Question

Case study

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.

1.Complete this section of Jun-Wei’s care plan.

2.What people should be included when gathering information about Jun-Wei’s abilities and support needs? How might the information be obtained?

3. 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?

4.What are the physical needs that should be considered for Jun-Wei?

5.What risks could you identify in providing care to Jun-Wei? How would they be reported?

6.What could a new staff member do to ensure they have put Jun-Wei at ease and confirmed his preferences for care?

Answer 1

1)Possible care plans:

Risk for self care deficit related to inability to understand its importance

Risk for injury related to unassisted activities.

Risk for nutrition deficit related to improper dietary plans.

2) The people who can be included are the staffs of the centre. A detailed assessment can be carried out by collecting information about his activities and lifestyle with help of an assessment tool which can be pre prepare. This tool can include some open and closed questions to which they can respond accordingly.

3) The goal of his care is providing him maximum liberty as well as support in meeting his self care needs. The worker should understand that if Jun is able to do certain activities by himself it is better to encourage rather than doing things for him as it can result to independence and improved ability to perform activities. Long term effects of such action can result in impaired activities or intolerance which can cause decrease in his remaining ability to perform activities.

4) His needs: Further assisting him in activities which he finds difficult to perform.

Appreciating for the activities he can perform.

Preventing any risk of danger or injury. For e.g accompanying him when he wants to stroll.

Providing attention to his respiratory problems to prevent aggravating.