Individualised Care Plan Patient Summary Mrs Thompson is an 87-year-old woman who lives alone: Communicate Homework, UOS, Australia

Provide individualized support

Activity assessment

Activity 1A

Case Studies 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. This plan has been established to help Mrs. Thompson to continue living independently while minimizing her risk of harm.

Question 1

Which two problems does Mrs. Thompson need help with?

Question 2

According to the care plan, as Mrs. Thompson’s support worker, what are your three responsibilities in implementing the agreed strategies to achieve her goals?

Question 3

You don’t know how to arrange a physiotherapy consultation for Mrs. Thompson. What will you do?

Activity 1B

Refer to Case Study A

Question 1

How would you confirm the details of the plan with Mrs. Thompson?

Please consider:

• Opportunities
• Goals
• Strategies
• Target Dates

Question 2

How would you confirm the details of the plan with Mrs. Thompson’s daughter?

Please consider:

• Opportunities
• Goals
• Strategies
• Target Dates

Activity 1C

Refer to Case Study L

Case Study L: Individual’s Rights You work in a healthcare facility for the disabled. Below are details of the patient’s rights and the organization’s complaints procedure.

The Australian Charter of Healthcare Rights

Access – I have a right to healthcare

Safety – I have a right to receive safe and high-quality care

Respect – I have a right to be shown respect, dignity and consideration

Communication – I have a right to be informed about services, treatments, options, and costs in a clear and open way

Participation – I have a right to be included in decisions and choices about my care

Privacy – I have a right to privacy and confidentiality of my personal information

Comment – I have a right to comment on my care and to have my concerns addressed.  Complaints process If you are unhappy with the services you receive, you can lodge a complaint:

On our complaints line: (02) 1234 4321

On our online complaints form

Ø By completing a form at reception.

All complaints will be reviewed by our complaints handling team and you will receive a response within 48 hours.

Question 1

How would you make the client aware of their rights and complaint process?

Activity 1D

Refer to Case Study B

Case Study 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:

Ø  Partial paralysis

Ø  Speech difficulties

Ø  Fatigue

Ø  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.

Question 1

Read through the scenario in Case Study B and fill out the Opportunities and Goals rows of the corresponding care plan. When complete, attach the table below.

Question 2

Work with Eleanor to complete the last three rows of the care plan? Assuming you agree upon a minimum of two suitable actions and activities that will support Eleanor’s personal goals and independence.
When complete, attach the table below.

Activity 1E

Refer to Case Study A

Question 1

Make a list of at least three things you will need to do to prepare to carry out your responsibilities as Mrs Thompson’s support worker in accordance with the strategies outlined in her care plan.

Activity 2A

Question 1

Write a brief dialogue with the following exchanges taking place between a care provider and a client.

• Morning greeting
• General conversation
• Answering an inquiry
• Handling a complaint.

Ensure that these are positive interactions. Write a short account of these exchanges, identifying behaviors you displayed that helped to develop and maintain trust.

Activity 2B

Refer to Case Study C

Case Study 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 recognize 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 has adult children, but they do not live close by.

Policies, procedures, and protocols

1. All medical advice must be given by a registered nurse or doctor.
2. The organization’s list of approved providers must be used when organizing any service, e.g. food service.

Question 1

1. Complete the columns ‘Strategy’ and ‘Responsible person(s)’ in the Taylors’ care plan with your own ideas.
2. Consider Mr. Taylor’s preferences and strengths and the organizational policies, protocols, and procedures outlined in the case study when completing this care plan

Activity 2D

Refer to Case Study B

Case Study 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:

Ø Partial paralysis Ø Speech difficulties Ø Fatigue Ø 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.

Question 1

Give three suggestions for how Eleanor’s family could be included as part of the support team.

Activity 2E

Question 1

What is the duty of care?

Question 2

What is the dignity of risk?

Question 3

An elderly client is adamant that they want to continue to make their own meals rather than have a worker come in to do it. They have an unsteady hands and have previously burnt and cut themselves. You know that it is unsafe for them to continue making their own meals but need to respect their wishes. What would you do? How would you balance the duty of care requirements with the dignity of risk requirements?

Activity 2F

Question 1

Identify three potential workplace hazards.

Question 2

What could happen if these hazards went unnoticed or unreported?

Question 3

How could you rectify these hazards?

Activity 2G

Question 1

What should a clean environment include?

Question 2

Outline the different ways in which you can maintain a clean environment for your clients.

Question 3

Summarise what a comfortable environment should do/include:

Question 4

A comfortable environment will be individual to the particular client that you are providing care and support for. Give details of a specific time that you altered an environment for a client in order to make them feel comfortable. If you are not currently in the industry, how would you make a client feel comfortable?

Activity 2H

Question 1

Define dignity.

Question 2

Define privacy.

Question 3

It is essential to respect clients’ individual differences. Give ten or more examples of the different ways that you can do this to maintain their dignity and privacy whilst providing them with support.

Activity 2I

Question 1

Give details of time during work practice (personal/previous experience acceptable) or training when you have had to seek assistance because it was not possible to provide the appropriate support for a client.

• Why was it not possible to provide the appropriate support?
• Who did you seek assistance from and why?

Activity 3A

Refer to Case Study A

*Since Mrs Thompson’s care plan began, all strategies have been implemented*

Question 1

As Mrs Thompson’s support worker, how would you ensure the required standard of support is maintained beyond this point? Give two suggestions.

Question 2

You are meeting with Mrs. Thompson to discuss how the strategies implemented are meeting her support needs.

List four questions you could ask to determine if the strategies are meeting her needs and whether any changes need to be made to the services and support being provided. Consider Mrs. Thompson’s individualized care plan in your answer.
Activity 3B

Refer to Case Study C

Question 1

Identify two aspects of the Taylors’ care plan that may require review.

Activity 3C

Question 1

How would you discuss a change to the client’s individualized plan in a manner that supports the person’s self-determination?

You may use one of the case studies as the basis.

Please consider:

• What they would like to eat
• What they would like to wear
• What they would like to do
• Where they want their care and support to lead.

Question 2

• In your own words, define self-determination

Question 3

• How can you ensure that you support your client’s self-determination when in discussion with them and your supervisor?

 Activity 4A

Refer to Case Study J

Case Study J: Privacy and Confidentiality

The Australian Privacy Principles Guidelines

APP1Personal information must be handled in an open and transparent way.

APP3 Personal information must only be collected by lawful and fair means.

APP 5 The organization must make all reasonable efforts to inform someone when their personal information is being collected, why it is being collected, and how it will be used.

APP 11 The organization must take reasonable steps to protect the personal information it holds from misuse, interference, and loss, as well as unauthorized access, modification, or disclosure

Modified from APP Guidelines, OAIC, https://www.oaic.gov.au/agencies-and-organisations/appguidelines/ (accessed 12/10/17) Linda is registering a new person at the disability support center where she works. His name is Charlie. Linda takes Charlie’s personal information and fills in the registration form with the details he’s provided. Charlie asks why she needs all his details. Linda shrugs and says, “It’s just procedure.”. Charlie asks how his details will be used. Linda sighs impatiently, and replies, “Sir, it’s just what I have to do.” After the meeting, Charlie goes home, and it’s time for Linda’s break. Linda leaves Charlie’s registration form on her desk in her open office and joins her colleagues for lunch in the canteen.

Question 1

Read the APP Guidelines and the scenario between Linda and Charlie, then answer the following question.

Identify two guidelines that Linda did not follow. What did she do wrong?

Activity 4B

Refer to Case Study E

Case Study 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 the 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. Case Study 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.

Question 2

Organize the following types of reports into the table.

• Daily log
• Incident report
• Safeguarding report
• General update in conversation
• Written progress review

Activity 4C

Refer to Case Study M

Case Study M: Responding to Risk

Organizational policy: Responding to violent behaviors

1. a) Verbally request the person to modify their behavior and explain the consequences if they continue to act violently, e.g. ‘I will have to call security
2. b) Place distance between yourself and the violent person
3. c) Call for help from appropriately trained personnel
4. d) Report the incident to your supervisor. You are a new employee to a residential facility for persons with severe learning disabilities and other conditions.

You are working with a resident during your first week when suddenly the resident becomes aggressive in response to a noise trigger. You are currently alone in the room with him. The resident begins to throw things around the room and is yelling. He is causing injury to himself during this episode, and you are also concerned for your own safety.

Question 1

What is the first thing you should do in this situation, according to the outlined procedures?

Activity 4D

Refer to Case Study F

Case Study 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 the 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

Case Study 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.

Question 1

Identify two of James’ unmet or additional needs.

Question 2

As James’ support worker, what would you do in this situation? List at least two actions you would take.

Activity 4E

Question 1

State five standard organizational practices related to the storing of documents.