Jegatheswary - Module 7 - Care Planning

1. Information to Find Out About Mrs.
Gregg and Her Home: Before initiating care for

Mrs. Gregg, gathering essential information is crucial. Firstly, we need to understand her
medical history in detail, particularly the circumstances and impact of her recent stroke.
Additionally, we should inquire about any specific limitations or restrictions arising from the
stroke to ensure her safety and well-being. Knowing her preferred method of communication
is essential for effective interaction and understanding her needs. It's important to learn
about her daily routines and activities she enjoys, as this can be integrated into her care plan
to provide a sense of normalcy. Mrs. Gregg's support system, including family members and
other caregivers, must be identified. Safety concerns or hazards in her home environment
need to be assessed, and we should gather information about her current medications,
prescribed therapies or treatments, and any dietary restrictions or preferences.
2. Types of Information from the Care Plan: The care plan serves as our guide for
providing comprehensive care to Mrs. Gregg. It encompasses a variety of crucial elements.
Specifically, we will focus on her long-term goals, which include regaining mobility, speech,
and independence. The care plan outlines the recommended interventions and therapies to
help achieve these goals effectively. It details any prescribed medications and their
administration schedules, ensuring that we provide medications as per her physician's
instructions. Moreover, strategies for preventing complications, such as contractures and
pressure sores, are meticulously outlined in the care plan, ensuring her comfort and safety.
Additionally, the care plan provides guidance on assisting with ADLs (Activities of Daily
Living) and home support tasks, ensuring that we meet her physical, safety, and
psychosocial needs.
3. Situational Responses: There are various situations and feelings expressed by Mrs.
Gregg that require thoughtful responses. In the first scenario, Mrs. Gregg's difficulty with
utensils and resistance to help result in frustration. In response, we should gently offer
assistance with utensils and cutting food. Maintaining patience and respect while assisting
her is paramount. It's important to encourage Mrs. Gregg to express her feelings and
preferences, respecting her choices. In cases where she displays resistance or disruptive
behavior, these incidents should be reported for proper documentation and support. In the
second scenario, Mrs. Gregg's desire to read despite difficulties comprehending text and her
anticipation of returning to work reveal her determination. We should assist her in practicing
reading and understanding text, providing emotional support and encouragement throughout
the process. Engaging in activities that stimulate her mind and interests can help her pass
the time while recuperating. Discussing her goals and aspirations for returning to work will
empower her and align her care plan with her aspirations. In the third scenario, Mrs. Gregg
expresses sadness and questions why the stroke happened to her. In response, we should
offer empathetic emotional support by actively listening and providing reassurance.
Validating her feelings and empathizing with her situation are essential. Encouraging her to
express her emotions and concerns freely creates an open and supportive environment.
Additionally, we should promptly inform the healthcare team about her emotional state to
ensure she receives appropriate emotional support. In the fourth scenario, Mrs. Gregg
insists on independence, even if it results in occasional falls. Her desire for privacy during
personal activities should be respected. However, we should ensure her safety while moving
independently with the walker and be available nearby in case she requires assistance.
Encouraging safe mobility practices to prevent falls is essential.
4. Factors Affecting Rehabilitation: Several factors influence Mrs. Gregg's rehabilitation. a.
Age: Mrs. Gregg's age may affect the pace of her rehabilitation. Older adults may experience
slower progress, and patience is required to achieve rehabilitation goals. b. Individual
Characteristics (Personality): Mrs. Gregg's determination and motivation play a crucial role in
her rehabilitation. Her positive outlook and willingness to participate actively will influence
her success. c. Environment: A supportive home environment, including accessibility and
safety measures, is essential for effective rehabilitation. Creating an environment conducive
to recovery will enhance her rehabilitation experience.
5. Promoting Self-Esteem and Motivation: To boost Mrs. Gregg's self-esteem and

motivation during daily routines, several strategies can be employed. Firstly, we can
encourage her to engage in activities she enjoys, such as crafts and choir, to uplift her
spirits. Providing positive feedback and praise for her efforts and progress will boost her
confidence. Involving her in decision-making regarding her care and daily routines
empowers her and enhances her sense of control. Setting achievable goals and celebrating
her accomplishments, no matter how small, will reinforce her motivation. Finally, fostering
social interactions with family and grandchildren can provide emotional support and maintain
her sense of connection.
6. Restorative Care: Restorative care is a vital approach to Mrs. Gregg's rehabilitation. It

focuses on helping individuals regain and maintain their highest level of functioning and
independence. In Mrs. Gregg's case, restorative care plays a crucial role in her recovery
journey. We, as PSWs, can assist by collaborating with the healthcare team to implement
restorative care plans tailored to her specific needs. This may include supporting her during
exercises and therapies aimed at regaining mobility and speech. Encouraging her active
participation in rehabilitation activities is essential. Additionally, we should closely monitor
and document her progress toward restorative care goals and provide emotional support to
keep her engaged and motivated throughout the process.

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1. Information to Find Out About Mrs.

Gregg and Her Home: Before initiating care for

5. Promoting Self-Esteem and Motivation: To boost Mrs. Gregg's self-esteem and

6. Restorative Care: Restorative care is a vital approach to Mrs. Gregg's rehabilitation. It

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