Reference no: EM133623047

Meet personal support needs

Assessment activity 1

Question 1. Jamie is a client within your service. She is an interesting woman with a number of health issues. Her physical issues include an inability to chew hard foods, she has a small appetite, bilateral hearing aids, back pain that increases if she walks on uneven surfaces and she suffers headaches if she is subject to too much glare when outside. She is a "homebody" and prefers her own company to that of others on most occasions. She enjoys reading and gardening and has a magnificent indoor courtyard full of colourful plants that she tends daily. She has a cat named sooty who she is very fond of as her husband gave it to her as a gift just before he died.

You have noticed the last couple of times that Jamie seems withdrawn and reluctant to speak at all while on other occasions she is talkative and happy to see you, however today she is crying and very distressed, she will not tell you what is wrong. You make her a cup of tea and sit with her to calm her down. She eventually settles but will not share her thoughts with you. You are aware that Jamie and her husband lived in the outback until her husband's death, this is noticeable through the way that she speaks and her preference for simple, time specific activities. You wonder whether her current state is in response to a grief issue related to the change in her culture and social supports.

a) Outline three (3) types of support that you would expect to see on Jamie's support/ care plan.

b) Identify one aspect of Jamie's care and/or support that is outside your scope. Once you have identified this provide an example of who you would refer this to apart from your supervisor.

c) You are planning an outing to the local petting zoo. You know that the clients will be in the sun and glare for a considerable amount of time. Outline the conversation that you will have with your supervisor prior to speaking with Jamie regarding the outing.

d) Jamie requires a minced diet. What does this mean?

e) Considering that Jamie has lived in the outback outline some cultural aspects of her life and preferences that you may be able to utilise to support her ongoing care needs.

f) Identify three physical and sensory needs that Jamie has and outline the considerations that you will put in place to ensure that she has appropriate support.

g) Identify two risks that you might encounter when caring for Jamie.

h) Jamie's current state of upset is concerning as you have never seen her like this before. She is responding to your cup of tea and support, what is your next step in her care?

i) Why is it important to consider Jamie's oral hygiene?

j) Which body systems are affected in Jamie's scenario?

Question 2. Darren is a 24 year old man with an intellectual disability who has some difficulty with motor movements. You are asked to speak with him regarding his support needs. Darren is independent with showering if his towel is set up for him, and can dress himself with minimal assistance if his clothes are set up for him and he has assistance with doing up zips and putting on his shoes. He can make toast and tea for breakfast and a sandwich at lunch time. he has a carer cook for him at dinner time. He requires assistance to get in and out of cars and has some balance issues

Darren's support plan indicates that he requested assistance to get in and out of cars and that he may need falls recovery assistance. You feel that he would be more independent in dressing if he had a long handle shoe horn and a zipper puller.

a) Outline two questions that you might ask Darren in your initial interview to ensure that his person centred care needs are met in a positive way.

b) Why is it important to check with Darren to confirm his ability when discussing his care and support needs?

c) What information would you provide to Darren regarding the aids that you have identified might assist him?

d) Make a file note about the conversation that you have with Darren regarding your thoughts about these aids.

e) Where would you store these documents?

f) Complete the following by indicating the correct sequence number beside the activity when assisting Darren in and out of the car

ELEMENT
Help them to gently lower themselves onto the seat. Protect their head while they do this by holding your hand above it.
Swing back or remove wheelchair footplates if getting up from a wheelchair.
Encourage the person to swing and lift their legs into the car.
If they need assistance to do this lift one leg at a time making sure you bend your knees
Bring the wheelchair or walking aid as close as possible to the car and put the brakes on.
Assist the person to stand by having them move forward from their seat and push-up using the wheelchair armrests.
Never let the person you are assisting hold or hug you around your neck while you are moving them.
Lightly support them to turn round so that the backs of their legs are touching the car seat.
Open the car door window. (The window ledge may be used to help support the person when standing.)
Push the car seat back as far as possible.
Position your body so your backside is against the inside of the door to stop it from swinging shut.
Open the car door fully and ensure that it cannot swing back.

g) Number the sequence for the following steps in falls recovery should Darren have a fall.

Element
Push up to a high kneeling position (on both knees) using the chair for support if necessary;
Bring the left leg through to place foot on the floor (half-kneeling);
The resident rolls onto left (or right) side
Push up into side sitting supported on an extended left arm;
Assume standing position independently or by pushing up with both hands on the chair to stand
The right hand is placed next to the left extended arm and the resident pushes up on both hands, turning the trunk until kneeling on all fours;

SHORT ANSWER QUESTIONS

Question 1 Janine has had a left sided CVA (stroke). She has a residual right sided hemiparesis. She is finding it difficult to attend to her daily showering, grooming and cooking as she is right handed for all tasks. She also has some problems with maintaining her balance when she is tired.

a) Outline how you would encourage Janine to maximise her independence and name three aids that you feel might assist her with her activities.

b) Why is it important to understand Janine's fluctuating levels of fatigue when negotiating her support plan?

c) Why is it important to discuss changes in the clients care and support needs with your supervisor?

Question 2 Fred requires assistance for showering. He uses a shower chair.

a) Outline the environmental assessment that you would undertake prior to working with Fr ed for the first time.

b) Fred is used to only having a weekly shower and using a dish to "splash and clean" his underarms and genitalia on the other days. It is the facilities policy for clients to shower second daily. What will you do?

c) Name two ways of ensuring infection control when showering Fred, particularly when cleaning his genitalia

Question 3. You are requested to assist moving a client up the bed using a slide sheet. Outline the proces for ensuring that this is completed in a safe manner

Question 4. Elly has confided in you that she is having trouble with her mobility. She has asked you to get her some fish oil tablets that she can keep in her draw and take before breakfast. She has asked that you do not tell anyone as she likes you best out of all the carers and knows she can trust you to keep her secret.

a) What would you do, remembering your obligations regarding the client's privacy, dignity and confidentiality?
b) Why?