There are many experiences in working with vulnerable children and families that require reflective practice on the part of the practitioner in order to identify issues of crossover between the personal and the professional, and areas of transference and counter transference. This article suggests a particular challenge is presented in the process of the practitioner becoming a parent themselves. Those who have been working with children and families for much of their careers may find becoming a parent presents a range of conflicting and challenging considerations that need to be unpacked throughout the process of transition. The author has a background of working in child protection for over 20 years and became a parent herself just over 4 years ago. She provides clinical and group supervision to a wide range of practitioners as an external supervisor. This practice-based reflection piece draws on the author's experience, with inputs from supervisees and the examined literature, to identify some key themes. The issues raised suggest a need for more research and greater thoughtfulness around the impact of becoming a parent on practitioners themselves and on their practice.

The codes of ethics of the National Hospice and Palliative Care Organization and the National Association of Social Workers support ethical standards of client self-determination and confidentiality. Lack of societal consensus on the parameters of a terminally ill person's right to die continues to confound at times the health care field, including hospice programs. This article explores an actual case where a hospice social worker faced an ethical dilemma related to the sanctity of life versus patient autonomy. While a more seasoned social worker might have chosen a different alternative to the dilemma, this case illustrates the importance of creating an interdisciplinary rather than multidisciplinary hospice team and the need for ongoing dialogue on how to support patient choice.