Reference no: EM133208113

Case Scenario 1

Alison is training Barbara to support Mr Williams. While they are walking up the drive to his house, Alison and Barbara talk about what they will be doing.

Alison reminds Barbara of things to prepare when showering someone:

• Preparing the bathroom.
• Checking the temperature of the bathroom.
• Making sure any equipment to be used is working and clean.
• Taking care as the floor can be slippery.

They discuss Mr William's personal plan. It includes:

• His preferred name.
• How he likes to do things. In the personal plan it states that he has breakfast independently then, with the assistance of the support worker, he showers, shaves and gets dressed.
• Mr Williams is recovering from a stroke. While it has not affected his speech, continence or memory, it has affected his balance, his right arm is weak and he has lost sensation in his skin in affected areas.
• Mr Williams wants to be able to shower himself in the next month. With this goal in mind, he prefers to try to do things for himself but will request assistance when he needs help. The support worker should be aware of Mr Williams' goal and desire for independence, and support him in his efforts.

After they arrive at Mr Williams' house, Alison introduces Barbara and reminds him that they discussed that she would be bringing a new support worker to meet him today.  They chat for a while and Barbara tells Mr Williams a bit about herself.  Then Mr Williams says he will finish his breakfast before showering and won't be long. Alison says they will get organised while he eats.

When she comes out to tell Mr Williams they're ready for him to shower, Barbara notices he has finished eating his breakfast and moves forward to clear a cup and plates from the table. However, Mr Williams asks her to stop. He wants to take care of the task himself as one way of asserting and retaining his independence. Barbara should have remembered that the personal plan covers Mr Williams' goal and desire for independence. She should support him in his efforts.

Read the case scenario 1 and answer the question 1a,1b,1c,1d,1e that follow.

Question 1:

Reviewing the individualised plan and confirm required equipment, processes and aids (PC 1.1) 

1. As Alison and Barbara are arriving at Mr. Williams' home, what are talking about?
2. How will the personal plan support Mr. Williams' personal care needs such as body hygiene; grooming; oral hygiene and body systems?
3. What are two things Alison and Barbara should be aware of because of Mr Williams' stroke?
4. What does Mr. Williams prefer to be called by support workers and how will using this preferred name help with the individualised plan?
5. Barbara tells Mr. Williams a bit about herself. What is she doing?

Question 1:

Reviewing the individualised plan and confirm required equipment, processes and aids (PC 1.1) 

1. As Alison and Barbara are arriving at Mr. Williams' home, what are talking about?
2. How will the personal plan support Mr. Williams' personal care needs such as body hygiene; grooming; oral hygiene and body systems?
3. What are two things Alison and Barbara should be aware of because of Mr Williams' stroke?
4. What does Mr. Williams prefer to be called by support workers and how will using this preferred name help with the individualised plan?
5. Barbara tells Mr. Williams a bit about herself. What is she doing?

Question 2

Identify risks associated with the provision of support and confirming with supervisor (PC 1.6) (

Your resident says she does not feel well. You note that she has not eaten the meals you prepared in advance. She is 'at risk of falls' and you notice bruising. Your resident asks you not to say anything.

1. What are the risks for your resident?
2. How would you manage this situation in reporting to supervisor and respecting organisational protocols?

Question 3

Discuss and confirming person's own preferences for personal support in a positive way (PC 2.1) (

1. Describe two different strategies you could use to identify a resident's personal preferences.
2. Describe two different strategies you could use to encourage independence
3. How can a support worker ensure that residents /residents have input into their care and how would you document their wishes?

Question 4

Consider and confirming the person's level of participation in meeting their personal support needs (PC 2.2)

Maintaining confidentiality, privacy and dignity of the person (PC 3.6) 

1. Describe how a support worker may confirm an older person's level of participation in meeting their own personal care needs?
2. How can you comply with following legal and ethical issues in the role of support worker? List two ways for each legal and ethical requirement

Case Scenario 2

Sonia is an Indian woman who has been attending an Adult Day Program attached to a Seniors' Centre twice a week. She has had several falls over the last 6 months and fractured a rib during her last fall incident. Currently, she receives home care once a week to monitor her medications and her mobility with walking frame and mobility scooter.

Sonia has been visiting her sister who speak little to no English once a week in a nearby aged care home, Sonia sings Indian songs and reminisces about where they grew up together. Lately Sonia's frequency of her visits has fallen off over the past few months. 

Over the past month or so, the Adult Day Program staff have noted that Sonia's personal appearance is deteriorating - she sometimes wears soiled clothes, and her hair is not always clean or even combed. She has attended on the wrong day on three occasions in the past two months, and she seems to be forgetting the names of staff and other participants, even those whose names she knew. She appears more withdrawn and seems to have trouble following the threads of conversation at the program. A social worker at the adult day program has referred her for an assessment to determine her current physical and emotional needs as the home care support service has noted signs of depression and another fall.

Sonia has not recovered from her last fall and insists that she can use her mobility scooter to get around however, she is not able to weight bear sufficiently to get onto the scooter

Read the case scenario 2 and answer the question 5a,5b,5c,5d that follow.

Question 5

Provide the person with information to assist them in meeting their own personal support needs (PC 2.3)

Safely preparing for each task and adjust any equipment, aids and appliances (PC 3.1)

Taking account of identified risks in the provision of personal support and technical support activities (PC 3.2) 

1. Briefly explain what types of assistance a person like Sonia with a mental health condition such as depression may need and what you as the home care support worker can do to assess risks associated with mental health and assist Sonia to meet her needs.
2. How would you as the home care support worker assess safety risks attached to any equipment or aids that Sonia might be using to maintain her independent living?
3. What would you do if Sonia asked you to provide assistance with getting her onto her scooter for which you have not received appropriate training?
4. what type of needs would Sonia's sister have with her culturally diverse background while living in an aged care home?
5. Providing personal support to the client can have both negative and positive impact on the client. Can you list one negative and one positive impacts of personal support provision that you could discuss with your supervisor

Case Scenario 3

Mrs. Michael lives in a residential Aged care facility requiring intermediate level care. She is 85 years of age, and has Chronic obstructive pulmonary disease and dementia. This morning she complains of pain in her right shoulder, and says she has had severe chest pain on and off overnight. Mrs. Michael has complained of the same symptoms yesterday, but was later found to be her imagination. Mrs. Michael has told you as she is pale and clutching at her chest region with knees pulled up.

Read the case scenario 3 and answer the question 6a, 6b that follows.

Question 6

Identify changes in the person's health or personal support requirements and report to supervisor (PC 3.4)

Comply with the organisation's reporting requirements, including reporting observations to supervisor (PC 4.1, 3.3) 

1. Can you deal with Mrs Michel's Situation yourself? If not who would you report the situation to?
2. Describe the communication method you would use to report to supervisor any identified changes in health or personal support requirements that you have observed when caring for Mrs. Michael? (Keep information free of judgments and assumption).
3. Describe the communication method and who you report to
4. Describe best practice reporting procedures and documentation requirements for providing accurate reports
5. Describe one example of an organisation's policy and procedures for the storage and use of health or service records.
6. What do you need to take into consideration when assisting older residents with personal care requirements such as the following?

Question 7: Following are the commonly used equipment's/aids in personal care provision. Describe how could you use those equipment's safely to meet the needs of the individual

Question 8: Provide at least 3 role and responsibilities of the personal support providers and workers