Supporting Independent Living - Sally Case Study - Nursing Assignment Help

Assignment Task:

Purpose of this assignment

The aim of this assignment is to enable you to develop an understanding of the technologies used to support users of health and social care services in living independently. You will need to develop your knowledge and competency level to understand the benefits of these technologies and the health and safety considerations associated with them in a health and social care environment.

On completion of the unit and assignment, you will have a clear understanding of:

1. The use of technology to support independent living for users of health and social care services ( Learning Outcome 1)
2. The implications of technological developments for use in health and social care (Learning Outcome 2)
3. Specific recommendations of technologies to support independent living for users of health and social care services  (Learning Outcome 3)

You are to read and use the Case Scenarios below and your experience from Health and Social Care Settings

Case Study 1: recommended for leaning outcomes 1and 2 (1,1, 1.2, 1.3 2,1 2.2 and 2.3) around 2000 words

Sally is a 42-year-old female who presents to her GP with complaints of tingling and numbness in her left foot, 18 months later she also complained of double vision. Consultation with a neurologist at that time resulted in a diagnosis of multiple sclerosis. She was placed on disease-modulating medication and educated about lifestyle changes to avoid fatigue, which manages her double vision, with the exception of long workdays. The GP refers her to a vision specialist for management of the impairment of double vision that interferes with activities and participation in her job as an account executive. The GP has also requested the assistive technology specialist to provide information and education about other assistive devices that are available should she develop additional impairments. 

A vision specialist recommended an eye patch for use when warranted and suggested she stays in touch with the assistive technology specialist should other problems arise. Two years later, Sally returned to her GP with complaints of weakness and numbness in her right side (upper and lower body). These new impairments interfered with her ability to drive to and from work and chauffeur her children to soccer and other after-school activities. Her function at work has been greatly compromised as well. She was experiencing difficulty with typing, manoeuvring around the building, holding her lunch tray, and performing other activities of daily living. She was referred to the Occupation Therapist for an ankle-foot orthosis (AFO) for the right foot and a cane to improve her mobility, and she was also referred to the Assistive Technology Specialist for consideration of alternate input methods for the keyboard. A keyboard was chosen that covered a larger surface with large black letters surrounded by a yellow background. Both specialists worked together to identify other aids to facilitate additional activities, such as Sally's personal care activities using a dressing stick and toothbrush handles; cooking using kitchen aids, including jar openers, recipe cardholders, and large-handled pots and pans; and gardening using adapted gardening tools. 

The GP referred her to a driver's trainer specialist to adapt her vehicle with a spinner knob and left foot accelerator and to train her in this new way of driving. At this time, the GP also referred her to a social worker for support and counselling regarding her finances, work, and personal life decisions. Throughout the previous 4 years, Sally's family has noticed changes in her memory function. After the psychologist completes a cognitive evaluation and identifies strengths and weaknesses, Sally was provided with a hand-held personal digital assistant (PDA), called the "Pocket Coach," to aid in her memory skills. This device enabled her to push a single button to remember "what to do next." It assisted her to remember to complete task activities and to manage important aspects of her healthcare, such as taking medications and nutritional supplements. 

Case study Two

James is 59 years of age. He suffers from Learning disability, limited mobility and chronic health problems which include Epilepsy and Diabetes type 2. In Nov. 2012, he fell to the floor with a suspected heart attack and could not reach the alarm/emergency cord in her room for help. He was admitted in the hospital for nearly a month. On discharge, he expressed his wishes to go back to his self-contained flat in Sunshine Sheltered Accommodation so that he could continue to live independently. 

Using the case study above, or your own case study:
1. Identify James’s specific needs in order to support him to live independently (3.1). 
2. Make your own recommendations on how Technology might support her independent living arrangements. (3.2)
3. Evaluate the usefulness of technology for James and also for other users of health and social care services. (3.3)

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