Reference no: EM133210145

Assignment:

Read the case study, then answer the questions that follow.

Case study

You arrive at Bob's house to conduct an intake assessment. Bob is an 85 year-old man who recently fell at home and broke his arm. Bob is a very active man who cares for his wife Nelly, who suffers from dementia. Bob has Type 2 diabetes, which he manages well. He also has osteoarthritis in his knees, which affects his mobility. He does not use any walking aids.

His wife, Nelly, greeted you as you entered but retreated to her room when you sit down to talk to Bob.

Bob tells you that he has no children and no other family support. Bob is finding it very hard to care for Nelly, as he is getting older and less mobile, and she is becoming more confused. He explains that the stress of his current circumstances has led him to become short-tempered and he feels very depressed. You noticed that Nelly has bruises on her arms and a bruised eye when you saw her earlier. When you ask about the bruises, Bob avoids answering and changes the subject.

Bob tells you he has given up on life and just wants to end it. He explains that he feels like he has lost the wife he used to know and now feels like he is living with a stranger. He tells you that he is missing the person that she used to be and that he feels totally alone. Bob explains that due to Nelly's increasing care needs and his difficulty mobilising, he rarely leaves the house and has lost contact with his friends. Bob tells you that he has started drinking alcohol to numb his pain, and indicates to you that he now drinks a cask of wine per day.

Question 1. What is your duty of care for Bob and Nelly, knowing the risks of their situation?

Question 2. Give two examples of specialist services or networks that you could consult throughout the assessment process. Explain how these services may contribute to the assessment process.

Question 3. Explain two ways a specialist can contribute to the assessment process.