Highlights
Case Study
A: Individualised Care Plan Patient Summary Mrs Thompson is an 87-year-old woman who lives alone. She was referred to our services after a fall at home raised concerns about her safety. Upon inspection of her home, it was found that Mrs Thompson’s environment has become hazardous due to the volume of clutter and objects in the home.
B: Stroke Eleanor is a forty-three-year-old single mother to two school-aged children, fourteen and eight years of age. Eleanor had a stroke three months ago. She has recently returned to her home after an extended stay in hospital and is assisted by a visiting carer and her mother. Since her stroke, she is afflicted with the following:
Partial paralysis
Speech difficulties
Fatigue
Memory issues.
Her children are currently staying with Eleanor’s parents, but Eleanor wants them to return home. However, Eleanor is worried that she will not be able to look after her children properly or respond in an emergency due to her health issues.
C: Alzheimer’s Mr and Mrs Taylor have been married for fifty-three years. A year ago, Mrs Taylor was diagnosed with Alzheimer’s disease, which has become progressively worse. She often does not recognise her husband and can become very distressed, and at times, aggressive. Mr Taylor wants his wife to stay at home with him, but he is struggling to care for her alone. He wants to do as much for his wife himself as possible, but sometimes needs a little respite time. Mr Taylor is still very mobile and in good mental health, although he has had a knee replacement and still suffers from some stiffness and pain. The couple have adult children, but they do not live close by.
D: Wheelchair Assembly Assembly instructions 1. Stand the wheelchair upright on the floor 2. Unfold the frame by pressing down on the side rails of the wheelchair 3. Insert the footrests into the top of the frame and swing in towards the centre of the chair until you hear them click into place
E: A Support Worker’s Concern Lucille is an eighty-two-year-old woman with poor memory. She often suffers from confusion and relies on help from her family and support workers. You are one of these support workers. One day, during a routine visit, you notice bruises on Lucille’s arms. She doesn’t remember how she got them. Later on in the day, during discussion, Lucille mentions that she gave her money and credits cards to her grandson to ‘look after’. She wanted to look after her own money, but she says her grandson became angry when she told him ‘no’, so she gave in. You are concerned that Lucille’s grandson is a risk to her and taking advantage of her financially.
F: Unmet Needs James is diabetic. During your latest routine visit, you ask James about his health. James admits that he’s been feeling very poorly. As you ask more questions, you learn that James ran out of his insulin injections three weeks ago and hasn’t had a repeat prescription. He tells you that he thought he only had to take the injections until they ran out. When you explain that he has to be treated for life, James is concerned. He tells you that he is unable to drive and doesn’t live near a pharmacy.
G: Akala Akala is an Aboriginal Australian who suffers from a degenerative respiratory disease. She requires a constant oxygen supply from a tank.
Questions
1. Write an essay of approximately 1000 words which outlines the structure and profile of the aged care sector. Your essay should cover:
The residential aged care sector
The home and community support sector
Current best practice service delivery models
Relevant agencies and referral networks for support services.
2. What are some of the key issues that older people face? What impact may these have on the life of an older person?
3. Which principles, practices and/or approaches are currently standard implications for work within the aged care sector? (E.g. palliative approach, rights-based approach, etc.). Name at least three, and write a brief description of each.
4. Which sexuality and gender issues may arise as a person ages?
5. Outline two strategies that an older person might be able to adopt inorderto promote a healthy lifestyle.
6. List two legal obligations and two ethical obligations that you must comply with when working with older people. For each, describe in approximately words how you ensure compliance in your work practice.
7. In each of the following areas, list two signs that may indicate the abuse and/or neglect of an older person:
Physical
Sexual
Psychological
Financial.
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