Question

Case study

Margaret is a 75 year old woman living in an aged care facility for residents with low-care needs. Margaret had polio as a young child and has one shortened leg requiring a built-up shoe. She also now has arthritis in her hands, back, hips and knees, which is making movement, transfers and balance difficult and painful. Margaret also has emphysema and requires oxygen via nasal tubes, medication via a nebuliser, tablets for her arthritis and she receives injections.

Following is a list of supports outlined on Margaret’s care plan.

Washing: Margaret can sit on a shower chair and independently wash the top half of her body, including genital area. She requires assistance to wash feet, legs and hair.

Margaret must be supervised and may need direction when stepping in and out of shower and transferring in and out of the shower chair.

She needs full assistance with drying herself, as she becomes breathless.

Dressing / undressing: Margaret needs assistance with dressing and undressing as she has difficulty moving and becomes breathless with exertion. She must have a built-up shoe on her left foot.

Grooming: Margaret likes to direct her own grooming and can do her make-up independently. She needs assistance with drying and styling her hair.

Nail care: Margaret needs regular monitoring and treatment for ingrown toenails and corns. She takes care of her fingernails independently.

Oral hygiene: Margaret has upper dentures and requires assistance to clean these and to open lids of cleaning fluid and containers.

Mobility: Margaret uses a four-wheeled walker at all times.

Transfer: Margaret requires direction to use handrails and chair arms, to transfer in and out of chairs.

Toileting: Margaret can use the toilet independently but wears incontinence padding due to difficulty getting to the bathroom in time, which results in occasional leakage.

Eating and drinking: Margaret has all meals in the facility dining room. She requires modified large-handled cutlery due to arthritis in hands.

Question

20.Outline what duty-of-care obligations the support worker has to Margaret.

22.Outline a procedure for a support worker to follow when Margaret is washing.

Answer 1

Outline what duty-of-care obligations the support worker has to Margaret.

-what would be predictable of a sensible individual in the same condition.

-the worker’s parts and accountabilities within the plan.

-the exercise and involvement of the worker.

-the feasibilities of the condition.

-existing public standards about satisfactory practice.

-values usually seen as appropriate to the condition.

-other pertinent commandments such as the Health and Security Act.

-conference judicial and other bureaucratic necessities.

Outline a procedure for a support worker to follow when Margaret is washing.

-Check the moveable shower chair is in decent situation. Safeguard wheels move effortlessly and edge is robust. If any errors, report instantaneously and do not use.

-Check the security belt for signs of wear or impairment. If any errors, report instantaneously and do not use.

-Ensure knowledge with usage of moveable shower chair. If hesitant, evaluation Normal Functioning Process (SOP) for this chair. Report instantaneously if SOP not obtainable.

-Gather rubber security boots providing onsite and put these on.

-Mention to client's Provision Plan for precise info.

-Check the mobile shower chair is in good condition. Ensure wheels move smoothly and frame is sturdy. If any faults, report immediately and do not use.

-Check the protection girdle for signs of wear or damage. If any errors, report instantaneously and do not use.

-Safeguard knowledge with usage of mobile shower chair. If hesitant, periodical Standard Operating Process for this chair. Report instantaneously if SOP not obtainable.

-Gather rubber safety waders providing onsite and put these on.