Care of the Older Person

CARE SKILLS: Assignment 2

Mrs.Margaret is a 90 years old lady who is on full assistance in all the activities of daily living. She suffers from osteoporosis and had broken a femur bone from a fall at home. A bone density scan shows that she has paper thin bones. She was brought by her daughter to XYZ nursing home as they were not able to look her after at home. Margaret is confined to bed and to her ???rise and reclining??™ chair which is comfortable.

Assessment of Risk Factors and pain

It is important to maintain the skin integrity of Margaret as she is more likely to have pressure sore. Special care has to be given while turning the sides, lifting her and changing her clothes as she may break her bones. She is suffering from great pain. Though she doesn??™t want others to know about her pain, often her facial expressions and moans make it clear that she is suffering from pain.

Individual special needs

??? Has to be given bed bath
??? Washing and feeding are required. She is provided with porridge, tea with thickeners and food that are easy to swallow as doesn??™t have dentures.
??? Has to be turned the sides in every two hours so as not to get pressure sore.
??? Moving her from the bed to her chair and back to her bed is done by two carers lifting her manually as she is afraid of hoists.

??? She doesn??™t express her feelings
??? The pain while moving her upsets her
??? She does not like hoists
??? The illness and dependence has emotionally upset her.

??? She is taken to the activities room as she likes to sit there along with the other residents and listen to music, watch them dancing and doing some exercises.
??? She wants to have her food in the dining room as it gives an opportunity to see the other residents.
??? She tries to speak to other residents while in the activities room and in the dining room but since it is not audible they don??™t understand what she says. In spite of the fact that they don??™t understand what she says, they just give her a smile and that??™s very comforting for her and she likes it very much.

??? She sometimes watches television but does not have any preferred television programme.

??? She likes the visit by the priest.
??? She has a rosary beeds and picture of Mother Mary and like them to be placed in her vicinity.

Level of assistance required for the client

She is on full assistance. The carer has to know what she is able to eat, what position she likes to sit on her chair she is in the activities room and in the dining room. One has to be careful while lifting her manually as is suffering from osteoporosis. She has to be encouraged to have more liquid. Her bony prominents are to be checked regularly for pressure sore. If any redness is noticed, it is to be reported to the duty nurse.

Arrange for the visits by the family and interact and communicate with them.

It is important to understand her facial expressions and gestures.

Mechanical aids that improve the client??™s quality of life, promote independence and improve morale and self image.

She has a ???rise and reclining??™ chair which is very comfortable and that can be pushed back. She requires a pillow to be kept between her knees so that the knees rubbing each other will not hurt her.

It would be ideal if cushions and additional pillows are kept on her sides so that she will not have pressure sores while turned on the sides.

Course of Action

1. Privacy and Dignity
She gets privacy and dignity in the home especially when clothes are changed, when pads are changed and when a bath is given.

2. Independence
As she may not gain much independence from her current condition, it is better to give her more comfort and safety.

3. Positive self image.
By providing her with regular change of cloths, better appearance and regular change of pads, she can have a feeling of wellness.

4. Confidentiality
Confidentiality is assured in case of all the matters related to her.

The course in CARE SKILLS has helped me to learn the skills required by me as a carer. It has improved my communication and observation skills. It has helped me in delivering the care to the highest standards in accordance with the health and safety of the residents.
I have learnt the importance to be a good listener and also learnt how empathy can improve the emotional needs of the residents. I do recognize now, how important is my job as a valuable member of the health care team. Above all I am confident in the delivery of my duties.