Who else would be the client of the district nurse in the case of:

a. Pear Winston: Another client would be her children and her husband. In this case her
husband needed treatment for the same thing that she did.
b. Concetta Warren: In this case it could be her children, such as when the premature baby was
being delivered. It also could be her husband.
How does Jenny Leigh’s professional knowledge impact her ability to understand and
respect the freedom/autonomous decision-making of her clients and their families?
Jenny Leigh’s professional knowledge impacts her because since she was trained, she knows
what could potentially be harmful for the client. With this being said, some clients have feelings
about the care of themselves and their children. When looking back on the chapter we learn
about the ability for one to have freedom to decide how and to what degree they will be helped
(Parsons & Dickinson, 2017). I feel like a good example of this would be when Concetta gave
birth to a premature baby and as they tried to take him away she said “I am his hospital, we are
blood”.
How were these women restricted by the circumstances and time in which they lived? How
did this impact their ability to be autonomous? Be specific to the film.
These women were restricted in many ways. They lived in a lower-class area where they did not
have much access to the best and most expensive medical care available. Their houses were a
good representation of how they were not very wealthy. With this being said, they basically had
to use the resources of the midwife and the at home doctor for their healthcare. This impacts their
ability to be autonomous because they had at homebirths which really only gave them the option
to deliver naturally. An example of this would be with Concetta, she suffered from a possible
concussion and only was able to reach the midwife at the time. Her, as well as her baby almost
died. She choose for her baby to not be separated from her. This is an example of how it is
important for the worker to not violate the boundaries of the person they are helping (Parsons &
Dickinson, 2017).

References
Parsons, R. D., & Dickinson, K. L. (2017). Ethical practice in the human services : from

knowing to being. Sage.