Jun Wei Yu Case Study - Cardiovascular System - Oral Hygiene - Personal Care - Nursing Assessment Answer

Assessment Task:

Jun Wei Yu Case Study Assessment Answer

1. Explain the concept of enablement in the context of providing individual support. The objective of the support you provide as a support worker is to enable and assist people to maintain or improve their independence. This can enhance their ability to participate in the community. Most people, including older people and those with disabilities, perform best and are happier when they are participating and in control of their daily activities. A support worker, has a duty to support people in making decisions about and participating in their own care.

2. Explain the concept of reablement in the context of providing individual support. Reablement is part of restorative practice and the wellness approach to providing services. The focus is on providing time-limited interventions to re-establish the person’s abilities, such as daily living activities and connections within their community. It aims to reduce the likelihood of further decline and possible dependence on services.

1.  Goal is to build person’s capacity
2.  Time-limited interventions to build autonomy
3.  Expect the person to get ‘back on their feet’
4.  Causes person to remain independent longer

3.  Outline the requirements of WHS regulations for managing the risks associated with hazardous manual tasks. All work health and safety (WHS) legislation requires employers to provide a safe workplace and adequate training and supervision, while controlling workplace hazards and risks. You  must work in line with legislative requirements, regulations, Australian and industry standards, and the relevant codes of practice. WHS legislation describes the legal requirements for ensuring workplaces are safe and healthy, which are listed below:

1.  Manage risks to health and safety.
2.  Promote and maintain the health, safety and welfare of people at work.
3.  Protect people at work from injury and illness, including psychological injury.
4.  Protect the health and safety of the public in workplaces.
5.  Consult workers and encourage participation in maintaining WHS.
6.  Provide rehabilitation and maximum recovery for injured workers.

4. Outline the code of practice guidelines on how to manage the risks associated with hazardous manual tasks. The code of practice for hazardous manual tasks was developed to provide guidance on how to manage risks associated with those manual tasks with the potential to cause musculoskeletal disorders (MSDs). 

1.  identify hazardous manual tasks
2.  assess the risks
3.  control the risks

5.  List the function of each of the major body systems:

1.  Cardiovascular system
2.  Respiratory system
3.  Musculoskeletal system
4.  Endocrine system
5.  Digestive system
6.  Urinary system
7.  Reproductive system
8.  Integumentary system
9.  Lymphatic system
10.  Nervous system

6. Outline the basic requirements of supporting a person in maintaining oral hygiene. Oral hygiene is making sure that the teeth and mouth are clean. Some people have their own teeth, while others may have dentures. Where people still have some or all of their own teeth, it is important they care for them well so they do not become decayed. Dentures must also be cleaned and appropriately cared for. Support workers may be required to assist clients with cleaning their teeth and/or cleaning and soaking their dentures. People may only need reminding to do these tasks, or they may need assistance. The person’s support plan will provide information on the level of support required with oral hygiene.

7.  Outline the basic requirements of supporting a person in maintaining body hygiene.

8. Outline the basic requirements of supporting a person in grooming.

1.  Respect the person’s right to choose their own clothing. Assist them with choices if they are unable to do this.
2.  Respect privacy and dignity by assisting the person to keep covered as much as possible until they are dressed.
3.  Be aware of the person’s preferences for certain types of attire.
4.  Clothing should be clean, in good condition and appropriate for the day ahead.
5.  Ensure that the person is appropriately groomed for the activities planned for the day.
6.  People feel good when their hair is brushed and appropriately arranged and they have accessories or makeup in place.

9.  What organisational documentation must you complete during the provision of personal care?

Case study 5
Jun-Wei Yu is a 25-year-old man of Chinese heritage with Down syndrome. He lives in a group home supported by personal care workers, employed by a large disability support organisation.
 
Jun-Wei is able to do some of his personal care tasks with prompting. He can shower himself with reminders about proper washing and with assistance to dry his back, feet and hair; he can brush his own teeth, but also needs to be reminded to do this. With assistance, Jun-Wei can select appropriate clothing; he can dress himself but cannot tie shoelaces. He can shave with an electric shaver.

Jun-Wei loves chips and lollies. Staff must plan meals for Jun-Wei and other residents to ensure they are well-nourished. Jun-Wei can peel vegetables and make a sandwich without help. Jun- Wei does not understand the different denominations of money or how much things cost. However, he likes to have money in his pocket to spend at the shops. He can move around independently but cannot catch public transport or walk to places without being accompanied. Sometimes he wanders out of the house or away from his group, thinking he can find his way back when he wants to.
 
Jun-Wei also suffers from asthma that is sometimes brought on by exercise or stress, and eczema that is sometimes brought on by stress and heat. He has puffers and creams that he must be reminded to use. Those who know Jun-Wei well can understand him when he talks but strangers or those he doesn’t know well find him difficult to understand. This is partly due to him mumbling when he feels shy. Jun-Wei will sometimes hug and stroke people he feels comfortable with or when he is very happy.

11. Refer to case study 5 to answer the following question: What people should be included when gathering information about Jun-Wei’s abilities and support needs? How might the information be obtained?

12. Refer to case study 5 to answer the following question: What do you think the effect might be on Jun-Wei if a worker insisted on washing him in the shower rather than encouraging him to do it himself? What long-term effects might this have on him and his care?

13. Refer to case study 5 to answer the following question: Do some research using the internet or a library. What kind of effects might Jun-Wei’s cultural heritage have on the way personal care support is provided to him. ?

14. Refer to case study 5 to answer the following question: What are the physical needs that should be considered for Jun-Wei?

15. Refer to case study 5 to answer the following question: What risks could you identify in providing care to Jun-Wei? How would they be reported?

16. Refer to case study 5 to answer the following question: Imagine that you are introducing a new staff member to work in the group home where Jun-Wei lives. What
information would you give them about encouraging Jun-Wei to participate in his own care and daily living activities?
 

17. Refer to case study 5 to answer the following question: What could a new staff member do to ensure they have put Jun-Wei at ease and confirmed his preferences for care?
 
18. Refer to case study 6 to answer the following question: Outline what the new worker has done in accordance with Jun-Wei’s care plan.

20. Refer to case study 6 to answer the following question: In what ways has the worker failed to identify and deal with risks?

21. Refer to case study 6 to answer the following question: In what way has the worker violated Jun-Wei’s right to privacy?

22. Refer to case study 7 to answer the following question: In what ways have Jun-Wei’s personal care and health needs changed?

Case study 7 
Today, Jun-Wei is not out of bed when Susan arrives at work. He is very wheezy and seems unable to manage his puffer. He says he thinks he has a cold. Susan helps him to get ready for the shower and he manages to wash himself with much more effort than usual. He says he is not hungry and doesn’t want to go out today. He seems sad.
 
The organisation has procedures that state the following:

1.  Client personal information is recorded on a personal details form.
2.  All client information goes into the client’s file that is locked in the filing cabinet in the staff office.
3.  Client progress notes are to be updated by every staff member at the end of each shift.
4.  Money spent is to be recorded in the petty cash records in the finance folder in the staff office.
5.  Changes in clients’ needs or health are to be reported as soon as possible, by phone, to the area manager.
6.  Incident reports are to be completed if a client is put at risk or puts themself at risk.

23. Refer to case study 7 to answer the following question: What actions should Susan take about Jun-Wei’s changing care needs?

24. Refer to case study 7 to answer the following question: Imagine that you are Susan. Complete a case note that describes the situation and what actions have been taken.

25. Refer to case study 7 to answer the following question: What documentation needs to be completed to appropriately record the assessments, activities and events described in relation to Jun-Wei’s care? List at least five assessments, activities or events and the appropriate documentation actions.

26. Refer to case study 8 to answer the following question: What equipment and aids are required for the provision of Margaret’s personal support?

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