eds

Activity 1

Helping someone who is having a heart attack

1. What help would you call if

a. you were working in a client’s home?

- I will immediately call 911 or any local emergency hotline

b. the client was in an aged care facility?

- If we are in an aged care facility and there is a doctor on duty, I will

notify the doctor; if there is no doctor on duty, I will notify the nurse.

2. What can you do for the client while you are waiting for help?

- I'll try to keep my client calm and make them feel at ease, such as by sitting
on the floor and resting against a chair or a wall. The heart will be relieved by
sitting.I'll have my customer chew and swallow a baby aspirin if they aren't
allergic to it.
ACTIVITY 2
What can the aged worker do to help prevent the
following complications:

1. Pneumonia from lying in bed.

-Encourage the client to get up and move around, as lying flat on their back for an
extended period of time might raise the risk of pneumonia. Determine when it is safe
for them to begin sitting up and walking.

2. Contractures from not moving limbs and body.

-Standing and/or walking for predetermined lengths of time each day; passive
stretching of muscles and joints; limb placement to encourage extension and
oppose flexion; and splinting
Each finger should be gently stretched and rotated as far as possible to prevent
hand contractures. Also gently stretch the hips and knees for 60 seconds or so to
extend the muscles and stretch the joints to prevent contractures.

3. Decubitus ulcers from lying on a bony prominence.

Every 2 hours, turn and reposition the client
In a wheelchair, sitting erect and straight, changing positions every 15 minutes.Soft
cushioning in wheelchairs and beds to alleviate pressure.Taking care of the skin by
keeping it clean and dry.Providing adequate nutrition since bed sores cannot cure
without enough calories, vitamins, minerals, water, and protein, no matter how
carefully they are cared for.

5. Loss of weight due to dysphagia.

-See to it that the client doesn't talk while eating. Place food on the stronger side of
the mouth when one side is weak. Check the inside of the cheek for any food that
has been pocketed at the end of the meal. When swallowing, try lowering the
client's head, tucking his chin into his chest, and bending his torso forward.

6. Dehydration
Encourage the client to drink water all day. He should drink throughout the day
rather than drinking a significant amount of fluids all at once. To keep on track, make
a drinking schedule: take a glass of water first thing in the morning, with every meal,
etc. Keep a water bottle nearby at all times so that mobility concerns are avoided
and liquids are always available. To reduce incontinence fears, limit water
consumption before night.
Provide foods that are high in water. Soup, yoghurt, jello, and fruits and vegetables,
for example, have a high water content. These foods can assist the client in meeting
their daily water needs.
ACTIVITY 3

Scenarios
1. Sister Edna has Parkinson’s disease. One of the staff tells you that
she spoils all the fun in the activity room because she never smiles.
How would you explain this?
-Sister Edna has Parkinson's disease, which is a neurological ailment
that causes unintentional or uncontrollable movements such as
shaking, stiffness, and difficulties with balance and coordination. It
is not her intention to ruin the fun; it is just that she is having difficulty
smiling.

2. You find Sister Edna sitting in her room in the dark. She is crying.
Feeling depressed is a common side effect of her medication. How
would you help Sister Edna?
-I will start a conversation and I will encourage her to take a walk
outside.I'll chat about all of her interests and encourage her to share
all of her good experiences.

3. Sister Edna tells you that she has been having nightmares. She sees
her younger sister who has recently died, being hit by a car. It
happens over and over until she wakes up. Bad dreams are another
side effect of her medication. How will you help Sister Edna?
- I will clarify to her that it is all a dream and that her sister is in a good place where
she is no longer in agony or suffering, and I will encourage her to think about all the
happy memories she has with her sister instead of the bad dreams
Activity 4
Mabel has osteoarthritis and poor balance. She needs help from 2 care workers to
walk to the shower. Your co-worker fetches the shower chair with wheels to take
Mabel to the shower. That way it will only take one care worker and Mabel will not
have the pain of walking.
What will you say to your co-worker?
-I will advise her that it is safer for Mabel if we assist her in walking to the shower, as
she will have difficulty sitting in the shower chair dueto her osteoarthritis.
Give 2 reasons why you will not use Lily’s walking frame to help Mabel
- Mabel has terrible balance, she will most certainly fall if she uses a walking frame.
-Because the shower is slippery, it is safer to have two people assist her to the shower
rather than allowing her to utilize a walking frame.

Activity 6
You notice that John is very drowsy and sweaty when you take in his breakfast. He is
a type 1 diabetic. Number the following actions in the order that you will perform
them. (1-10)
6. Report to EN that John has finished his breakfast.
2. Check that John has finished his breakfast.
3. Give John the glass of orange juice as instructed by the EN.
5. Report immediately to the EN.
7. Check on John with the EN.
9. Make an entry in the progress notes.
1 Ensure that John is eating his breakfast.
10. Check on John regularly during your shift.
8. Confirm with EN that John has a low BGL.
4. Report to EN that John has drunk his orange juice.
Activity 8
Think about helping an elderly frail client through their morning personal care
routine. Make a list of the situations where you would need to be careful to avoid
harm to yourself or your client.
-i will make sure the space is well-lit, preferably with natural light – sunlight is an
excellent disinfectant.I will position the bed near a nightstand with easy access to an
alarm clock, phone, book, food, and water. I will periodically air the room to remove
stale air and enable fresh air to flow.
-If it's time for a bath, I'll accompany the client to the bathroom.Make sure the
bathroom is warm and inviting.i'll make sure it's not too hot or cold. I will
remove any potential fall hazards from the floor, such as loose rugs, I will assist them
in undressing and transferring into the tub or shower as needed. If the client is
standing to shower, I will monitor the client's need for assistance. If they are weak, I
will always stay with them in the bathroom, offering privacy as much as possible.
-During breakfast, I must ensure that the client does not choke on the food that I
serve her.
-When the client needs to go to the bathroom, I encourage them to move around
as much as possible on their own to decrease the risk of damage for both of us. I'm
mostly there for balance support.
I will never lift a client or urge them to pull on me since it is very likely that one or both
of us may be injured.
To keep them stable, I'll grab their trunk and hips. I will not tug their arms or legs
because this could harm or throw them off balance.
-Because this is a frail client, she will most likely spend more time in bed than most
people. It is critical that her bed linens be changed every 2–3 days. Make sure the
new set of linens has been properly cleaned and laundered before use. While
blankets and comforters may not need to be changed and washed as frequently as
bedsheets, they should be changed out on a regular basis.
Activity 9

Think about how you would feel if you needed assistance for your ADLs.
How would you feel if you had to wear an incontinence pad and a carer had to
wipe your bottom?
- I'd be embarrassed, and I'm sure wearing incontinence and having someone wipe
my bottom would be quite uncomfortable.
What would you expect from your care workers if you were the one receiving this
care?
-I expect them to be cautious and courteous. The care worker should always ask
permission before doing anything to me, and I would like it if she spoke to me in a
calm tone.

Activity 10

Read the following case scenario. Mrs Solin is a resident in an Aged Care Facility.
Mrs Solin needs help as she has difficulty using her hands because of arthritis. She
also needs help to stand and sit and she can walk only a few steps due to arthritis in
her hips, knees and ankles.
Mrs Solin was a postwar immigrant from Hungary. She has worked hard all of her life
and prior to her admission she helped run the activities at the Hungarian Association.
She is very upset about needing help with her ADLs. (activities of daily living -
personal care)
1. Make a list of the help Mrs Solin may need from a care worker.
-changing bedsheets
-going to the bathroom
-eating
-exercising
-walking
-managing medication
2. How can a care worker provide care according to Mrs Solin’s wishes and help her
feel independent?
-I would always ask for her permission before tending to her, I would offer her privacy
when dressing and undressing, and I would let her be if she wanted to do things on
her own and I would tell her that i'm just nearby if she needed assistance.
3. Write a progress note for Mrs Solin. You were in her bedroom and she called you,
“stupid” when you asked if she needed help to brush her hair. Mrs Solin is a new
client and she becomes upset when she realizes that she is losing her
independence. Your supervisor is Rosie Clements EN. In your progress note describe
what you did when she called you names and report the result of your intervention.
Your note must meet all legal requirements to be acceptable in a law court.
-"When I was in mrs solins room i asked her if she needed help brushing her hair, she
became agitated and called me stupid; however, I remained calm and smiled and
said sorry and told her she could brush her hair herself; she calmed down after I let
her do it herself, and I immediately report to my EN, Rosie Clement."

Activity 12

Think about your grandparents and answer the following questions.

1. What type of bathroom did they have?
-It's a bathroom that they can easily access; the bathroom has handles that they
can grab to help them get in and out; it also has a toilet bowl with soft fabric so they
can sit comfortably; and there's a rubber mat on the floor to keep them from
slipping.
2. How often did they wash/shower/bath?
- My grandparents take a bath almost every day when they are still able to walk, but
just once or twice a week when they are bedridden.
3. How often did they wash their hair?
-My grandfather does not take care of his hair and only washes it once a week, in
contrast to my grandma who washes her hair daily.
4. Describe their personal hygiene eg were they clean with healthy skin and free of
odour?
- They don't have strict personal hygiene, but my grandmother likes to thoroughly
wash her entire body and always asks me to assist her in washing her back, feet, and
any other parts of her body that she can't reach. I don't recall much from my
grandfather, but I do recall seeing him wipe himself every now and then.
Think about your own hygiene care and how you feel after bathing.
1. What facilities are needed in a bathroom?
-I needed a mirror, bath towels, wastebasket, shower, tub, and a location where I
can readily get my soap, shampoo, and other showering goods.
2. How often do you wash your hair?
-3 to 4 times a week
3. How often do you think your clients should be showered?
-I believe that the client should bathe at least once or twice a week to avoid any
skin issues or infections.
4. How do you feel after bathing?
-I'd feel lighter, warmer, and refreshed.

ACTIVITY 13
1. What problems with the mouth should be reported to your supervisor? List 4
-bleeding gums and blood on teeth and lips
-dry cracked lips
-tongue coated with residue
-spots on the lips

2. What would you do if when cleaning a client’s dentures, you noticed that they
were very worn.
-I'll examine inside the client's mouth to see if there's any tooth decay, and if there
isn't, I'll ask if she has any mouth sores, and then I'll report to my supervisor.
3. When would you need to wear gloves when assisting a client with mouth care?
-everytime i assist the client with her mouth care
4. What mouth care is appropriate for a client who is unconscious?
-When mouth care is given to an unconscious patient, he or she is placed in a side-
lying position.
5. Dentures are very expensive items. State how you would ensure that dentures are
not damaged when they are out of the client’s mouth.
-I'll wear plastic gloves if I'm going to handle or clean the dentures.
Because dentures are often destroyed if dropped, especially into a ceramic hand-
basin, I will use a clean flannel or paper towel to protect it
and I will clean it with extreme caution.

ACTIVITY 14
Give 4 reasons why care workers should attend the elimination needs of a client
frequently and immediately as requested.
It is critical that care workers attend to a client's elimination needs on a regular basis.
to ensure that the customer has regular bowel movements ,adequate urination,
to spot unusual patterns like farts, constipation, and diarrhea which could indicate
underlying medical issues.
How should carers act while helping clients with their elimination needs?
-Care staff should cover the person's lap when using the commode/bedpan or
urinal to avoid humiliation.
If the client is incontinent, it is critical that he be cleaned up as soon as possible for
comfort and sanitary reasons.
How should the carer protect themselves from infection while assisting with toileting.?
-Handwashing is the most effective approach to prevent infection spread. Before
and after assisting the client, use alcohol or an alcohol-based sanitizer and don't
forget to wear gloves.
How would you clean toileting equipment in general use?
-After each usage, pans and urinals used by the same client can be rinsed.
and wash every day with detergent and water
Communal pans and urinals should be decontaminated in a pan.
flusher or soaking in an adequate bleach solution
concentration.
Protective gloves and aprons that have been contaminated should be discarded.
Soiled goggles should be washed with hot water and detergent.
then it dried

Why is privacy for clients essential when helping meet their elimination needs?
-Incontinence, both urinary and faecal, is humiliating. As a result, when assisting
clients with this issue, the caregiver should respect the client's privacy and use tact
to boost the client's self-esteem.
ACTIVITY 15
Find some pictures of

(a) Your ideal eating environment. (b) Pleasing table settings.

(c) Appetizing food (d) Ideal meal size for the elderly

(e) Suitable clothing for dining (elderly clients) (f) Culturally significant foods.

ACTIVITY 16
YOU ARE WORKING IN A RESIDENTIAL CARE UNIT. On the first day of your field
placement at lunchtime you are asked to ‘feed’ a client. Is “feed” a good word to
use in front of residents? Explain your answer
-No “feed” is not a good word to use. Instead of using the term "feeding" in front of
the client, ask if they are ready to eat and that you will assist them. Having a casual
approach and a friendly setting will also help in maintaining the client's dignity and
self-esteem.
What must you do before helping a client with their meal?
-My hands should be clean before assisting the client with their meal.
I will ensure that the dining room is free of unpleasant odors and sounds, then I will
wash the clients' hands. I will also provide an over-way table for clients who are bed
or chair bound, while clients who are mobile or in wheelchairs should sit at the
tableI'll use a serviette to protect their clothes after ensuring that the food is suitable
for the client, the client is ready to eat.
Mr Cole has had a stroke. He has difficulty swallowing and seeing. Despite this Mr
Cole can manage to hold and use a spoon. List all of the things that you should do to
assist the client to eat his meal.
-I will Inform Mr.cole of what has been placed in front of him and as well as answer
any questions he may have.I will describe the arrangement of the food on the plate
and help him touch the food and eating utensils to show them where they are,
warning them about hot liquids and I will clean up any food spills with discretion.
Mr. Pederick is wearing a soiled, smelly incontinence pad. You tell him that it is
nearly lunchtime and suggest it would be a good idea to visit the toilet and change
his pad. Mr. Pederick says that his pad is clean and refuses to cooperate. The smell is
bad. What can you do?
-Mr.Pederick may be concerned and embarrassed by his incontinence that's why
he lied about it but I will be transparent about the matter, encouraging him that we
needed to change his incontinence.
Mrs. Li came to Australia after the Vietnam war. You notice that she often does not
enjoy the food that is served and she always leaves pumpkin on her plate. What
should you do about this?
-I'll provide a substitute meal for her or make pumpkin-based dish that Mrs. Li’s would
like.
Breakfast is served mostly in the client’s own rooms. John likes to sleep in and his
coffee and toast are usually cold when he wakes up. What can you do about this?
-i will watch over him and make sure he eats it before he sleeps.

ACTIVITY 17
1. Name 2 activities of daily living that are difficult when a person has poor mobility.
-walking
-standing
2. Name 2 benefits of walking.
-Lowers blood sugar
-Improves heart health
3. State 3 things the carer can do to ensure the safety of a client who is walking
independently.
-standing close to the client and facing in the same direction
-let the client walk on their own pace
-encouraging the client to maintain good posture
4. State 3 things the carer can do to ensure the safety of a client who is using a
walking aid.
- Checking the condition of the frame and, if applicable, the brakes.
-Assuring that the frame belongs to the client and that the height is adjusted by the
physiotherapist to suit the client.
-Ascertain that the client is wearing non-slip or slip-resistant footwear, as good
footwear is critical in reducing unintentional falls.
5. Give examples of what the carer would report to their supervisor about the client’s
walking.
-how far and long did the client walk ,how the client feels while walking and if there
is any accident happen to the client during the activity

Activity 18
You have been asked to check Fred’s walking frame and Mary’s stick to ensure that
they are in good order. Explain what you are checking.
-I'll see whether that stick belongs to Mary because it's the right height.
Then I'll check for cleanliness and safety, as well as that the rubber tip is in good
condition, while for Fred, I'll make sure the frame is in good working order and that
the brakes are operating if applicable, as well as that the frame belongs to Fred.

Activity 19
1. List 5 features of a hospital bed.
1. They are moveable.
2. They are about the width of a normal single bed.
3. They have a firm base and supportive mattress.
4. The mattress is covered in a waterproof material.
5. They have bed ends that are usually removable.
2. List 3 things to always do when caring for a client in a hospital bed.
Check to see if the breaks have been applied.To protect your back raise the height
of the bed.Adjust the bed before leaving to meet the needs of the client
3. List 5 of the general principles of bed making.
• maximise client comfort
• maximise client and carer safety
• minimise the need for constant remaking
• meet the personal preferences of the client
• work efficiently
4. List 5 actions the carer can take to ensure that pathogens on soiled linen do not
contaminate the carer or the environment
-Put soiled linen into the skip and fold clean linen over the back of the chair.
-Excess faeces can be wiped up with toilet paper and flushed down the en suite
toilet or placed into a bed pan .
-Use the spray and paper towel to clean any soiled surfaces of the mattress or water
proof sheeting.
-Remove the soiled linen skip.
-Dispose of any contaminated rubbish and WASH YOUR HANDS

Assessment for CHCCCSO11 Meet personal support needs

Instructions: Students are expected to attempt every question. Check

that you have answered all parts of each question. Answers on this
handout should be neatly written in pen. A second attempt to answer
any incorrect responses will be provided. Submission of this assignment
indicates consent to undergo assessment. A maximum of 3 errors per
page is allowed.
Describe = give a clear explanation, Explain = give reasons

SMP HOLISTIC PRACTICAL ASSESSMENT - Preparation

Client information
The client, Lillian (Pearl) Bell is a 93yr old woman who has early dementia and a
history of falls and tinea (fungal infection between the toes). Lillian has been
admitted to residential care because of increasing confusion. She is reluctant to
walk, possibly because of the falls she has had recently. She is deaf in her left ear
and has balance problems associated with her hearing loss. She wears glasses for
reading (bi-focals). She is usually continent of urine and faeces but requires
prompting to go to the toilet. She is occasionally incontinent overnight. She often
forgets the location of the toilet. She requires prompting for all ADLs but can still
perform most activities herself. Lillian enjoys music and singing and she is a
practising catholic. She has two daughters who visit regularly. Lillian had been a
schoolteacher and she sometimes becomes upset when she realises that her
intelligence is much reduced.

1. What abilities does Lillian have? (Name at least 5)

-Able to physically attend to most ,ADLs ,Plays piano and Sings well
2. What help will Lillian need from you on a morning shift? (You need to think about
all the tasks you will help Lillian with as part of the daily routine for an 8 hour morning
shift.
-Shower,wash bath,toileting ,skin care and meals
3. Explain how you will introduce yourself to Lillian who has dementia. How will you
ask her to come with you for a shower?
-Hello, Mrs. Lilian, I'm your care worker for today. Can I assist you get into the
shower?
4.Lillian begins to cry in the shower when you are talking about your child’s school.
What might have triggered this behaviour?
-Maybe she misses her own child as she remembers her childhood
How could you use the things she enjoys to help her calm down?
-i will ask about all the happy memories she have with her child
5. Write a list of all the equipment you will need for Lillian’s hygiene care in
preparation for her visit to the hairdresser
-fixed shower chair
-toilet raiser
-creams
-toothpaste and toothbrush
6. (a) What time will you help Lillian with her hygiene care?
-8am

(b) Give 4 reasons for choosing that time

-need to shower and hairwash,choose her clothes ,eat and i need to prepare all the
equipments indeed for her to safely go to the hairdresser
The Role of Personal Care Worker
1.
a. What documents can the worker use to confirm their role and
Responsibilities?
Job specification,duty statement,policy and procedure manual and work
instructions

b. A care worker has been asked to help with a task that is not normally part of their
duties. How will the worker know whether the task is within their range of
responsibilities if documents are not available?

2.State why it is necessary for the care worker to attend the handover. And, why is it
necessary to read the client’s care plan? (2 answers)
-it is important to attend the handover because At the beginning of each shift care
workers are told important information they need to know so that client care is
provided to the highest standard
3. What should always be assessed before a care worker attempts any
care task with a client?
-prepare all the necessary equipment and stuffs that needed for the task then
inform the client of what task you are going to perform
4. Describe 3 important differences between providing personal care in
residential facilities and a client’s own home.
-In home care Allows you to remain self-sufficient in your own house.
Your treatment is personalized to your specific requirements.
You can get help with basic, low, intermediate, or high-level care while in residential
facilities. It entails relocating from your house to long-term housing with support and
care.
Retirement villages and over 55's communities, assisted living facilities, and nursing
homes are the most common options.

SKIN CARE
Assisting a client to care for their skin.
1. Why is regular skin hygiene necessary, especially for the skin around the
genitalia?
-A natural barrier against abrasion, chemicals, and viruses is the skin. The greatest
approach to maintain your skin healthy is to practice proper skin hygiene. Good
hygiene requires the removal of dead cells, dirt, and microorganisms from the skin's
surface.Cleaning skin around the genitals is the most important as it is prone to
various infections.
2. How can the care worker avoid embarrassment of self and client when cleaning
genitalia?
-treat the client respectfully ,always ask permission before touching the genitals
avoid commenting av
3. Why use soap free products to clean the skin of older people?
-As we become older, our skin's natural protective barrier weakens. When exposed
to strong irritants such as soaps, the barrier is more prone to becoming dry and less
resistant.
4. Why check skin folds and keep them dry?
- if they not dry there will be that moisture often due to sweating which will result to
rashes
5. Why moisturise sun-damaged skin of clients’ forearms and lower legs
with sorbolene?
-because sorbolene is helpful for dry skin
6. Why should incontinence pads
a. draw moisture away from the skin?
-to avoid skin irritation
b. be changed at regular intervals?
To protect the clients skin and reduce the risk of developing UTIs, changing them
frequently enough is vital. It is important to change pads before they become too
wet and uncomfortable
7. How can the care worker prevent skin tears in elderly clients? (4
examples)
• Using proper handling techniques to reduce or eliminate friction
and shear.
• Taking care when attending to personal care activities.
• Keep fingernails short
• DO NOT wear jewelry
8. How can the care worker assist in the prevention of decubitus ulcers
(pressure sores)?
-encourage the clients mobilization,frequently changing the clients position and
reducing contact with hard surfaces
9. Complete the following statement. Pressure sores can only be healed
-Pressure sores can only be healed by taking off the pressure.
10. A very tall client has been given a commode that had previously been used for a
short client. The commode has been cleaned. What else will you need to do to
make the commode suitable for the new tall client? Why?
-i will adjust the height of the commode to reduce the risk of slips and falls while
getting on and off the toilet
11. When bed-bathing a client the eyes should be washed first with a
clean washer and clean water. Why?
-to avoid the eyes from irritation
12.Why should towels and washers be hung up to dry after use?
-to help them dry properly and prevent odor and reduce bacterial development
13.When deciding if you should cut a client’s toe nails; list 4 factors you
should think about?
-long and jagged
-dirty
-if the toenails is yellowing
-if you notice a thickening in the center of the underside of the nail

MOUTH CARE
1. Describe the appearance of a healthy mouth
-The tissues in a healthy mouth are pink, firm, and moist. Your breath will smell nice or
neutral if you have a healthy mouth. Gums that are healthy are firm and pink, not
red or white. They are neither bloated nor painful.
2. List three signs that indicate an unhealthy mouth
Mouth and Jaw Pain.
Bleeding and Sore Gums.
Mouth Sores, Patches, or Lumps.
3. What kind of toothbrush is most appropriate for elderly clients?
Why?
-electric toothbrush because it is easy to use
4. Briefly explain why clients should clean their teeth at least twice a
Day.
5. Some clients may be able to clean their own teeth if they are prompted. What are
some of the prompts care workers can use ?
6. When cleaning dentures state 2 things the care worker
a. Should do
-if you are going to clean the dentures wear a plastic gloves
b. Should not do
-Using Abrasive cleaning materials.stiff-bristled brushes, strong cleansers and harsh
toothpaste, as these are too abrasive and can damage your dentures
7. How should a client be positioned for a mouth toilet?
-the client should be positionon their side to allow any fluid to drain easily from the
mouth
8. Why should mouth toilets only be used for clients who have a significant
swallowing deficit or who are unconscious?
-to keep the mouth healthy and moist
Fluid/Nutrition Explain briefly why it is important for clients to drink around 1.5 litres
daily.
-Hydration is essential for maintaining electrolyte balance, blood volume, digestion,
nutrition transfer, and kidney function. Additionally, if your client becomes
dehydrated, they may experience mental confusion.

Complete activity 15 in your course workbook. Using some of the pictures as illustrations
prepare a fact sheet for carers of the elderly. The fact sheet should be titled “Providing a
satisfying dining experience in Aged Care.” Address all 6 elements of the activity
Case studies
Read the following case scenarios and complete the tasks.
After a busy morning the staff are having a break in the staff room. As well as
personal care workers, some catering, laundry and cleaning staff are present. Anne,
one of the personal care workers says that she “Hates caring for Mr XXX as he is a
dirty old man with genital warts”. This comment is met by a stunned silence.
Comment on Anne’s behaviour and how she has failed to meet her responsibilities
as a care worker.
-As a fellow care worker, I am disappointed with Anne's actions because she is more
aware of what older people can and cannot do. It's not that the elderly man wants
to be dirty; it's just that he can no longer care for himself, which is why we care
workers exist.

You are responsible for the care of MrsFryer. This resident is normally
cooperative however when you ask her if she is ready to have her
shower Mrs.Fryer refuses. You ask why she does not want a shower and
she tells you that:
a. she is feeling very cold and does not want to get undressed
b. she prefers that Anne helps her shower.
How can you negotiate with Mrs.Fryer about her feeling cold?
-i will tell her that i will prepare a warm water for her
How can you negotiate with Anne so that she could shower Mrs Fryer?
-i will tell her about the situation asa politely if she can accompany me and Mrrs.
fryer to the shower

Case Scenario.
Using the following information about Mabel Finn please complete the
following questions. If information is not provided in the scenario please
create appropriate information to fit with Mabel’s abilities and needs.
Mabel Finn is an 85 year old widow. She was born in Ireland, but has lived
in Australia for 50 years. She has a supportive daughter, Mary and
another called Margaret who does not visit.
Identify 5 ways that you can help Mabel with the problems she has
because of stroke.
-walking
-eating
-showering
-mouth care
-skin care
Identify 5 ways you can help Mabel with problems she has because of
Diabetes.
-Encourage healthy eating
-observing drops in blood sugar
-supporting physical activity
-toileting and incontinence
-oral care
Identify 5 ways you can help Mabel with problems she has because of
Depression.
-cheer her up
-assuring her that you will always be there to listen
-be patient to her
-understand her mood swings
-beingcareful with your choice of words
What are 2 risks to a care worker who looks after Mabel? How will you
minimise each risk?
Behavioral risk this moment mabel become aggressive; she was depressed with the
change in her body and loss of abilities.
-Encourage mabel to do as much for herself as possible.
Help mabel maintain a level of personal presentation which pleases her.
Sleep – Risk
-arranging two blankets and one pillow She needed more pillows to support her
back and arm. Warm milo, toothbrush, toileting, and washing before bed. and
switching on the Night light

What are 2 risks to Mabel’s health and safety? How will you minimise
each risk?
Pressure sores, infections and medication side effects.
-Pressure area care - monitor care and intervene if skin change is reported. Monitor
bowel actions and intervene with ordered aperients prn and suppository 4/7 prn.
Monitor skin condition of toes and (R) hand daily. Implement treatment for skin
breakdown as ordered.
Toileting and continence: Risk high – unstable surface in bed when using bed pan,
client slumps to right.
-Client placed on bedpan prior to rising and on going to bed. Bedrails must be up
at all times when client is in bed. Bed head should be slightly raised when client is on
the bed pan. Assist client with clothing, positioning on bed pan, wiping bottom and
hygiene care. Use bluey under pan in case it spills. Incontinent of urine and faeces –
wears small Tena flex pad with maximum capacity. Small booster pad in place for
removal if faecal leakage occurs. Prone to constipation. Monitor and report TDS

Make a list of the:

Things the client can still do for herself
-brush her own teeth
-choose her own clothes
-wash her face
Things you need to help her do
-shower
-toileting

1 Mabel has been asking you to assist her with eating recently and she tells you she
cannot see her food very well. What can you do to help Mabel so that she begins to
feed herself again?
-Tell Mabel what is in front of her, and if possible, describe the meal and the
arrangement of the food on the plate. Using touch, show her where the food and
dining utensils are, and be discreet about wiping up any food spills.

In the following space describe Mabel’s life experiences

How will you provide person-centred care to meet Mabel’s needs? Give actual
examples.
Communication needs
-i will always talk to her and have her engage a conversation with me
Safety needs
-ensuring that while eating she won't choke
-that she wont have sore pain while sleeping
-she won't fall to bed
Likes/dislikes
-Likes to stroll in the garden at morning and she dislikes not being able to do
something herself
Need to be as independent as possible
-letting her wash her face ,eat on her own and choose her own clothing
Movement (Hazardous Manual Tasks)
-i will encourage her to do as much for herself as possible
Infection control needs
Hygiene needs
-helping her have a blue bath shower 2x per week using soap free body wash to
clean her face,upper torso, and genitals then carefully dry skin folds especially her
hand and arm after she chooses her own clothes I will apply sorbolene to lower arms
and legs 2x per day then help her wash her teeth 2x per day and in the evening
help her wash her face,hands,back, and bottom
Mouth care needs
-assisting her brush her teeth 2x a day
Nutritional and fluid needs
-giving her moist,minced diet,moderately thick fluid 1.5L of fluid daily
Excretion needs
-i will assist her to the toilet and wipe her bottom
Need to control pain
Grooming needs
-assist her with clothing and helping her brush her hair
Psycho-social needs
-Encourage her to take a walk and helping her engage a conversation with
someone
Behaviour problems
-understand her and help her maintain a personal presentation which pleases her
Sleep and rest needs
-cleaning her room and making her bed as suited for her that she can comfortably
rest
Answer the following questions.
In the space provided give examples of a 2 kinds of written report you
will complete about this client.
-At lunch she asked me to assist her with eating and she told me she cannot see her
food very well.
-When it was time for her to shower, I asked if I could assist her and she became
enraged and threw a pillow at me.
-List the important points you would make when communicating with staff
who are to take over her care for the next shift.
-woke up at 8am ,she have her dinner at 8:30am and she showered
-at 12pm she's still asleep
When using a computer for reporting on your client how can you ensure
privacy is maintained?
-ensuring that the computer I'm using has a password and that I'm the only one who
has access to it