dates for the weeks in the last 52 weeks when you did not work, did not receive money and whyDates for the weeks (Sunday to Saturday) in the last 52 weeks when you did not work and did not receive money, and reasons whyDates and amounts for weeks in the last 52 weeks when your earnings were less than $225.00 before deductionsBand number if applying for Status Indian tax exemptionBanking information to arrange a direct deposit of E mployment Insurance benefits. If applying for Employment Insurance parental benefits, you will also need the SIN of the other parent. If applying for Employment Insurance sickness benefits, you will need your doctors name, address, and telephone number. You may also need your expected date of recovery. If applying for Employment Insurance compassionate care benefits, you will need information about the ill family member. Note: When submitting an EI application online, you must also submit the paper copy of your Record of Employment by mail or in person to a Service Canada office as soon as possible. EI Online Application - Confirmation Once you submit your EI online application, a confirmation number will be generated. If you do not receive a confirmation number or wish to make changes to your application, do not apply again. Instead, call the following number during regular business hours and press o to talk to an agent: 1 (800) 206-7218

Essay on The Shocking Truths of Divorce - 1073 Words

An absence of a parent or a parent’s separation, divorce, when a child is developing, may affect the child’s future relationships. â€Å"Evidence shows that, on average, children who have experienced parental divorce score somewhat lower than children in first-marriage families on measures of social development, emotional well-being, self-concept, academic performance, educational attainment, and physical health† (Demo, Supple) Since there are high rates of divorce in America, I decided to write about it. Providing facts that might persuade the reader to think the way I do. Divorce is like a disease, it starts with a disagreement until the relationship is destroyed. According to Princeton University, today less than half of children grow†¦show more content†¦According to Supple, women have always assumed primary for child care. â€Å"Although it is true that women have always and everywhere assumed primary responsibility for the care of very young children, this responsibility has seldom precluded either their major involvement in subsistence provision or a substantial reliance upon other caretakers† (Lamb). Since the father has to supply the basic needs for the family and has to get a job. He doesn’t establish a relationship directly with the child, causing the child feeling the absence of a parent. Since there is no bond between father and child, when the infant grows up and notices that his peers have both parents attention. Then he starts having trouble in his own personal life, causing him/her to be insecure in their future roles as parents. â€Å"Evidence shows that, on average, children who have experienced parenta l divorce score somewhat lower than children in first-marriage families on measures of social development, emotional well-being, self-concept, academic performance, educational attainment, and physical health†. â€Å"Marriages that end in divorce typically begin a process of unraveling, estrangement, or an emotional separation year before the actual legal divorce is obtained.† (Demo, Supple) Divorce might seem easy, but actually this process has various effects on the couple, and in the child [if present]. During the process there is usually a lot of fighting, and the childrenShow MoreRelatedAnalysis of the Persian Carpet Essay762 Words   |  4 Pagessuffers from self doubt as she gains a new perspective on her mother, the antagonist, as she finds out the latter has been lying to her for several months about the disappearance of their old â€Å"Persian Carpet†, which is the reason for her parents divorce. The author conveys the theme of selfishness and betrayal through her use of characterization and symbols. First, through characterization, the author follows the young girl, which struggles to understand her mother selfishness. Before meetingRead MoreReflection Paper : Ethical Dilemma866 Words   |  4 Pageshe did not drink. That was very shocking news for us because no one wants to marry their daughter to anyone who is loose character. Moreover, drinking is something never done or promoted in our family and also contrary to our religious beliefs. 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In examining the various myths, this paper will challenge the greater issue, can marriage survive infidelity?   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  There was aRead More The Graduate and Plastics Essay example728 Words   |  3 Pagesnbsp; Ben finds this shocking because to an outsider their marriage seems solid and real but it isnt.nbsp; Their marriage is like plastic because although it appears solid, it is fabricated, something made by man in order to deceive.nbsp; They deceive themselves, their neighbors, and everyone else.nbsp; Mrs. Robinson is the only one who recognizes the falsehood of the marriage.nbsp; When Mr. Robinson confronts Ben he tells him that he and his wife are getting a divorce soon.nbsp; Mr. RobinsonRead MoreAnalysis of an Advertisement Essay728 Words   |  3 Pagesfollowing print ad, which contained the photograph of a decrepit old man dressed in a black suit, wearing a diamond encrusted gold dollar sign ring, embraced by a wedding-gown clad, large breasted, peroxide bleached blond, young bimbo. 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Lou Sanchez, an 80 year old woman, raised thre e children alone. Lou and Andrew were married for 18 years before Andrew passed away from a horrible accident. This might be shocking news, but Lou, since then, has not remarried. She believed that Andrew was the only man for her. For that reason, she decided to raise her children alone and remain a widow. (Sanchez) Another point of view would be, â€Å"getting married is not worthRead MoreDissociative Identity Disorder And Treatment Of Severe Depression Essay1161 Words   |  5 Pagesclear that Karen suffers from Dissociative Identity Disorder, or, more commonly known, Multiple Personality Disorder. The rest of her treatment becomes dedicated to uncovering the reasons her mind has constructed these personalities and reveal the truth hidden in the periods of time she’s lost. Karen suffers from Dissociative Identity Disorder, a mental illness characterized by â€Å" a disruption of identity characterized by two or more distinct personalities† â€Å" that alternate control of an individual’sRead MoreSwitching Time : A Doctor s Harrowing Story Of Treating Essay1153 Words   |  5 Pagessuffers from Dissociative Identity Disorder, or Multiple Personality Disorder as it is more commonly known. The rest of her treatment becomes dedicated to uncovering the basis from which her mind has constructed these personalities and reveal the truth hidden in her lost time. Karen suffers from Dissociative Identity Disorder, a mental illness characterized by â€Å" a disruption of identity. . . by two or more distinct personalities† â€Å" that alternate control of an individual’s behavior† (Bell, JacobsonRead MoreDifferent Reactions to Death Essay1484 Words   |  6 PagesDeath can be very scary for the elder and young. One never really knows how they will react to the event of death. Even though inevitable, death can be shocking for some or troubling for others. A shocking and a troubling reality of death are depicted in two short stories, Used to Live Here Once by Jean Rhys and A Father’s Story by Andre Dubus. How characters in a story react to death are often different from one another. Used to Live Here Once by Jean Rhys in 1976 is about a woman taking

The Negative Effects of Automobile Emissions Pollution Essay

The Negative Effects of Automobile Emissions Pollution Charles Dickens wrote about the dirty conditions of London, England by saying, Smoke lowering down from chimney pots, making a soft black drizzle, with flakes of soot in it as big as full-grown snowflakes – gone into mourning, one might imagine, for the death of the sun . . . Fog everywhere . . . fog down the river, where it rolls defiled among the tiers of shipping, and the waterside pollutions of a great (and dirty) city (Qtd. Langone 28). The problem with the air back in Dickens’ day was all of the coal that was burned for heat and power. Today, we do not often use coal in our individual homes or businesses, but we still have a big problem with our air. Automobiles are our†¦show more content†¦The Very Unhealthful level advises people to avoid outdoor activity and people with heart and lung problems should stay indoors and avoid all activity. At this level, there are widespread irritation symptoms among the healthy population. The last level, Hazardous, can cause many serious health problems, including the early onset of disease. It advises that everyone should stay indoors with all doors and windows shut and avoid physical activity of any kind. This level can also cause premature death in the ill and elderly (EPA 4). The negative effects of automobile emissions pollution were recognized long ago. The Department of Health, Education and Welfare estimated in the late 1950’s that nationwide, cars contribute 48 percent of the carbon monoxide, 4 percent of the sulfur dioxide, 32 percent of the nitrogen oxides, 59 percent of hydrocarbons and 8 percent of the particulate matter in our atmosphere. With all of these figures together, it meant that the automobile was by far the nations largest polluter, being responsible for 43 percent of all air pollution (Patterson 6). These numbers were staggering and brought many people to the opinion that something had to be done. 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Boundary Issue in Social Work free essay sample

Boundary Issues in Social Work: Its implication for Social Workers Florida Atlantic University Boundary issues in social Work: It implication for social workers Reamer’s article entitled. â€Å"Boundary issues in social work: Managing dual relationships. † provides an overview of boundary issues in social work, and also stresses the fact that social work literature clearly demonstrates that ethical issues related to boundaries are among the most problematic and challenging (2003,p. 121). Consequently, for Social Workers, establishing a solid professional, ethical and consistent relationship with their clients must be their ultimate goal. Unfortunately, many find themselves in situations where their ethical and professional careers come into question, because of boundary issues. As defined by Reamer in his article, boundary issues occur when social workers face possible conflicts of interest in the form of what has become know as dual or multiple relationships (121). Social workers should not enter into dual relationship with their clients, because of the negative implications it can generate. This paper will discuss ethical issues that violate boundaries. Be it may social, emotion or professional relationship, for both social worker and clients when a social worker form a dual relationship with his/her clients, and create boundary issues. This relationship as stated by Reamer occurs when professionals engage with clients or social groups in more than one relationship, assumes a second role with a client, becoming social worker and friend, employer, teacher, and family member. The NASW Code of Ethics identifies core values (service, social justice, dignity and worth of the person, importance of human relationships, integrity and competence) on which social workers should base their professional relationships with their clients, and should be followed to ensure professionalism. As stated by Reamer, â€Å"Social Workers-be they clinical, community organizers, policy makers, supervisors, researchers, administrators, or educators, oftentimes come across circumstances that pose actual or potential boundary issues† (2003,p. 121). However, as a social worker, one has to be cognizant of the fact that in many cases he/she is highly esteemed by their clients and often privileged to confidential and personal information, which is sometimes not privilege to family members or even close friends. Therefore extra precaution should be taken to avoid using this information to exploit their clients. Social relationship The case study entitle â€Å"Ethics Case Study: Juan S,† gives a prime example of social relationship that violates boundaries. This case study gives details of a family who immigrated to America illegally from El Salvador. Unable to get assistance from the government because of their illegal status, Juan’s mother and brother worked menial jobs to try and make ends meet and there were times when Juan mother was not paid for her services. After noticing Juan’s behavior in class his teacher recommended him to a social worker. After visiting with Juan and his family, the social worker was privileged to other information about the family, including the fact that his mother was having a hard time with her present employer and needed better employment in order to make ends meet. Ultimately, the social worker acted upon information given by Juan’s family and decided that it would work in her benefit, as well as Juan and his family, if she hired Juan’s mother to take care of her own children. In addition she also states â€Å"the arrangement would also be beneficial because he would be spending time in an English-speaking environment, thus improving his ability to communicate in school, and her children would be learning Spanish in the home. Employing Juan’s mother, to work in his/her home is a clean violation of the code. This is so because the social worker not only takes on the role of employer, but also friend. Relationship like these can easily be exploited and render the social worker ineffective and clients, psychologically scared. The reason for this is Juan’s Mother, Sylvia, might not feel comfortable talking to her â€Å"boss†/social worker about issue that could be helpful to her son, for fear of losing her job and not receiving help, which is their only mode of financial support. In addition, the social worker might loose credibility with Juan and Sylvia because of situations observed while in the social workers home. On the other hand some might find this night not see anything wrong with helping out a family in need but Social Workers in general need to learn from this occurrence and endeavor to be always cognizant of the fact that their ability to show genuine compassion and acceptance may be misconstrued by others. Consequently, Social Workers should understand culture and its function in human behavior and society, because this could have played a part in this client’s decision. In many cultures rewarding hard work and dedication is seen as honorable. Since a social worker has the grueling and sometimes daunting task of addressing clients’ many problems, the client may perceive that the Social Worker should be compensated. Conversely, some gestures made by clients may be inadvertently encouraged by the Social Worker therefore engendering a boundary issue. NASW therefore cautions Social Workers to be alert and avoid conflicts of interest that interfere with the exercise of professional discretion and impartial judgment (1999). Social workers should inform clients when an issues or potential conflict arises and make reasonable effort to resolve the issue, even if it means referring a client to another social worker. For many clients and non Social Workers, termination of the professional relationship with clients and referring then to another Social Worker might seem uncaring. However, Social Workers are well aware of the fact that this practice is endorsed by the NASW (1999) as an effective way to avoid potential boundary and dual relationship issues from occurring. In reiterating points made earlier in this paper, clients develop a level of trust when conversing with Social Workers and thus are able to speak freely, and develop friendships with that someone who they may perceive as the only person who shows genuine understanding of their situation and display unconditional positive regard toward them. The above mentioned qualities serve to assist clients to connect with their social workers and divulge more information than they would to a family member or friend. The drawback or negative impact of this occurs when Social Workers take advantage of a client by allowing the professional relationship to progress to a personal level. This is interpreted by the NASW as misconduct and should be frowned on as unprofessional by all Social Workers. Unfortunately, sexual misconduct continues to afflict the field of Social work, and in my opinion continues to be another boundary issue of high importance. The NASW clearly states that Social Workers should not engage in sexual activities or sexual contact with clients, relatives or other individuals with whom clients maintain a close personal relationship, since there is a risk of exploitation or potential harm to the client (1999). Sexual activity or sexual contact as stated above has the potential to be harmful to the client and may make it difficult for the social worker and client to maintain appropriate professional boundaries, and should be avoided at all cost. Unfortunately, some might argue that we do not live in a perfect world, and feelings of a sexual nature can culminate eventually between worker and client. However, this does not alleviate the ethical and professional responsibility placed upon a Social Worker to become and remain proficient in professional practices, when providing service to their clients. Despite the fact that Reamer’s article gives examples of some nonsexual and appropriate behavior in some circumstances, for example, â€Å"a brief hug at the termination of long-term treatment or placing one’s arm around a distraught client in a residential program who just receive bad news† (2003, p. 128) These behaviors, as stated by Reamer, are very brief and will not likely be harmful to the client. However, social workers should be in constant awareness of their ethical and professional boundaries as they relate to their clients, and try to avoid any situation that would compromise their relationship. As stated by Hutchinson â€Å"it may be assumed that for every exploitive Social Worker, there is at least one sexually exploited client† (2005). In addition, nearly half (46. 3%) of the 147 responding Social Workers surveyed by Hutchinson (2005) reported that 177 client had disclosed sexual involvement with a therapist which includes Social workers. Reamer cites the fact that during a 20-year period, nearly one in five lawsuits (18. %) against social workers, insured through the malpractice insurance program sponsored by the NASW Insurance Trust, alleged some form of sexual impropriety, and more than two-fifths (41. 3%) of insurance payments were the result of claims concerning sexual misconduct (2003, p. 124). Unfortunately, sexual misconduct in service oriented professions continues to be a significant problem. Olarte (as cited in Reamer, 2003) reported a national data that suggest between 8. 0 percent and 12. 0 percent of males and 1. 7 percent and 3. percent of females in these professions, which include social workers, admit having had sexual relationships with current or former clients. (p. 124). In my opinion social workers should abide by the NASW’s (1999). ). This contains standards that prohibit benefiting from clients, financially, physically or socially, and doesn’t take into consideration issues that some might assume as â€Å"not as severe as others†. Social relationship as stated by Reamer in his article is not as exploitive in nature, as social workers’ sexual involvement with clients. Reamer (2003) cites a recent empirical survey of a statewide sample of clinical social workers that uncovered substantial disagreement concerning the suitability of their behavior when dealing with clients, such as developing friendships with their clients; participating in social activities with clients; serving on community boards with clients; providing clients with one’s home telephone number; accepting goods and services from clients instead of money (p. 128). However, some social relationships that are not kept at a professional and ethical level can easily lead to boundary issues. This is so because social workers in their effort to communicate with their clients on these levels may inadvertently disclose a personal problem, which in turn can hinder their professional opinion and disregard the interest of their clients. As stated by Reamer, â€Å"this can be both helpful and harmful to the same client. Helpful in that the client feels more connected to the social worker and harmful in that the self-disclosure undermines the client’s confidence in the social worker† (2003, p. 123). The above ethics case shows how social relationship, no matter how well intended can create boundary issues and eventually leads to Dual relationship. This is so because she was not only seeing Juan on a professional level, for which she is being paid, but she was benefiting from service rendered by Juan and his mother. In other words, despite the fact that social relationships might not be consider as severe as the other boundary issues, such as financial gain and sexual misconduct, one should not minimized the potential implication that can arise from these relationships. In conclusion, it is observed that issues of boundaries and Dual relationships continue to be problematic and challenging for many social workers. Consequently, social worker must be cognizant of the fact that the NASW code of ethics, which identifies core values on which social worker should base their professional relationships, should be of utmost importance in their every day communication with their clients. As identified, some boundary issues can have serious implication for social workers as well as clients and should not be violated. The NASW demonstrates the ethical and professional expectations of social workers, and guide their relationships, as tempting as these relationships can be, social workers should always keep in mind their ethical and professional responsibility to their client.