Reference no: EM133855803
Case Study A:
Anna, an 82 year old widow with early onset dementia, had lived at the facility for four years.
She loved talking about golf and gardening. During the day, Anna weeded and hosed the shared garden while telling fantastic stories about her golfing days to anyone who would listen. As her dementia worsened so did her memory, gait and balance. One day, while she was hosing, Anna tripped and fell. The large cut on her scalp needed stitches and she had a black eye.
Staff thought she might break her hip next, so they gave her hip protection and the manager told them to supervise Anna whenever she gardened. Anna refused to wear the hip protectors and was unhappy with staff telling her when she could go outside. Because her short-term memory was poor she forgot to tell staff when she wanted to go into the garden, Anna kept gardening until she had another fall, breaking her hip and tearing the skin on her arms and legs.
Fearing she would injure herself again, staff put Anna into a chair with a table insert to stop her walking as often as she had in the past. She was very agitated, her dementia worsened and it was harder to understand what she said. A staff member spoke to Anna's doctor about these changes and he prescribed a tranquiliser. Over time, Anna stopped talking altogether and for hours sat motionless in her chair.. Her days of gardening and storytelling had come to an end.
Question:
- What is your duty of care when supporting Anna?
- What should have been done when Anna first fell?
- List three (3) support people / services that may be able to assist you when working with Anna. (list 3 Support Person and Brief description of role each)
- How have staff modelled the least restrictive approach to Anna's care?
- What is meant by the term restraint? Provide three (3) different examples of each type of restraint
- What is the difference between physical support and physical restraint?
- What is the impact of social devaluation on Anna (and indeed all people with dementia)
The social model of disability
Why is it important to contribute to team discussions on client support planning and review?
Policies and Procedures
Why is it important to follow policies and procedures for the following protocols:
a) safety procedures
b) completing documentation
c) reporting incidents
d) treating clients as individuals.
Indications of neglect or abuse. Older people may be vulnerable to all forms of abuse
Provide three (3) examples of each of the following types of abuse
a. Physical
b. Financial
c. Social
d. Sexual
e. Emotional
f. Neglect