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CASE #1 Mrs

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CASE #1

Mrs. Gregg is a 55-year-old widow who has had an active career as a lawyer. She is an avid reader. She is an independent woman who has had to adapt to many changes in her life. She enjoys crafts and sings in the choir at her church. She has an adult son and daughter, and two grandchildren who visit her frequently. She lives in her own home, a small bungalow in the city.

You are assigned to give care and support to Mrs. Gregg, who had a stroke two weeks ago. She is paralyzed on the left side and has difficulty speaking. She is able to hear well and can understand when you speak to her. The long-term goals for her care include:

• regaining mobility
• regaining speech
• being as independent as possible
• preventing complications such as contractures and pressure sores

You are required to assist her to participate fully in all activities of daily living, and assist to meet her physical, safety, and psychosocial needs.

1. What information would you want to find out about Mrs. Gregg and her home before beginning her care?

2. List the types of information that you would expect to obtain from the care plan.

3. In the following problem, explain briefly the feeling expressed by the client and the actions for the Personal Support Worker to take (2 marks each).

4. Using all of the above information, describe how the following factors might affect Mrs. Gregg’s relearning of speech and mobility. Use case study information to help answer questions.

a. Age

_____________

b. Individual characteristics: personality

________________

c. Environment

___________

5. Describe five (5) ways in which the PSW can promote Mrs. Gregg’s self-esteem and motivation during her daily routines. (5 marks)

a. __________

b. ____________

c. _____________

d. ___________

e. __________

Situation 1

Mrs. Gregg continually uses her knife to eat with and is generally unable to choose the correct utensil and unable to cut her meat. She has difficulty getting food to her mouth. She resists help. One day she threw her plate across the room.

Client’s Feelings

__________________________________________________

PSW Actions (physical and emotional help)

___________________________________________________

Situation 2

Mrs. Gregg has expressed a desire to read, but she is unable to understand the text in her old books. She asks you to help her practice words. She says that she has trouble passing the time and that she expects to return to work in several weeks.

Client’s Feelings

____________________________________

 

Situation 3

One day when you approach Mrs. Gregg, she is crying and says she doesn’t want to get up. She says, “None of this should have happened to me. What did I do to deserve this?”

Client’s Feelings

_______________

PSW Actions (physical and emotional help)

___________________

Situation 4

Mrs. Gregg insists on getting up by herself and moving independently from her chair to the bathroom. She uses a walker. Occasionally she falls. She is a private person and does not want you to attend her in the bathroom.

Client’s Feelings

__________________

PSW Actions (physical and emotional help)

____________________