Question

CASE STUDY #1

You are working Monday to Friday in Mrs. Farley’s home from 0700 to 1100 and then you go to Mr. Brown’s home from 1230 to 1530.

Over the last couple of weeks, the PSW (Sharon) who is assigned to Mrs. Farley’s home from 1100 to 1500 has been arriving consistently late by half an hour.

It takes you approximately 45 minutes (on a good day) to travel by bus to Mr. Brown’s house. This has caused you to arrive there with little time to get yourself organized and on two occasions, you even arrived late to Mr. Brown’s house!

At first, you said nothing, assuming it was just a bad week but now a definite pattern has developed. You have since made mention of the problem to Sharon on several occasions. The last time she apologized, saying “This will be the last time, it won’t happen again, please don’t report me to the Agency.” Thinking this was the end of it, you did not report it.

Today again, it is now past 1100 and you have Mrs. Farley drinking tea and chatting with you in the kitchen as you are preparing her lunch. Sharon finally arrives 15 minutes late and she says to you “oh good you’ve started lunch. I’ll let you finish up while I make a few phone calls outside on the front porch.”

a) List three effective steps to take to resolve this problem.

b) Looking back and reflecting upon what happened explain how you should have handled this situation initially (the very first time).

Case #2

Mr. Hedgegrove is 79 years old and he has just been discharged from the hospital. You have been assigned to be the PSW visiting him in his home. Your main task is to ensure Mr. Hedgegrove is eating balanced meals, but the task is difficult because of his failing memory. On the first day, he would not eat any food saying, “I don’t like this!” For the next few days despite changing the selection of foods, he repeated the same complaint but with increasing anger, stating, “You keep giving me the same meal! How many times do I have to tell you, I DON’T LIKE THIS!!!”

a) Describe six effective therapeutic communication methods you could use for this situation.

Case #3

You are working within a community agency and a client’s family approaches you with the following complaint: “You have lost my father’s glasses again!” Shouting in a high-pitched voice pointing her index finger at you. “This is the second pair of glasses that we have bought in the last three months. You have to pay for this and arrange to get him a new pair. We simply cannot afford to keep buying glasses because of bad staff.”

a) How would you respond using your Therapeutic Communication Skills to the client’s family as a PSW? List four actions you as a PSW would be able to do as an effective member of the team. These actions should help correct the problem in the future.

Answer 1

CASE 1

a)List three effective steps to take to resolve this problem.

-Be strict to Sharon and let her understand the seriousness on my face so that she will better take things serious.

-Warn her that if she is late anymore i am not going to wait and i will just leave off later on you will be responsible.

-Tell sharon that i am going to report this to agency then only you are going to be on time.

b)Looking back and reflecting upon what happened explain how you should have handled this situation initially (the very first time).

Anybody requires atleast one excuse to correct their mistake so even initially when Sharon is late i will excuse her for one or two days and then i will ask her why she is late everyday and if her answer is really genuine i could adjust a little until i face some problems and if the answer is not genuine i will strictly ask her to be on time and am not going to handle anything after my time and if she repeats the same then i will let it to the agency.

CASE 2
A ) 1 silence :- In this situation the psw should maintain silence when he is talking beacuse she know he is having a problem with memory.

2. Offering self :- providing time to the patient , it helps to understand the patient about the staff is taking care of him.

3.Seeking clarification :- It is important to clarify the problem with patient.

4.Giving broad openings :- It helps to understand what is their in patient mind and how to talk with him.

5.Encouraging discriptions of perception :- It is helpful for encouraging non judgemental way. And we can provide clear informations without negative way.

6.Summary :- It is important to understand the patient that the communication is completed.

Case 3

A) Four actions :-
1.The psw should identify the cause for losing glasses .
2. She should discuss the problem with cause to the higher team.
3. They should discuss with the person who is responsible for loss of glasses.
4. They should find the solution that include who is responsible for the loss should be punishable, based on their cause for this issue.