Question

Barry is 90. He lives in a supported community. When Eliza, the support worker, visits one day, she is surprised to see that Barry has not left his room. He is usually up and dressed by 7am. When Eliza knocks to see if Barry is okay, he tells her to go away. When Eliza brings Barry’s unusual behaviour up at the team meeting, one of the other support workers, Roger, becomes hostile. He says that Barry is just whinging, and isn’t sticking to his goals outlined in the service delivery plan. Eliza and the team are surprised at Roger’s outburst. Eliza records the incident and decides to keep an eye on the situation and talk to Roger and Barry independently. Roger doesn’t want to talk. Neither does Barry.

Eliza observes Barry’s behaviour. He seems more withdrawn than usual, and refuses to come to social events. She hears from another resident that Barry is scared Roger will yell at him about not at least trying to be more social.

1. How can Eliza clarify her understanding of the individualised plan to better meet Barry’s needs?

2. Why should Eliza clarify Roger’s roles and responsibilities in relation to caring for Barry?

3. How can Eliza involve other team members in looking out for Barry’s wellbeing?

4. What are two signs of physical or emotional abuse in this example?

5. If Eliza has checked her assumptions and still has reasonable grounds for believing that abuse is occurring, what is the appropriate management of the abuse in this example?

Answer 1

1.Berry is 90 years old who needs assistance in his requirements, from someone else, assisting in medication, daily living activities, comfort supervision and advice.

Individualized plan where, the care giver has to provide more attention to the patient or needy in their activities. Since Mr. Berry is vulnerable person, he needs assistance in his medication, other daily living activities.

This patient might have psychological depression and anxiety because of loneliness and less socialization they have. It's our duty to work up on such patient with their nature.

2.Caregiver's duty are wide ranging and challenging,it's often addressed as best helping hands _paid and unpaid. Each caregivers carry many rules and responsibilities

*Home management and care planning

*Medical advocacy

*Prescription medication management

*Help with personal hygiene and care

*Assisting with meals and nutrition

*Help with mobility and activities

*Home maintenance and housekeeping

*Transportation

*Keeping healthy relationship

*Financial accountability

*Reporting and monitoring

3.Keeping the elderly one happy and healthy, is hard work. But it's important to be maintain the same.

Eliza should explain the importance of the care that has to provide for each individual

*Involve other team members to Mr. Barry through different activities where other team members can participate

*Assign different members for the care service each day

4. Two signs of physical or emotional abuse

a) Barry was whinging and not sticking to full fill the delivery plan

b) Withdrawn behaviour, where not came out of room

5.*Explain the importance of elderly care and the emotional status of the such needy

*If abuse occurred, give warning to Roger and never assign Mr. Barry to him, since it's make again emotional weekness to him.

*Counsel Mr. Roger regarding the incidence

*Encourage Mr Barry to the Normal routine and assure him, this will not happen here after.

*Provide emotional support to Mr Barry