Question

Charles Darwin is a 47-year-old male client of Lotus Compassionate Care’s Home and Community Support Services. Charles is partially blind and paraplegic. Charles was able to see and walk 2 months ago, before he was involved in an accident. He has just been allowed to go home after a 2-month confinement in the hospital. Charles lives in a two-storey apartment that has lifts, with his wife Lisa. As they anticipate that Charles will need to adjust to his current condition, Charles and Lisa decided to avail Lotus Compassionate Care’s Home and Community Support Services. Lisa is a small lady and is unable to safely assist Charles transferring from his wheelchair to the bed, from the wheelchair to the toilet, etc Lisa is an administrative supervisor and used to work at an office every day from 9AM to 5PM. However, since the accident, Lisa has reduced her work hours to 10am to 2PM so she can be at home to assist with Charles’ morning personal care needs like showering, and preparing evening meals. Lisa also ensures meals are prepared for during the day for Charles and placed in the fridge before she leaves for work. Charles and Lisa has arranged for Lotus Compassionate Care to send home care assistance Mondays through Fridays to assist with showering in the morning, and Charles was an IT manager, and has stopped working since the accident. This is the first time Charles has stopped working since he was 16 years old.ommunity access such as visit to the physiotherapy and some cleaning. ⦁ Based on the information provided about Lisa, identify relevant knowledge and skills that she may have that can complement your role as a support worker providing support to her and Charles. Guidance: List one example of knowledge and one example of skill that Lisa may have that can complement how you deliver support services to her and Charles

⦁   Give two examples of potential risks of change to the care relationship between Lisa and Charles brought about by the situation.
Guidance: Include one (1) potential physical harm, and one (1) potential psychological harm) in your responses.

1.    Potential physical harm

2. Potential psychological harm

Answer 1

PART 1

Based upon the information provided in the above question regarding example of one skill and knowlege that Lisa may have that can complement your role as a support worker are as follow:

Knowledge : Lisa has thorough understanding of Charles routine in house. For a person who has suddenly lost vision and is dependent on others for his personal needs suffers stress, anxiety and frustration due to loss of independence. In the above mentioned scenario of Lisa and Charles, Lisa possess Knowledge about Charles routine and habbits which can help and complement the efforts of supportive care giver to overcome the situation and help Charles to regain sense of independence. Together by planning the Daily routine as per Charles usual timings Lisa can assist the supportive worker to supervise and help charles do his chores of personal hygine and food with  minimal assistance . As the house is not a new setup for Charle he will be able to move around freely with very minimal help and do his work effectively soon without much help, making the most of his residual sight and encouraging independence. Hence providing him with much needed sense of independence.

Skill: from the details mentioned about Lisa is skilled in time management and organizational quality. this skills of Lisa can be of great help in complementing the efforts of Community Support worker for scheduling charles daily activity in such a way that it does not change frequntly or hinder with Lisa's routine, hence helping them to funtion effectively as a close family unit. Lisa also has organizaional skills which can help the community support worker to plan  with them and do some necessary home re-organization to create more moving space and less chances of fall and injury for Charles.

PART 2

substantial impact on various life domains such as work, interpersonal relations, mobility and social and mental well-being.

Potential Physical harm: In Lisa and Charles case, Lisa is a small lady and is unable to safely assist Charles transferring from his wheelchair to the bed, from the wheelchair to the toilet, etc.This  puts them at risk of fall and injury and can cause potential physical harm in both.

• Risk of injury secondary to impaired sensory function.
• Risk of muscle injury related to overstretching.

Potential Psychological harm: Sudden loss of partial vision and paraplegia post accident may cause stress, anxiety, overwhelming emotions etc in the patient and family Charles is also not able to work since his accident causing him more psychological trauma related to financial dependence;

• Lack of self esteem related to financial dependence
• Anxiety related to fear of unknown