CHCAGE003 Coordinate services for older people

Name:Sunita Mehmi ID:10759

ASSESSMENT TASK 2 - PROJECT ONE
1. Provide three (3) reports documenting how you would coordinate the service needs for three (3) older persons
in the provided scenarios – these should be of varying levels of support/for different types of support needs.

You should take into account the following and apply these to your reports:
➢ The social model of disability
➢ Aspects of elder abuse
➢ Common health problems associated with ageing
➢ Roles of health professionals and community services
➢ Principles of case management and organisational standards, policies and procedures.

All responses should show an understanding of the care needs of older persons and the services and options that are
available for aged care. They should also detail organisational requirements and any legal needs.

Case Study 1
I’m a little worried about Mum. Since we lost Dad last year Mum has lost weight, she’s become more forgetful,
and when I visited her on the weekend I noticed the garden was completely overrun with weeds. I can see she
needs some help but I work fulltime so can only get over there on the weekends. What can I do?
➢ The social model of disability:
There is intellectual disability since the client is not engaging herself in the small activities due to her absent-
mindedness.

➢ Common health problems associated with ageing:

The client shows early signs of dementia which are:
 Social withdrawal
 Not able to participate in small activities
 Confused about life

➢ Roles of health professionals and community services:

 Care assistant/worker  Home care worker
 Dietician  In-home respite worker
 Community care worker  Psychologist
 Community support services  Geriatrician
 Diversional therapist
The above mentioned health professionals and community services can give Home care level 1 – (those with basic
care needs)to the client to assist in day to day care and helping in small tasks and also keep company to the client. A
geriatrician can educate the client and also can prescribe any medication required. A dietician can prescribe healthy
diet charts and can check on the progress of the client related to weight management.

Case Study 2
I had a fall at home a few weeks back and fractured my hip and wrist. I’ve been recovering in hospital and am
almost ready to be discharged. I want to go home but I’ve been told I’ll have to go into residential care as I’m not
able to look after myself yet. I’m worried that if I agree to go into residential care I’ll never get back to my own
home again. Are there services that would enable me to stay at home to recover?
➢ The social model of disability:
The client is physically retarded as she had recent injury of hips and wrist.

➢ Roles of health professionals and community services:

 Care assistant/worker  Nursing assistant  In-home respite worker
 Community support services  Pain specialist  Registered nurse
 Geriatrician  Personal care assistant/worker  Wound consultant.
 Home care worker  Physiotherapist
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 CHCAGE003 Coordinate services for older people
Name:Sunita Mehmi ID:10759

Care worker and in home respite care can be approached for Home care level 3 – those with intermediate care
needs in tasks of daily living for the client at home. A nursing assistant can be appointed to see the progress of the
patient after consulting a general practitioner. Pain specialist and physiotherapist can assist in recovery of the
physical retardation.

➢ Common health problems associated with ageing:

 Social withdrawal due to disability to move.
 Not able to take care of herself alone.
 Pain due to injury.
 Confusion about the prognosis of care.

Case Study 3
Since Dad was diagnosed with dementia last year he has been increasingly difficult to manage at home. Mum can
barely leave the house as Dad is so anxious when she’s not there. They’ve had a few instances now where Dad has
called 000 when he can’t find her, even when she was just out the front talking with a neighbour. The only option
seems to be residential care for Dad but neither wants to be separated. What can they do?
➢ The social model of disability:
Mental disability due to amnesia and confused behaviour.

➢ Common health problems associated with ageing:

 Dementia
 Confusion about the family member’s presence.
 Changes in personality from anxious to normal in split seconds
 Acquired disabilility

➢ Roles of health professionals and community services:

 Care assistant/worker  Psychologist  In-home respite worker
 Community support services  Personal care assistant/worker  Neuropsychologist and
 Geriatrician  Occupational therapist behaviour consultant
 Home care worker

In-home respite care can be arranged for the client to assist the client giving Home care level 3 –with intermediate
care needs in his homely environment. Also a psychologist and a Neuropsychologist and behaviour consultant can be
consulted to maintain the cognitive abilities of the client so as the anxious behaviour can be controlled and also
some occupational therapist can be approached to minimise the symptoms of dementia.

Case Study 4
After being diagnosed with breast cancer and having a mastectomy in June, I’ve had to continue with radiation
therapy and chemotherapy which has left me feeling sick and exhausted. My family have been really supportive
but my husband needs to get back to our family business and my parents will need to return to Brisbane at the
end of the month. I really want to stay at home but I can’t cope on my own. Are there services that can help me
through this?
➢ The social model of disability:
Disability in catering with the acquired retardation of body systems, loss of self esteem and change in emotional
state.
➢ Roles of health professionals and community services
 Care assistant/worker  Personal care assistant/worker  In-home respite worker
 Community support services  Occupational therapist  Pain specialist
 Home care worker  A nursing assistant  General practitioner

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 CHCAGE003 Coordinate services for older people
Name:Sunita Mehmi ID:10759
Care worker and in home respite care can be approached for Home care level 3 – those with intermediate care
needs in tasks of daily living for the client at home. A nursing assistant can be appointed to see the progress of the
patient after consulting a general practitioner. Pain specialist can assist in recovery of the physical retardation.

➢ Principles of case management and organisational standards, policies and procedures.

The application of the following Principles of Case Management Practice are in accordance with the Disability Service
Standards:
• Case management service provision will focus on achieving the goals identified by the person with a disability as
meaningful and valuable to them.
• The case management practitioner will ensure the person has opportunities to make decisions about the type and
level of support they receive to assist them to realise their goals.
• The case management practitioner will strive to identify and use the strengths, resources and abilities of the
person with a disability so as to:
 minimise the intrusiveness and involvement of formal support services in their lives
 enhance the person’s capacity over time to plan, direct and source supports they chose
 Encourage them to guide and drive positive change in their lives.
• The person will receive a case management service that is:
 collaborative, planned, transparent and confidential;
 respectful and consistent with valued cultural, religious and linguistic environments;
 Person centred and strengths based;
 Flexible, and responsive to changes in the level of support required by the person with a disability.

Case Study 5
My husband isn’t managing like he used to and has needed help with things like showering and dressing for over
a year now. We’ve had someone coming in for about an hour most days to shower and dress him but I’m finding
he needs more help than that now. Whenever I go out I’m worried he’ll have a fall or will forget which medicine
he’s meant to take at which time. What can I do to make sure he is safe?
➢ The social model of disability:
Generalised disability of performing activities of daily living with the risk of memory loss and fall injury.

➢ Common health problems associated with ageing:

 Amnesia
 Acquired disabilility
 Not able to take care of himself alone.
 Not able to participate in small activities
 Mobility issues
 Disorientation

➢ Roles of health professionals and community services:

 Home care worker  Personal care  Care assistant/worker
 Nursing assistant  Physiotherapist  Community care worker
 Occupational therapist  Psychiatrist  Community support services
 Pain specialist  Psychologist  Dietician
 Palliative care specialist  Registered nurse  Geriatrician

Home care services can be provided by the help of multidisciplinary approach and getting help from above
mentioned services and professionals to provide a person centred care.

Case Study 6
After a bad fall my mother moved into residential care last year. I try to get there as often as I can but the nursing
home is more than an hour from my home and even further from work. I’m worried she is quite lonely there. I’ve
noticed she’s more withdrawn and some days she isn’t even getting out of bed. I know the staffs there is good but
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 CHCAGE003 Coordinate services for older people
Name:Sunita Mehmi ID:10759
they’ve a lot of people to care for and I don’t think they’ve much time for a simple chat or to spend the time that’s
needed to encourage Mum to walk. How can I get more care for her?
➢ Aspects of elder abuse:
Neglect/abandonment –As there are lots of people in the care facility it is obvious that the client is feeling neglected
because she needs emotional support and feels withdrawn from the community.

➢ Common health problems associated with ageing:

 Social withdrawal
 Acquired disabilility
 Not able to participate in small activities
 Mobility issues
 Disorientation

➢ Roles of health professionals and community services:

 Supported residential services
 Diversional therapist – for participation in suitable recreational/leisure activities
 Geriatrician – for any general ageing effects concerns
 Occupational therapist – to establish activities that the older person can safely do
 Palliative care specialist – to determine if the correct care approach is being made.

(Reference: CHCAGE003-Learner Guide, www.abistafftraining.info/PDF/Case_Management_Practice_Policy_N… ·

PDF file)