Reference no: EM132806993

ASSESSMENT TASK 2: CASE STUDIES

CASE STUDY 1 - CLAUDE AND RAY
Claude is a new client at New Greens Aged Care Facility.He has come into aged care as he has had a stroke and his male partner Ray is no longer able to look after him.Claude is finding it very difficult to adjust to life at the facility.Ray's sister brings him in to visit Claude once a month as he is unable to drive, but she has never been able to accept their homosexual relationship.After 20 minutes or so she insists on leaving.

Claude confides to his carer that he misses Ray terribly.He might as well not come to visit anymore as his sister glares daggers at them if they so much as hold hands and says they are disgusting.He would so love just to share some love and affection.

1. What effect do you think Claude's separation from Ray is having on his emotional well-being?
2. What effect do you think Ray's sister is having on Claude's emotional and psychological well-being?
Suggest at least three strategies could be put in place to enable Ray to visit so that they can enjoy some intimate time together?
3. If nothing is done to bring Claude and Ray together how might this effect his health over a period of time? Suggest four possible effects.
4. Research community support organisations that Ray or Claude could contact to obtain advice about their problems. List two organisations and provide their web addresses.
5. Apart from supplying a trundle bed, what support could you give Claude to provide a suitable environment where they will feel secure, private and comfortable?
6. What could you suggest as a safer alternative?
7. How would you deal with this problem?
Given that your own values and attitudes about sexuality may be different than that of your clients, or your co-workers, how do you go about making sure you do not impose your views onto others?

CASE STUDY 2 - TEAM CONFLICT
A team of carers is experiencing conflict. There is an Aboriginal worker on the team (Barry), a Muslim worker (Ahmed) and two white Australian workers (Janice and Julia). It started when Ahmed accused Barry of being lazy and rude - ‘He never rushes, even when we are rushed off our feet and he doesn't even look me in the eye when he talks to me.'
Barry retaliates by accusing Ahmed of taking time off all the time to ‘pray on his stupid prayer mat'.
Janice responds by saying, ‘For God's sake, why can't you just be normal like the rest of us?'
Janice and Julia get caught up in it with, both Ahmed and Barry complaining all the time about each other and trying to get them to take sides.
Their conflict is impacting on their clients.
1. What are the cultural issues that are impacting on this team?
2. Is there a legal requirement for Ahmed to be allowed time to pray during work hours?
3. What do you think Janice means by ‘normal'? What is the problem with her statement?
4. What could this team do to resolve its differences?
5. What external resources could they use to resolve the cultural differences?
6. What could management put in place to eliminate bias and discrimination in the workplace?

CASE STUDY 3 - HARRY
Harry has recently entered aged care. Through the assessment process it has been noted that Harry has the following needs:
• Needs assistance to get out of his chair
• Has recently had hip replacement. Recovery has been slow and muscles are badly wasted.
• Likes to shower everyday but requires assistance
• Incontinent
• Enjoys reading, chess and reading the newspaper
1. In what way do you think Harry's physical disabilities may impact on his overall wellbeing?
2. Make a list of resources that will be needed to suit Harry's needs. (List at least 10.)
3. What strategies could be put in place to increase Harry's strength that he has lost due to the hip replacement?
List three strategies and explain how these would benefit Harry and how the carer could support Harry in each process.
4. What strategies will be used to monitor Harry's physical status?
5. What are two other activities that Harry would enjoy that would suit his physical limitations?

CASE STUDY 4 - BILLY
Billy is very overweight.Because of this mobility is difficult, his breathing is labored and the doctor is concerned about his heart.Billy has a mental disability which makes communication difficult.Billy's doctor has asked that he be given a diet and exercise program.
1. Write a goal for Billy's individual diet and exercise plan in relation to his diet and nutrition.
2. What are the objectives of the diet and exercise that are planned for Billy?
3. Which body systems are being affected by Billy's weight? (Name three body systems)
4. What actions may be specified in Billy's care plan to support him with his exercise?
5. What aids could Billy use to assist him with mobility?
6. What assistance can be given to Billy to help him to recognise his strengths and achievements through the program?
7. What support services could Billy be referred to obtain expert advice and assistance that is outside your scope of practice? Name at least three.
8. What documentation should be kept to track progress towards Billy's goals

CASE STUDY 5 - FADI
Fadi's son has put in a formal complaint about the food that is served to his father. Fadi told his son that the food is mainly western style, is very dull and often tough. As he is a Muslim, Fadi does not eat pork.
The staff always provide another alternative when pork is on the menu but yesterday, when pork sausages were on the menu, the only alternative was fish - which Fadi's has never liked.
When he said he didn't want sausages or fish he was told he would have to have a Vegemite sandwich instead. This is hardly enough for the main meal of the day!
There are many different nationalities and it is impossible for every cultural food requirement to be catered for all the time. But the kitchen is keen to help out as much as they can so long as it is within their tight budget.
1. What rights does Fadi have?
2. What process should be undertaken to investigate this complaint?
3. Suggest three strategies that might solve Fadi's problem.
4. How can Fadi be offered choice in determining solutions to his problem?

CASE STUDY 6 - RACHELLA
Rachella is one of your clients.Rachella suffers from anxiety and depression for while she takes medication and is monitored by her GP.Rachella also has counselling once per fortnight.
Today Rachella is very fidgety.She is pacing up and down, seemingly in a world of her own.When you ask her if she is OK she snaps at you and says "Of course I'm not all right - nothing is all right.You know nothing!!No-one can help me - I'm sick of everything - I just can't go on anymore".
When you ask what the matter is she gets angry and tells you to just leave her alone.
1. From her manner you think that she may be suicidal - you know that she has attempted suicide once before. As a personal care attendant this is beyond the role of your job. What will you do?
2. What action needs to be taken to protect Rachella from harm until medical help can be obtained?