CHC33015: Meet Personal Support Needs - Mrs Salakas - Mr Hill Case Study - Nursing Assignment Help

Assignment Task:

Task 1

1. Read the case study below and answer all four (4) questions that follow.

Case study
Mrs Salakas is an 84-year-old woman who has been diagnosed with diabetes and osteoporosis. Mrs Salakas originally migrated to Australia from Greece 40 years ago. She is a widow and currently lives with her daughter and granddaughter in an apartment that is accessed by two flights of stairs. Her daughter works full-time and is the primary income earner supporting the family.

Mrs Salakas has difficulty with mobility. She rarely leaves the apartment because of the difficulty she experiences with stairs and has lost contact with other members of the local Greek community. She speaks Greek fluently and has maintained her skill in cooking traditional Greek meals.

a. Identify and describe at least two (2) strengths for Mrs Salakas.
b. List the issues that potentially limit Mrs Salakas’ independence.
c. Would Mrs Salakas be eligible to receive a Commonwealth Home Support service?
d. Identify and name a Community Service that could assist Mrs Salakas to maintain her independence and enhance her quality of life and describe how this service could support Mrs Salakas to improve her quality of life in a culturally appropriate manner.

2. Read the case study below and answer all five (5) questions that follow.

Case study
Mr Hill is a 70-year-old man who lives by himself in his own home in Castle Hill. Mr Hill is a very independent person who enjoys getting out into the community, especially playing bowls down at the local club. He does not need assistance with personal care needs, but for the past two years, he has been accessing services to assist him with cleaning, meal preparation and gardening. Recently, Mr Hill has changed from being friendly with the staff to yelling at them that “I don’t need your help, just leave me alone”.  He has also stopped attending the local club, playing bowls and going grocery shopping.

a. List and explain five (5) potential reasons for the change in Mr Hill’s behaviour (including physical and psychosocial aspects of ageing, and changes associated with ageing).
b. Identify the role and responsibility of the worker in this situation.
c. What strategies will support the rights of Mr Hill in this scenario?
d. What rights does the worker have in this situation?
e. Outline three (3) strategies you could use to empower Mr Hill regarding his service requirements.

Task 2
Read the case study below and answer all ten (10) questions that follow.

Case study
You work for Grevillea Aged Care Services (Home-Based Support) – like an aged care worker.

You come to Mr Tolstoy’s home (he prefers to be called Leon) to explain the scope of the service that will be provided to support and assist him with his cleaning, laundry, shopping and medical appointments within the organisation’s protocols and procedures and to decide on suitable times with him to provide this service.

Leon is a retired chef who immigrated to Australia from the USSR (Russia) in 1950 after WWII. During the war, Leon was a prisoner in a concentration camp where he learnt to speak five languages, including English, fluently to retain his sanity.

Initial presentation:

You note on the first contact that Leon is neatly dressed in shorts, shirt and hat and that he is working in his garden.

Leon Tolstoy is a clean-shaven 80-year-old single gentleman who has deteriorating eyesight from macular degeneration and glaucoma. Leon has osteoarthritis that affects his mobility; he has symptoms of pain and tenderness; swelling and stiffness – especially in cold weather, muscle weakness and a grinding sensation in his joints – especially in his knees and hips.

In August 2011, you started assisting Leon with the following chores:

• Cleaning the shower, bath and toilet.
• Vacuuming and mopping the floors throughout his single-story one-bedroom housing commission unit.
• Hanging out the washing on the clothesline after Leon has washed the bed linen and towels in the washing machine on Tuesdays when you come to clean.
• Transporting Leon to the local shopping centre on Wednesday for food.
• Transporting Leon to regular medical appointments on the day required.

Inside the house is neat and tidy and the surfaces are clean and wiped down when you arrive.  The garden and lawn are well kept. This is Leon’s pride and joy – especially his herb and vegetable garden that he grows for his table, as he loves to cook.

Leon does not drive due to his failing eyesight (he wears reading glasses that at times you need to remind him to clean) and you drive him to the local supermarket to do his weekly grocery shopping. Leon pushes the shopping trolley around while you read and tick off the list of goods that Leon has written out. You often visit the local library to exchange big print library books then visit the library coffee shop where you both enjoy coffee and cake. You lift the shopping bags out of the trolley into the car boot. At Leon’s home, both you and Leon carry the shopping bags inside to the kitchen. Leon puts his shopping away while you continue with your other tasks.

Leon usually goes out on Wednesday afternoon to play bowls with his mates. It is only a block from his home so he usually walks to the Bowling Club. On Friday night he plays cards with his friends. Leon’s friend, Vladimir, usually drives them to the Russian Club on Friday night. Vladimir picks Leon up on Monday morning as they play golf together.

Leon enjoys reading the newspaper (which he walks to the corner shop to purchase) and completing the crossword puzzle each morning with his morning cup of tea before he has breakfast at 8:30 am.

1. List the support needs relating to each of the following areas:

• ADLs
• Shopping
• Transport
• Cleaning
• Laundry
• Gardening

2. What might be some personal concerns of an individual who requires assistance with their Activities of Daily Living (ADLs)?
3. How could a worker address these concerns?
4. Identify six (6) principles when assisting people with personal care.

Case study – continued

Nine months later, Leon’s health is deteriorating.

By May of the following year, you have been assisting Leon for 9 months. Now when you arrive you find that the washing machine has the clothes in it although it has not been turned on and he is complaining that his hands are weak and he is having trouble with turning the dial on the washing machine and taps on and off in the sink.
Leon is unshaven and some clothing is not fastened, just as buttons on his shirt are not done up. You notice Leon is tending to wear t-shirts rather than his shirts.
Leon’s herb and vegetable garden is showing signs of neglect. The lawn at the front of the home is long and unkempt. The wire front door is not locking and the security light on the front patio is not activating when one arrives. The brick path to the clothesline has lifted in places.

When you drive Leon to the shops, you find a trolley for him to push around which Leon is using to support his walking. The shopping list is becoming harder to read as the writing is unclear. You are finding you have to direct Leon to where things are on the shelves. It is apparent that Leon’s sight is fading. Leon is not interested in going to the local library anymore stating that he is “not interested in reading anymore”, and often does not want to stop for coffee and cake.

Once home from the shops, you bring in the groceries and put them away. Leon sits down to rest. Leon is not going out on Friday nights to play cards and only occasionally joins his friends for a meal at the Russian Club, stating he is “too tired”. Leon has not played golf since having a fall 3 weeks ago (he tripped over in the clubhouse as he did not see a bag on the floor, but did not hurt himself). Leon is concerned that his condition is getting worse and he is losing his sight. Leon says he is frightened that he will hurt himself and end up in an “old people’s home”.

You notice that the dusting is being done but not to the standard it was 9 months ago and that the newspapers are lying about but the crosswords are not always attempted. You realise you are actually doing more tidying up and picking up prior to cleaning, sweeping and mopping.

5. What are the signs that Leon’s support needs have changed?

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